Employment Application

Please complete the employment application form below.

If you would rather complete the application offline and mail it to us, click here to download the application.

"*" indicates required fields

Position Applying For*

Job Announcement Number

Applicant Information

Present Legal Name*

Have you ever used a legal name other than the one indicated above*

Yes

If yes, indicate name(s) and dates used*

Social Security Number*

Date Available For Employment*

Date of Birth*

Applicant Phone*

Email*

Driver's License Information

Do you have a valid driver's license?*

Yes

License Type*

Operator

CDL

Class

Endorsement Code

License #*

State Issued*

State

Expiration Date*

Residency History

Present Address*

How long have you lived at this address?

Years

Months

Previous Address*

How long did you live at this address?

Years

Months

Education and Special Training

High School

High School Name*

High School Location*

Did you graduate?*

Yes

Choose highest grade completed*

Do you have a GED?*

Yes

College

Did you attend college?*

Yes

College Name*

College Location*

Degree field or program of study*

Did you receive a degree?*

Yes

Degree Received*

Special Training

Did you attend any other school (Trade, Vocational, Armed Forces Schools, etc.)?*

Yes

School Name*

School Location*

Degree field or program of study*

Did you graduate?*

Yes

Certificates received or other pertinent information*

Employment Record

List all jobs held in the last ten years and any other jobs relevant to the position for which you are applying. Major changes in duties or job titles with the same employer should be listed as separate jobs. Start with your PRESENT or MOST RECENT job and work back. BE SPECIFIC - all or part of your rating may depend on the information you provide. You may submit a resume in lieu of completing this section, providing it contains all the information requested. Periods of unemployment should be listed separately in Section 11. NOTE: We may contact previous employers to verify your descriptions of past duties.

Upload Resume (Optional) (Selected document will be uploaded when application is submitted)

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

May we contact your present employer regarding your record of employment?*

Yes

How many employers have you had in the last 10 years?*

Present or most recent job

Company Name*

Company Phone*

Company Location*

Your Job Title*

Supervisor's Name*

Supervisor's Title*

Employment Start Date*

Are still employed at this job?*

Yes

Employment End Date*

Reason For Leaving Position*

Hours worked per week*

Starting Salary Amount*

Starting Salary Term*

Ending Salary Amount*

Ending Salary Term*

Specific Duties*

Number of employees supervised (if applicable)

Previous Job #2

Company Name*

Company Phone*

Company Location*

Your Job Title*

Supervisor's Name*

Supervisor's Title*

Employment Start Date*

Employment End Date*

Reason For Leaving Position*

Hours worked per week*

Starting Salary Amount*

Starting Salary Term*

Ending Salary Amount*

Ending Salary Term*

Specific Duties*

Number of employees supervised (if applicable)

Previous Job #3

Company Name*

Company Phone*

Company Location*

Your Job Title*

Supervisor's Name*

Supervisor's Title*

Employment Start Date*

Employment End Date*

Reason For Leaving Position*

Hours worked per week*

Starting Salary Amount*

Starting Salary Term*

Ending Salary Amount*

Ending Salary Term*

Specific Duties*

Number of employees supervised (if applicable)

Previous Job #4

Company Name*

Company Phone*

Company Location*

Your Job Title*

Supervisor's Name*

Supervisor's Title*

Employment Start Date*

Employment End Date*

Reason For Leaving Position*

Hours worked per week*

Starting Salary Amount*

Starting Salary Term*

Ending Salary Amount*

Ending Salary Term*

Specific Duties*

Number of employees supervised (if applicable)

Periods of Unemployment

How many periods of unemployment have you had in the last 10 years?*

Unemployment Period #1

From*

To*

Explanation*

Unemployment Period #2

From*

To*

Explanation*

Unemployment Period #3

From*

To*

Explanation*

Unemployment Period #4

From*

To*

Explanation*

Specific Skills - List below the total number of months of experience in skillfully operating the equipment, and/or total number of months of substantial experience in crafts, trades, or technical professions

List of office and related equipment operated

List of all other equipment operated

List of crafts, trades, and technical professions

List any membership(s) in professional, job-related organizations

List any active professional, technical, occupational licenses or certificates and registrations that you now hold

List any awards, commendations, or other recognition received for outstanding achievement in school, military service, your work, or civic duties

Did you serve in the Armed Services?*

Yes

Is your discharge honorable?*

Yes

Have you ever worked for the Echols County Sheriff's Office?*

Yes

Start Date*

End Date*

Position/Title*

Employing Division(s)*

Are you related to a county employee, or is any member of your household employed by the Echols County Sheriff's Office?*

Yes

Person's Name*

Relationship to you*

Employing Division*

Have you ever been CONVICTED of ANY violation of the law, other than minor traffic offenses, or pleaded NOLO CONTENDERE to criminal charges, even if the adjudication was withheld?*

Yes

Name of offense*

Name and location of court*

Disposition of case*

Date*

NOTE: A conviction does not automatically mean you cannot be employed by the County. The nature of the offense, how long ago it occurred, relationship to this job, etc. are given consideration

How did you learn about the position for which you are applying?*

Other Source*

Professional Journal*

References: List three (3) references who are not relatives or former employers

Reference #1

Name*

Occupation*

Address*

Phone*

Years Known*

Reference #2

Name*

Occupation*

Address*

Phone*

Years Known*

Reference #3

Name*

Occupation*

Address*

Phone*

Years Known*

Disclaimer and Signature

REQUIRED EDUCATION AND BACKGROUND INFORMATION: The position announcement contains a description of the experience and/or education required for the position. Applicants are responsible for clearly explaining prior work experience and/or providing all information which supports the application at the time the application is filed. To be creditable, any required accredited college or university education must be verifiable from a reliable source within the United States or its territories or possessions, and information identifying that source must be submitted with the application. Nothing can be added to the application once the announcement period has closed. NOTE: Materials submitted with applications become the property of the County and cannot be returned.

STARTING PAY: Starting pay is normally the minimum of the salary range.

IF THIS CLASSIFICATION REQUIRES ABILITY TO DRIVE COUNTY VEHICLES it means successful candidates must have a valid Georgia Driver’s or CDL License and will be required to complete a request for authority to drive County vehicles at the time of appointment which must be approved. Such approval must be maintained throughout employment. Employment may be terminated if authority to drive cannot be issued or is revoked.

IDENTIFICATION REQUIREMENTS: In accordance with the immigration reform and control act of 1986 and the reporting requirements of the Internal Revenue Service, applicants must be prepared to present a valid paper Social Security Card and a governmentally issued photo I.D. at the time of selection interview. A valid photo I. D. may be obtained at any Georgia Driver Licensing Office.

IMPORTANT: Employment is subject to verification of an applicant’s background and conviction record. Persons selected for employment must (1) present a valid social security card. Additionally, Echols County is required by federal law to verify having seen documents, which the applicant must provide as part of employment processing, that show the applicant’s identity and right to work in the United States.

APPLICANT: PLEASE READ THIS STATEMENT CAREFULLY BEFORE SIGNING BELOW. UNSIGNED APPLICATIONS WILL BE VOIDED. I hereby certify that each response on this application and all other information I have furnished in applying for employment with the Echols County Sheriff's Office is true and correct. I understand that any incorrect, incomplete, or false statement or information I have furnished may subject me to disqualification in an examination or to discharge at any time. Subsequent to an offer of employment, I give my voluntary consent to be medically examined and to provide a sample of my blood or urine which may be tested for recent use of drugs and/or controlled substances. Further, I release Echols County, its officers, agents, and employees from any liability whatsoever in connection with such a medical examination or the use of the test results therefrom.

ECHOLS COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER AND PROVIDER OF SERVICES

Signature*

Date*

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