Employment Application Form

Employment Application Form

Online employment application for simple or temporary assignments. Form Preview


    Please note: If hired, you will be required to provide proof of your eligibility to work in the United States.

    Position Applying For:

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  • Do you have relatives employed by __:

    Relatives include spouse, domestic partner, parents, children, siblings, grandparents, grandchildren, (including step relationships), and those who are in the legal guardianship of the employee.

  • Criminal History:

    Have you ever been convicted of, or received a deferred sentence, deferred judgment, or a deferred prosecution for a petty offense, misdemeanor traffic offense, (excluding civil traffic infractions), municipal code violation (excluding civil traffic infractions), misdemeanor, or felony, or been adjudicated as a juvenile for an offense that is public record?

    A yes answer does not automatically disqualify you from employment, since the nature and date of the offense, the job for which you are applying, and other factors will be considered.

  • Upload Files:

    Please upload your resume and up to two additional reference documents. Additional files can be emailed to xxxxx if necessary.

  • Signature Authorization:

    By signing this document, I certify that all information provided in this employment application, all attachments and all documents provided as part of my interest in the Director of Emergency Management & Recovery is true and complete to the best of my knowledge. If I am selected for interview, I understand that I must inform ________ of any changes in the information I have provided on this application. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at any later date.

    I understand that _______ may conduct an extensive and thorough background investigation.

    I authorize ________ and/or any of its agents to verify and investigate any or all statements contained in this application. I also authorize any person, school, current employer (except as previously noted), past employers, law enforcement authorities, and organizations named in this application to provide and release any information and opinions concerning my background. I release such persons and organizations from any legal liability for any damage whatsoever for making such statements.

    I understand the use of illegal drugs is prohibited during employment. I may be required to successfully pass a drug and alcohol screening examination prior to being hired, and I consent to taking a drug and alcohol test at any time during my employment, should I be hired.

    I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time.

  • Applicant Signature: If typed, your typed signature acts as your legal signature.

  • Should be Empty: