Form Center

2. Job Interest Card
   Welcome to the City of Middletown's Job Interest Form. This form is not an application. The information provided below will be placed on file for a period of one year. When a job posting occurs the Human Resources Office will contact you by mail or email and give you instructions for filing an application.
4. The City of Middletown is an Equal Opportunity Employer and a Drug-free Workplace.
6. First Name
8. Last Name
10. Address
12. City
13. State
14. Zip Code
16. Phone Number
18. Email Address
20. Position Interest

    1. Accounting
    2. Administrative
    3. Bus Driver
    4. Clerical

    1. Corrections Officer
    2. Dispatcher
    3. Firefighter

    1. Maintenance Worker
    2. Part-Time
    3. Patrol Officer

    1. Seasonal
    2. Technical
    3. Other
22. Other
    (please specify)
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field