Career Opportunities

Employment Application

An Equal Opportunity Employer

Education
High School or GED
Name and Location of School
Did you receive your high school or GED diploma?
- Yes
- No
Vocational or Trade School
Name and Location of School
Course of Study
Did you receive your vocational or trade school degree?
- Yes
- No
College or University
Name and Location of School
Course of Study
Did you receive your degree?
- Yes
- No
Other
Name and Location of School
Course of Study
Did you receive your degree or diploma?
- Yes
- No

Professional References
Please provide three (3) professional references. (No Relatives)
Reference 1
Name Occupation Phone Number
Reference 1 Address
Street Address Address Line 2 City State ZIP Code
Reference 2
Name Occupation Phone Number
Reference 2 Address
Street Address Address Line 2 City State ZIP Code
Reference 3
Name Occupation Phone Number
Reference 3 Address
Street Address Address Line 2 City State ZIP Code

Employment History
Include the last ten (10) years of employment history starting with the most recent.
Employer Information 1
Name of Employer Supervisor Name and Title Phone Number
Address
Street Address Address Line 2 City State ZIP Code
Dates Employed From __________ To ___________
Describe the Work Performed
What did you like most and least about the position?
Why did you leave?
Employer Information 2
Name of Employer Supervisor Name and Title Phone Number
Address
Street Address Address Line 2 City State ZIP Code
Dates Employed From __________ To ___________
Describe the Work Performed
What did you like most and least about the position?
Why did you leave?
Employer Information 3
Name of Employer Supervisor Name and Title Phone Number
Address
Street Address Address Line 2 City State ZIP Code
Dates Employed From __________ To ___________
Describe the Work Performed
What did you like most and least about the position?
Why did you leave?
Employer Information 4
Name of Employer Supervisor Name and Title Phone Number
Address
Street Address Address Line 2 City State ZIP Code
Dates Employed From __________ To ___________
Describe the Work Performed
What did you like most and least about the position?
Why did you leave?
Employer Information 5
Name of Employer Supervisor Name and Title Phone Number
Address
Street Address Address Line 2 City State ZIP Code
Dates Employed From __________ To ___________
Describe the Work Performed
What did you like most and least about the position?
Why did you leave?

Please provide a brief description of your skills of qualifications that may assist you in performing the position for which you are applying.
Add Resume
Accepted file types: pdf.
You may email your resume to [email protected]
Certification and Signature:

I hereby give Lancaster Parking Authority (LPA) the right to verify my previous employment, education and references; I release from liability all persons, companies, and corporations supplying such information. I release, indemnify and hold harmless LPA from and against any and all liability which might result from making such an investigation.

I understand that any false answer, statement or representation or material omission made by me in this application may result in refusal of employment or dismissal from employment. I also understand that nothing contained in this employment application or the granting of an interview is intended to create an employment contract between the LPA and myself for either employment or for the granting of benefits. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the LPA unless made in writing. If an employment relationship is established, I understand and agree that it is not for a definite period of time and that I have the right to terminate my employment at any time, for any reason or for no reason, and that LPA retains a similar right.

I understand that, if accepted for employment, it is necessary to abide by the rules and policies of the LPA and that I will have a three (3) month introductory period prior to being considered a regular employee.

I understand further that all phases of employment at LPA are based strictly on the qualification of the individual as related to the work requirements of the position. The LPA provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements the LPA complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training.

I consent to take a post-offer drug screen and criminal background check. If applicable, I consent to taking a post-offer driver’s license check and/or credit report check.
Signature*
Please type your name
Date*
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Comments
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Career Opportunities

Employment Application

Step 1 of 5

Personal Information

Education

Professional References

Employment History

Certification and Signature: