Employment Application

Upper Darby Township does not discriminate in hiring or during employment on the basis of color, race, national origin, age, physical or mental handicap, ancestry, gender, marital status, sexual orientation, pregnancy, mental condition, citizenship or any other
protected characteristic. No question on this application is intended to secure information that could be used for such discrimination.

I certify that the facts in this application and any supporting documents (i.e. resumes, etc.) are true to the best of my knowledge. I understand that my falsification, omission, or misstatement of information on this application or at any time during the employment application process may result in refusal to hire or, if hired, termination.

I understand that nothing contained in this application and any supporting documents (i.e. resumes, certificates, etc.) is intended to create an employment contract with Upper Darby Township. Any employment with Upper Darby Township will be based solely upon the mutual consent of Upper Darby Township and me, and either party may end the at-will relationship at any time, with or without cause or advance notice. I further understand that the at-will nature of the employment with Upper Darby Township, or any representation to the contrary, may be modified only in a document signed by an official with Upper Darby Township. I understand that if hired, I will be required to comply with all policies of Upper Darby Township. I further understand that company policies and benefits may be changed, modified, or discontinued at the sole option of Upper Darby Township, with or without prior notice. I also understand that I may be required to complete a background check prior to my employment. I further understand that my employment with Upper Darby Township is contingent upon the successful completion of the background check. If I fail to successfully clear the background check, Upper Darby Township reserves the right to rescind my offer or, if hired, terminate my
employment with Upper Darby Township. 

Please include the dates of employment (mm/yy to mm/yy), the company name, job titles and duties, reason for termination, and supervisor name and title.