City of Brunswick
Application for Employment

If you are interested in applying for a posted position, please complete this application as completely and accurately as possible to ensure proper consideration. For further information, call 912-267-5064 or visit

City of Brunswick • P.O. Box 550 • 601 Gloucester Street • Brunswick, GA 31520 • FAX 912-267-5065


Personal Information

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Are you over 18 years of age? *
Are you legally authorized to work in the United States? *
Type of Employment: *
Do you have a Georgia Driver's License? *
Check Class Type: *
Have you ever been employed by the City of Brunswick before? *
Have you applied for a job with the City of Brunswick before? *
Have you ever been dismissed from employment or asked to resign? *
By checking this box I agree to permit The City of Brunswick HR to review my driving record history as well as criminal history (if any). *


Did you graduate High School? *
Did you graduate College? *

Employment History

Please list each and every job held starting with your most recent employer, including military service assignments, and periods of unemployment.    
If you need more space, please attach additional information to this page   (rev 5/23/2012)

Professional References

Reference 1
Reference 2

Additional Skills

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