Employment Area of Interest Form - New Jersey

State of New Jersey Department of Children and Families

Office of Human Resources

#1A

Employment Area of Interest Form

CENTRAL REGION Monmouth County Ocean County

NORTHERN REGION Bergen County Hudson County Hunterdon County Mercer County Morris County Passaic County Somerset County Sussex County Warren County

METRO REGION Essex County Middlesex County Union County

SOUTHERN REGION Atlantic County Burlington County Camden County Cape May County Cumberland County Gloucester County Salem County

INSTRUCTIONS: Please choose up to three counties and put them in order of preference below

County #1 ____________________ County #2 ____________________ County #3 ____________________

By signing this form, I acknowledge that if I am offered an interview or position and I decline in any of the counties I have selected above, my name will be removed from the hiring list. I further understand that once my name is removed, I will be required to wait three (3) years before I can re-apply to be considered for future positions.

Special Note for Family Services Specialist Trainee: I am aware that if hired, I am unable to transfer to another Local Office until I achieve permanent status as a Family Service Specialist 2, which may take up to one year and six months after my date of hire. Transfers are not guaranteed.

Special Note for Assistant Family Service Worker 1: I am aware that if hired, I am unable to transfer to another Local Office until I achieve permanent status, which may take up to four to six months after my date of hire. Transfers are not guaranteed.

Applicant's Name (please print): _______________________________________________________________

Applicant's Signature: _________________________________________________ Date: _________________

Revised 7/9/2019

DEPARTMENT OF CHILDREN AND FAMILIES DIVISION OF CHILD PROTECTION AND PERMANENCY

Local Office Locations

Northern Region Bergen

Paramus Hackensack Hudson Jersey City Secaucus Bayonne Hunterdon Flemington Mercer Lawrenceville Trenton Morris Morris Plains Randolph Passaic Paterson Wayne Somerset Somerville Sussex Newton Warren Washington

Metro Region Essex

Newark East Orange Maplewood Millburn Middlesex Perth Amboy Edison Piscataway Union Cranford Plainfield

Southern Region Atlantic

Mays Landing Egg Harbor Burlington Lumberton Willingboro Camden Cherry Hill Voorhees Cape May Rio Grande Cumberland Vineland Bridgeton Gloucester West Deptford Sewell Salem Salem

Central Region Monmouth

West Long Branch Asbury Park Ocean Toms River Bayville

6/14/19

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