Evans County, GA – Employment Application

Employment Application

"*" indicates required fields

Step 1 of 6

16%

Position Applied For * Required

* Required

Title First Name Last Name

Current Address * Required

Street Address Address Line 2 City State ZIP Code

Telephone * Required

Email * Required

File Upload * Required

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB, Max. files: 5.

BOTH A FULLY COMPLETED APPLICATION AND RESUME ARE REQUIRED FOR EMPLOYMENT CONSIDERATION. Please upload your resume, cover letter, and any other pertinent documents. You must do so in either PDF or Word (.doc or .docx) format

Maximum file size - 10 mega bytes.

Other Relevant Information

Are You eighteen years old or older? * Required

Are You Eligible To Work in the U.S.A.? * Required

Have You Ever Been Convicted Of A Crime which has not been dismissed or sealed by court? * Required

Excluding minor traffic offenses

If Yes, Describe in detail

In the past two years, have you used ANY illegal drug? * Required

If Yes, What Drug(s) and When

Have You Ever Been Employed By Evans County? * Required

If Yes, When?

When Are You Available To Begin? * Required

MM slash DD slash YYYY

List Any Special Skills, Experience, or Qualifications

Military experience, licenses, etc.

Are You Able To Perform The Essential Job Functions of The Position Applied For? * Required

Personal References

Reference #1 Name and Occupation * Required

Reference #1 Address * Required

Reference #1 Telephone * Required

Reference #2 Name and Occupation * Required

Reference #2 Address * Required

Reference #2 Telephone * Required

Reference #3 Name and Occupation * Required

Reference #3 Address * Required

Reference #3 Telephone * Required

Record of Education

High School Name * Required

High School - Number of Years * Required

High School - Diploma or Degree Received * Required

College or University

College - Number of Years

College - Diploma or Degree Received

Other Education

Technical School or special training

Other - Number of Years

Other - Diploma or Degree Received

Employment History

List present and past employment beginning with your most recent.

Name and Address of Company * Required

Start Date * Required

MM slash DD slash YYYY

End Date * Required

MM slash DD slash YYYY

Ending Salary * Required

Reason for Leaving * Required

Contact Name and Number * Required

Describe Your Work * Required

Name and Address of Company * Required

Start Date * Required

MM slash DD slash YYYY

End Date * Required

MM slash DD slash YYYY

Ending Salary * Required

Reason for Leaving * Required

Contact Name and Number * Required

Describe Your Work * Required

Name and Address of Company * Required

Start Date * Required

MM slash DD slash YYYY

End Date * Required

MM slash DD slash YYYY

Ending Salary * Required

Reason for Leaving * Required

Contact Name and Number * Required

Describe Your Work * Required

I hereby give my permission to contact the employers listed on the previous page concerning my prior work experience. * Required

Enter Your Full Legal Name as Your Signature

List Any Employers You DO NOT wish us to contact

Please Read and Sign Below

The facts set forth in my application for employment are true and correct. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me.

Signature (Enter Your Full Legal Name) * Required

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