PERSONAL
PUTNAM COUNTY, TENNESSEE is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status. If offered employment, you will be required to provide documentation to verify eligibility. Those applicants who will be considered for the position following a job interview with the department, must pass background checks and drug screens before they are officially offered the job. Please answer all questions. If a question does not apply to you, answer with "No" or "NA" for "Not Applicable." * Required Fields
*Date Available:
*Are you at least 18 years old?
*Are you at least 19 years old?
*Are you at least 21 years old?
*Are you legally eligible for employment in the United States?
*Have you reviewed the job description?
*Are you able to perform the essential functions of the job for which you are applying, with reasonable accommodation?
*Have you ever worked for Putnam County before?
Do you have any relatives or friends who work for Putnam County?
Contact Info.
CRIMINAL RECORD
*Have you been convicted of a felony in the last seven years?
*Have you been convicted of a crime of dishonesty (felony or misdemeanor) in the last seven years?
EDUCATION
Please indicate education or training which you believe qualifies you for the position you are seeking.
*Did you receive a diploma?
*Number of Years Completed
*Did you receive a degree?
*Number of Years Completed
*Did you receive a degree?
*Number of Years Completed
*Did you receive a degree?
*Number of Years Completed
Have you completed any special courses, seminars and/or training that would enable you to perform the position for which you are applying?
(Omit any which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)
MILITARY SERVICE
Are you a military veteran?
If the answer to the previous question was YES, while in the military, did you complete any special courses, seminars and/or training that would enable you to perform the position for which you are applying?
Availability
If employed, I will notify my supervisor in writing, should my availability change.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Employment
*Are you presently employed?
*If yes, may we contact your present employer?
*Do you belong to any professional, trade, business or civic organizations that deal with the position for which you are applying?
(Omit any organization which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)
Have you ever been discharged or asked to resign from a job?
Personal References
Give three references (not relatives or employers):
Resume
Upload your resume.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx.
Applicant's Certification and Agreement
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize PUTNAM COUNTY to verify their accuracy and to obtain reference information on my work performance. I hereby release PUTNAM COUNTY from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
*Date:

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