EMPLOYMENT Application

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Employment Application

Position(s) Applying For:(Required)

Deputy

Lateral

Correctional Officer

Name(Required)

First Middle Initial Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number(Required)

Email Address(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Have you ever filed an application with us before?(Required)

Yes

Date of Previous Application

MM slash DD slash YYYY

Have you ever been employed with us before?(Required)

Yes

Date of Previous Employment

MM slash DD slash YYYY

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

What are you available to work?(Required)

Full Time

Part Time

Shift Work

Temporary

Can you travel if a job requires it?(Required)

Yes

Have you been convicted of a felony within the last 7 years?(Required)

Yes

Please Explain Felony Conviction

Education

High School

Undergraduate

Graduate/Professional

Indicate any foreign languages you can speak, read, and/or write.

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Employment Experience

List your current job and any other employment within the last five years (minimum of two employers). Include job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status. Any inaccurate statements or omission of information will be considered falsification of this application.

Employer Name(Required)

Employer Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Supervisor's name(Required)

First Last

Job Title/Work Performed(Required)

Date Employment Started(Required)

MM slash DD slash YYYY

Date Employment Ended

MM slash DD slash YYYY

Reason for Leaving

Other Qualifications

List professional, trade, business or civic activities and offices held.

Summarize special job-related skills and qualifications acquired from employment or other experiences.

Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? DO NOT ANSWER UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.(Required)

Yes

References

Minimum of three unrelated references. Please note all references will be contacted unless otherwise advised.

Reference 1: Name/Address/Phone Number(Required)

Reference 2: Name/Address/Phone Number(Required)

Reference 3: Name/Address/Phone Number(Required)

Applicant's Statement

Applicant's Statement(Required)

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause.

It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by the rules and regulations of the employer.

Release Authorization(Required)

I hereby authorize the release of any military, medical, employment, credit, and school records or transcripts to the Tazewell County Sheriff's Office.

I further authorize the Tazewell County Sheriff's Office to investigate my character and background, and to solicit any information that might be used in the evaluation of my employment potential with the Tazewell County Sheriff's Office.

I also authorize an investigation of all statements made in my application for employment with the Tazewell County Sheriff's Office.

In making such authorization, I release the contributor, agents of the contributor, the county of Tazewell, State of Illinois, and its agents from all liability for any damage arising therefrom.

Signature of Applicant(Required)

Date(Required)

MM slash DD slash YYYY

Select the appropriate box that applies.(Required)

The above signature is my certified electronic signature.

My printed name above is to be treated as my electronic signature.

Identification

Driver's License Number(Required)

Upload a Picture of Your Driver's License(Required)

Accepted file types: jpg, png, Max. file size: 2 MB.

Please upload a picture of your driver's license.

Date of Birth(Required)

MM slash DD slash YYYY

Any Previous Names

First Last