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Employment Application

  1. Personal Data

  2. An original application is required for each position.

  3. Are you at least 18 years of age?

  4. Would you accept shift or night work?

  5. Do you have any relatives working for the City of Jackson?

  6. Have you ever been or are you now employed with the City of Jackson?

  7. Education

  8. High School

  9. Did you graduate high school?

  10. If not, do you have a GED?

  11. College

  12. Military Service

  13. Employment History

    Provide your employment history beginning with your present or most recent job. If you were self-employed, give firm name. Include any military or volunteer work. Failure to give complete information regarding each job held may result in your disqualification. Complete addresses with zip codes and phone numbers for all employers are necessary.

    A resume may be attached only as additional information and will not be accepted in lieu of completing this section.

  14. Employment #1

  15. May we contact this employer?

  16. Employment #2

  17. May we contact this employer?

  18. Employment #3

  19. May we contact this employer?

  20. Driving History

  21. Do you have a valid driver's license?

  22. Skills & Training

  23. Computer Skills

    Check the boxes below only if you have experience with the software program for a minimum of 3 months.

  24. Operating System

  25. Word Processing

  26. Spreadsheet

  27. Database

  28. Email

  29. Other Programs

  30. Other Skills

  31. If yes, please list.

  32. Public Safety

    Please answer the following when applying for a Public Safety position.

  33. Plice Officer / Jailer

  34. Are you at least 21 years old?

  35. Firefighter

  36. Are you at least 18 years old?

  37. Pre-Employment Drug Testing Acknowledgement

    Please complete this section only if applying for a safety sensitive position.

  38. I hereby acknowledge and understand that, as part of my application for employment for a position which involves the performance of safety-sensitive functions as defined by 49 CFR Part 655, as amended, I must submit to a urine drug test under the authority of the U.S. Department of Transportation, Federal Transit Administration. I acknowledge and understand that any offer of employment is contingent on the passing of the aforementioned drug test and I will not be assigned to perform a safety-sensitive function unless my urine drug test has a verified negative result having no evidence of prohibited drug use.

  39. Your application will not be considered for employment of a covered safety-sensitive position unless this acknowledgement is completed and signed.

  40. General Information

  41. Do you need special accommodations to perform the duties described in the job description?

  42. Can you submit legal verification of your right to work in the United States?

    In accordance with the Immigration Reform and Control Act of 1986, proof of authorization to be employed in the United States will be required of all prospective employees. Failure to establish such proof will prohibit or discontinue employment.

  43. Have you ever been convicted of or pleaded guilty or nolo to a felony or misdemeanor in the last eight years, other than a minor traffic violation?

  44. Applicant's Statement

    I certify that the information given in this application is true and complete to the best of my knowledge. I understand the application is not a contract of employment. I further understand that should employment be offered, my employment and compensation may be terminated with or without cause at any time by either the City of Jackson or myself and that my employment is at will. I understand that submission of the application in no way assures me a position and that no city representative has the authority to enter into any employment agreement with me contrary to the foregoing.

    Employment with The City of Jackson is contingent upon successfully passing a medical and physical examination. I also understand that if I am hired, I will be tested for alcohol and drug abuse and will be subject to random alcohol and drug testing during my employment.

    I understand failure to submit a complete application may disqualify me from consideration for a position.

    I understand any untrue statement in the application may result in my dismissal at any time during my employment with The City of Jackson.

    I understand any information obtained in a personal history background investigation arising in whole or part, directly or indirectly, from the waiver and authorization will be considered in determining my suitability for employment with The City of Jackson.

    I authorize the release of high school and college transcripts, information concerning my previous employment and any information my former employers may have pertinent to the application and the employment procedures of The City of Jackson. I release all parties from all liability for any damage that may result from requesting, providing, processing, retaining or releasing any information about me. A photographic copy of this authorization shall be as valid as the original.

    I understand resumes, letters of reference, certificates, etc., submitted with the application become the property of The City of Jackson and cannot be returned. The information I have provided on the application is subject to public disclosure under the Georgia Open Records Act.

    By signing this application, I hereby acknowledge that I understand and agree to all provisions outlined herein.

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