Fillable Application For Volunteer Position (Columbia County)

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Application For Volunteer Position (Columbia County)

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The Application For Volunteer Position (Columbia County) form is 4 pages long and contains:

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  • 14 check-boxes
  • 115 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Columbia County

BROWSE COLUMBIA COUNTY (OR) FORMS

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APPLICANT NAME AND ADDRESS
Last Name First Name Middle Initial
Mailing Address
City State Zip
EMAIL Address Phone Number
Application For Volunteer Position
Columbia County Sheriff's Office
901 Port Avenue
Saint Helens, OR 97051
www.ColumbiaCountyOR.gov
• Read and complete all sections of this form
• Incomplete applications will not be accepted
• Applications will only be accepted via online submission
AN EQUAL OPPORTUNITY EMPLOYER
Equal access to programs, services and volunteer opportunities is available to all persons. Those applicants requiring reasonable
accommodation to the application and/or interview process should notify a representative of the Sheriff's Office.
POSITION APPLIED FOR
Administrative
Animal Control
Jail Inmate Programs
Marine Safety Officer
Mounted Posse
Reserve Deputy
Search & Rescue
Other (Please explain below)
___________________________________________________________________
List any other names used for work records.
Have you ever been employed or volunteered here before?
Yes No
If yes, please provide dates (MO/YR):
FROM: ____________
TO: ____________
Are you legally eligible for employment in this country? Yes No
Date available to Volunteer?
STARTING: ________________________________
SPACE BELOW FOR OFFICE USE ONLY – APPLICANTS CONTINUE ON NEXT PAGE
Received by: Date:
LAST UPDATED: 03-02-2020
APPLICATIONCCSO
PAGE 1 of 4
EMPLOYER TELEPHONE
DATES EMPLOYED
MONTH & YEAR
SUMMARIZE THE NATURE OF THE WORK PERFORMED AND JOB RESPONSIBILITIES
ADDRESS FROM TO
TYPE OF BUSINESS JOB TITLE FULL-TIME PART-TIME
IMMEDIATE SUPERVISOR TITLE HOURS / WEEK
REASON FOR LEAVING
Employment History
List your employment history starting with the most recent, including military experience. Explain any gaps in employment in comments
section below. Attach additional sheets if necessary to fully explain duties or list employers which demonstrate the experience and/or
background necessary to qualify for this position.
EMPLOYER TELEPHONE
DATES EMPLOYED
MONTH & YEAR
SUMMARIZE THE NATURE OF THE WORK PERFORMED AND JOB RESPONSIBILITIES
ADDRESS FROM TO
TYPE OF BUSINESS JOB TITLE FULL-TIME PART-TIME
IMMEDIATE SUPERVISOR TITLE HOURS / WEEK
REASON FOR LEAVING
EMPLOYER TELEPHONE
DATES EMPLOYED
MONTH & YEAR
SUMMARIZE THE NATURE OF THE WORK PERFORMED AND JOB RESPONSIBILITIES
ADDRESS FROM TO
TYPE OF BUSINESS JOB TITLE FULL-TIME PART-TIME
IMMEDIATE SUPERVISOR TITLE HOURS / WEEK
REASON FOR LEAVING
EMPLOYER TELEPHONE
DATES EMPLOYED
MONTH & YEAR
SUMMARIZE THE NATURE OF THE WORK PERFORMED AND JOB RESPONSIBILITIES
ADDRESS FROM TO
TYPE OF BUSINESS JOB TITLE FULL-TIME PART-TIME
IMMEDIATE SUPERVISOR TITLE HOURS / WEEK
REASON FOR LEAVING
LAST UPDATED: 03-02-2020
APPLICATIONCCSO
PAGE 2 of 4
Employment History Continued
COMMENTS (Including explanation of any gaps in employment.
Skills and Qualifications
Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform
job-related functions for the position which you are applying.
List specific computer programs you have used, as well as any different type of hardware or other office equipment.
Education Background
SCHOOL
ATTENDED (MM/YY)
FROM TO
DEGREE / DIPLOMA / MAJOR DATE RECEIVED
References
List the name and telephone number of three business / work references who are not related to you.
NAME TELEPHONE NUMBER YEARS KNOWN
EMPLOYER TELEPHONE
DATES EMPLOYED
MONTH & YEAR
SUMMARIZE THE NATURE OF THE WORK PERFORMED AND JOB RESPONSIBILITIES
ADDRESS FROM TO
TYPE OF BUSINESS JOB TITLE FULL-TIME PART-TIME
IMMEDIATE SUPERVISOR TITLE HOURS / WEEK
REASON FOR LEAVING
High School Graduate
YES NO GED
LAST UPDATED: 03-02-2020
APPLICATIONCCSO
PAGE 3 of 4
Make sure you complete all appropriate sections of this application form.
Incomplete applications will not be accepted.
PRINTED NAME DATE
By entering my initials, I acknowledge that I submitted this application electronically and that I agree
to the terms and
conditions of this application and affirm the information provided in it is true.
INITIALS
Applications will only be accepted if received via online submission.
You must fill out a County application form to be considered an applicant.
I understand that if I am appointed to a volunteer position, any misrepresentation or material omission made by me on this application will
be sufficient cause for rejection of this application or immediate dismissal from County service, whenever it is discovered.
I give Columbia County the right to contact and obtain information from all references, employers, educational institutions and to otherwise
verify the accuracy of the information contained in this application. I hereby release from liability the County and its representatives for
seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information.
I understand that Columbia County does not unlawfully discriminate and no question on this application is used for the
purpose of limiting or excusing any applicant from consideration of a basis prohibited by local, state or federal law.
If I am appointed, I understand that I am free to resign at any time, with or without cause and without prior notice, and the County
reserves the same right to terminate my service at any time, with or without cause and without prior notice, except as may be required by
law.
This application does not constitute an agreement or contract for any specified period or definite duration. I understand that no
representative of the County, other than an authorized officer, has the authority to make any assurances to the contrary. I further
understand that any such assurances must be in writing and signed by an authorized officer.
I understand it is the County’s policy not to refuse to appoint a qualified individual with a disability because of the person’s need for a
reasonable accommodation as required by the ADA.
I also understand that if I am appointed, I will be required to provide proof of identity and legal work authorization.
I represent and warrant that I have read and fully understand the foregoing and seek a volunteer position under these conditions.
LAST UPDATED: 03-02-2020
APPLICATIONCCSO
PAGE 4 of 4
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Application For Volunteer Position (Columbia County)

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Completed 17 July 2020

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