TOWN OF BYRON, WYOMING
Home
Pay My Bill
Forms
Events
Plan To Visit
Contact
Home
Pay My Bill
Forms
Events
Plan To Visit
Contact
Town of Byron, Wyoming
Application for Employment
35 South Pryor Street •
PO Box 5
Byron, WY 82412
Phone: (307) 548-7490
The Town of Byron is an Equal Opportunity Employer. Applications are considered for positions for which they have applied without regard to race, religion, sex, age, national origin, disability, and other characteristics protected by law.
Essential functions of positions are described in job
advertisements/announcements specific to the position vacancy. If you are unable to perform the essential functions of the position for which you are applying, or need a reasonable accommodation in order to apply, please contact Byron Town Hall (307) 548-7490 for assistance.
*
Indicates required field
Position Applying For
*
Applicant Information
Name
*
First
Last
Phone Number
*
Physical Address, City, State, Zip Code
*
Mailing Address, City, State, Zip Code
*
Email
*
Social Security Number
*
Do you possess a valid driver's license?
*
Yes
No
If Yes, indicate class
*
Drivers license number, state, expiration date
*
Are you age 18 or older?
*
Yes
No
Are you available for:
*
Full Time
Part Time
Temp/Seasonal
Date available for work?
*
Have you worked for the Town of Byron Before?
*
No
Yes
If yes, please list the department & job title
*
Approximate Dates From/To
*
Do you have any relatives currently working for the Town of Byron?
*
No
Yes
If yes, indicate their name and your relationship:
*
Have you served in the United States Armed Forces?
*
No
Yes
If yes, list dates from / to
*
Branch of Service
*
Please attach or send DD214
Upload File
*
Max file size: 20MB
Have you ever been convicted of a crime (other than a minor traffic offense that resulted in a fine)?
*
No
Yes
If yes, please state the crime(s) you were convicted of and give the date and location of each conviction. A conviction is not an absolute bar to emplyment, but is subject to review.
Crimes convicted of
*
Employment History
List names of all employers in consecutive order with our present or most recent employer listed first. Account for all periods of time including military service and related volunteer experience. You may attach a resume in addition to the descriptions that you must write. Please provide complete and accurate information on previous job duties.
Upload Resume
*
Max file size: 20MB
Current or most recent:
Name of Employer
*
Type of Business
*
Phone Number
*
Name of Last Supervisor
*
First
Last
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
May we contact this Employer
*
Yes
No
Job Title
*
Employed From: (Date)
*
Employed To: (Date)
*
Starting Salary
*
Ending Salary
*
Description of Duties Performed
*
Previous Positions
Name of Employer
*
Type of Business
*
Phone Number
*
Name of Last Supervisor
*
First
Last
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
May we contact this Employer
*
Yes
No
Job Title
*
Employed From: (Date)
*
Employed To: (Date)
*
Starting Salary
*
Ending Salary
*
Description of Duties Performed
*
Name of Employer
*
Type of Business
*
Phone Number
*
Name of Last Supervisor
*
First
Last
[object Object]
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
May we contact this Employer
*
Yes
No
Job Title
*
Employed From: (Date)
*
Employed To: (Date)
*
Starting Salary
*
Ending Salary
*
Description of Duties Performed
*
Name of Employer
*
Type of Business
*
Phone Number
*
Name of Last Supervisor
*
First
Last
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
May we contact this Employer
*
Yes
No
Job Title
*
Employed From: (Date)
*
Employed To: (Date)
*
Starting Salary
*
Ending Salary
*
Description of Duties Performed
*
Name of Employer
*
Type of Business
*
Phone Number
*
Name of Last Supervisor
*
First
Last
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
May we contact this Employer
*
Yes
No
Job Title
*
Employed From: (Date)
*
Employed To: (Date)
*
Starting Salary
*
Ending Salary
*
Description of Duties Performed
*
education
High School Name
*
Did you graduate?
*
Yes
No
Address/Location School
*
Line 1
Line 2
City
State
Zip Code
Country
Undergraduate/Technical College or University
*
College Major
*
Degree
*
Address/Location School
*
Line 1
Line 2
City
State
Zip Code
Country
Graduate College or University
*
Graduate Degree
*
Address/Location School
*
Line 1
Line 2
City
State
Zip Code
Country
Additional education and/or vocational, technical or military training information relevant to the position for which you are applying.
Upload File
*
Max file size: 20MB
Additional Education
*
Special Skills
Typing
*
Yes
No
Words per minute
*
Ten Key Touch
*
Yes
No
Computer
*
Yes
No
Computer Type(s)
*
Software Applications
*
Heavy Equipment (list specific types)
*
Additional Special Skills
*
Leadership Skills
*
Additional Information
*
Why do you feel you may be qualified for this position over others that may be applying?
References
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
certificate & release
I certify that all statements made in this application are true and complete. I authorize the Town to investigate all statements made as a part of this application and to secure any necessary information from all prior employers, references, academic institutions, law enforcement agencies, other persons and enitites, and public records. I hereby release all such persons, entities, employers, references, institiutions, agencies, and the Town from any and all liability arising from their giving or receiving information about my employment history, academic credentials, qualifications, reputation, driving record, and criminal record. A photocopy of this release may be used for all purposes.
I understand that any false answers or misleading statements as well as misrepresenations by omission made by me as part of my application will be sufficient for rejection of my application or for my immediate discharge should one be discovered after I am employed.
I understand that nothing in this employment application, in the Town's statement of personnel policies, or in my communication with any Town employee or official is intended to create an employment contract between the Town and me.
Name
*
First
Last
Date Accepted
*
Submit