info@sussexwi.gov
N64W23760 Main Street, Sussex, WI, 53089, US
262-246-5200
First Name, Middle Initial
Full Address
Conviction record(s) or pending arrest record(s) do not constitute an automatic bar to employment and will be considered only if there is a substantial relationship to the circumstances of the particular position or if the employer deems there is a bona fide occupational qualification inherent in the position.
Trade/Apprenticeship/Vocation School
Undergraduate School
Graduate School
Begin with the most recent employer. Do not write, "See resume," or similar. Attach additional sheets if necessary.
Employer 1 Dates of Employment
Employer 1 Supervisor
Employer 1 Salary
Employer 2 Dates of Employment
Employer 2 Supervisor
Employer 2 Salary
Employer 3 Dates of Employment
Employer 3 Supervisor
Employer 3 Salary
List individuals familiar with your job qualifications. No relatives or personal friends.
Employment Reference 1
Employment Reference 2
Employment Reference 3
Upload files including a resume and letter of interest. Attach additional sheets, if necessary, to provide additional information. NOTE: All files must be selected before you click the "Upload" button. Once you have clicked "Upload," you cannot go back and attach additional files.
Applicant’s Authorization & Acknowledgement<br> I certify that the information provided on this application (and accompanying documentation, if any) is true, correct and complete to the best of my knowledge without omissions of any kind. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be justification for dismissal if discovered at a later date. I authorize persons, schools, my current employer (if applicable) and previous employers and organizations named in this application (and accompanying documentation, if any) to provide any relevant information to the Village of Sussex that may be required to enable the Village of Sussex to arrive at an employment decision. I release the Village of Sussex and all providers of information from any liability as a result of furnishing and receiving any information related to the Village of Sussex hiring process. I understand that I may be required to submit to a pre-employment physical examination, including substance abuse screening, prior to appointment. I agree that the results of such examinations and screening may be released to the Village of Sussex only for consideration of my employment. I acknowledge that a full background check may be run as related to any police records and/or driving records. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with the Village of Sussex is of an at will nature. I understand that if I am hired, I am required to abide by all rules and regulations of the Village of Sussex. I understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the Village.
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