Please complete the application in its entirety.  You may submit a resume in addition to the application.  Work Experience, references and education may be skipped in the form if it is clearly indicated in your resume.

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EMPLOYMENT APPLICATION

Last Name (required)

First Name (required)

Position Desired

Middle name

Maiden/Other Names

Address

City

State

Zip Code

Phone Number (required)

Email

Driver's License State and number

Date of Birth (optional)

Are you currently employed?

Yes

No

May we contact your employer?

Yes

No

Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of citizenship or immigration status will be required upon employment) (required)

Yes

No

On what date would you be available for work?

Are you seeking employment for:

Full-Time

Part-Time

Either

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EDUCATION

Name and location of High School:

Did you graduate:

Yes

No

GED

Highest level of education (Please list school, degree, and graduation year)

Describe any job related training

Review the job description. Are you capable of performing, with or without reasonable accommodation, the essential functions of the job? (required)

Yes

No

Have you ever been convicted of a crime (felony or misdemeanor, including DUI) other than minor traffic citations? (required)

Yes

No

If yes, give details. (a criminal record is not necessarily a bar to employment. Each applicant is considered on an individual basis.)

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WORK EXPERIENCE

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You may attach a resume (link at the bottom of this form) in lieu of filling out this work experience section.

Employer #1

Address

Phone Number

Job Title

Supervisor

Dates Employed from/to

Final Hourly Wage

Reason for Leaving

Employer #2

Address

Phone Number

Job Title

Supervisor

Dates Employed from/to

Final Hourly Wage

Reason for Leaving

Employer #3

Address

Phone Number

Job Title

Supervisor

Dates Employed from/to

Final Hourly Wage

Reason for Leaving

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REFERENCES

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List three reliable persons, not relatives or present employer, who know you well enough to give information about you

#1 Name

Phone Number

Address

Employer

#2 Name

Phone Nubmer

Address

Employer

#3 Name

Phone Nubmer

Address

Employer

RESUME

COVER LETTER/OTHER DOCUMENTATION

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Applicant’s Release: I hereby authorize any prior employers to provide such information concerning my employment with them as may be requested, and also authorize all educational institutions attended to release an official copy of my transcript if requested. In addition, I authorize any law enforcement jurisdiction to release any information requested regarding my background to Morgan County 911.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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APPLICANT'S STATEMENT

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Applicant’s Agreement: I hereby state that the information given by me on this form and in any interview is certified to be true and complete. I understand that this information is subject to verification, and that if this information is later found to be untrue, incomplete, or misrepresented in any way, this will be cause for rejection of my application or, if already employed, for immediate dismissal. I also understand Morgan County 911 may investigate my driving record and my criminal record, and that a background investigation, including a credit check, may be prepared whereby information is obtained through personal interviews with my neighbors, friends, and others with whom I am acquainted. This inquiry includes information as to my character, general reputation, and personal characteristics. I understand that Morgan County 911 reserves the right to require me to submit to a medical examination, including a drug/alcohol test, prior to employment and at any time during employment to the extent permitted by law. I understand that the employer’s acceptance of this application does not indicate there are any positions open and does not in any way obligate Morgan County 911. Job applicants are required to submit to drug testing at or near the final stage of the hiring process. Any offer of employment will be conditional upon a negative drug test result. I understand that anything brought to or removed from the premises of Morgan County 911 is subject to search at the employer’s election and I consent to such search. Specifically, I authorize the employer, in its discretion, to search my desk, locker, or other areas for contraband in such circumstances when the employer deems such search necessary or appropriate. I understand that this application will be given every consideration, but it is not a promise of employment. I further understand that if I am hired my employment will be as an “At will” employee, which means my employment is for no definite period, regardless of the period of payment of my wages. I understand that I have the right to terminate my employment at any time, with or without notice, and Morgan County 911 has the same right. No one other than the Director of Morgan County 911 has the authority to modify this relationship or to make any agreement to the contrary. Any such modification or agreement must be in writing.