Employment Application Form - Maryland

Do not fill this out if you have access to the internet! We have our application process online. Complete
one application, apply for multiple jobs. Find out the status of your application 24 hrs a day, 7 days a week!!
Receive email notifications of new job openings through our online interest file. An email address is all you
need. Free email accounts are available from various providers. Don’t have a computer? Public libraries
offer free access to computers or visit our State Employment Center at 301 W. Preston Street, Room 510A,
Baltimore, 21201.
You are required to provide the following information:
First 3 Letters of Last Name at Birth: _______Birth Month: ___________Birth Day: _____Last 4 digits of SSN: _____
Personal and Contact Information
Job Number: ______-_________-________ Job Title: _____________________________________
Name: _______________________________ ______________________________ ___________
Last First Middle
Address: __________________________________________________________________________
Number, Street and Apt
.
City: _____________________ County: _________________ State: ___________ Zip: ___________
Phone: __________________________ __________________________ ______________________
Primary Ok to leave msg? Work Ok to leave msg? Alternate Ok to leave msg?
Email Address: _____________________________________________________________________
How did you hear about this job opening? ________________________________________________
Employment Preference
Never been employed by the State of Maryland
Current employee of the State of Maryland
Former employee who has held employment with the State of Maryland in the past three years.
Former employee whose most recent employment with the State of Maryland was over three years ago
If a current/former employee of the State of Maryland, provide the following information at time of separation:
______________________________ ________________________________________
First Name Last Name
_________
(Provide the initial that is/was in employee record to ensure that appropriate extra points are awarded)
_________
Middle Initial Birth Year
Will this be secondary employment? Yes No
Available for employment which is? Full-time Part-time
Do you have a valid Driver’s license? Yes No
(For positions requiring a driver’s license, please attach a copy
of your license or write on a separate sheet of paper your driver’s license number, class, state of issuance and expiration date.)
STATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER
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Employment Application Form - Maryland PDF

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