Fillable Application for Employment (Payne County, Oklahoma)

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Application for Employment (Payne County, Oklahoma)

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The Application for Employment (Payne County, Oklahoma) form is 3 pages long and contains:

  • 1 signature
  • 16 check-boxes
  • 110 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Payne County, Oklahoma

BROWSE PAYNE COUNTY, OKLAHOMA (OK) FORMS
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Application for Employment
Payne County Sheriff’s Office
Sheriff Kevin Woodward
606 South Husband, Suite 106
Stillwater Oklahoma 74074
(405) 372-4522
Instructions: Print or Type
Please answer all questions. Application must be completely filled out to be considered. Application will be retained
one year during which time you may update it. Candidates whose qualifications best meet the needs of the County will
be considered. Payne County is an equal opportunity employer.
Yes No
Legal Name
Date
Address
Zip Code
City
State
E-Mail
Home Phone
Work Phone Mobile Phone
Are you 18 or Older?
Yes No
Position Desired
Desired Salary Date Available For Work
Have You Ever Worked for Payne County?
If yes when?
Department?
Who referred you to Payne County?
If yes, who?
Department?
Yes
No
Do you have any relatives that
currently work for Payne County?
Are you a citizen, lawful permanent resident or otherwise
authorized to work in the United States?
Social Security Number
Note: with your application please attach a transcript of your high school diploma and a copy of your drivers license.
Education
Name and Location
of School
Number of Years
Completed
Degree Received
Year
Major Courses of
Study
Dates of Duty
Duties Performed
I have served in the U.S. Military
SKILLS – Please indicate training or experience
Professional or trade
licenses/certificates:
Typing (WPM)
Word Processing
Computer Operations
CLEET # OLETS #
OTHER
I have a valid Oklahoma Driver's License.
Type
Operator License #
Endorsements
What job (or
activity) have
you most
enjoyed? Why?
What job (or
activity) have
you least
enjoyed? Why?
Yes
No
Have you ever been discharged or asked to resign from
employment? If yes, please give particulars on a
separate sheet.
Yes
No
Have you ever been found guilty of a felony?
Date
Offense
Place (City and State)
If yes, please give particulars on a separate sheet.
Yes
No
Have you ever
been refused a
Bond?
If yes, for what
position?
Work Experience
You may contact my present employer.
Start with present or last employment and work back through previous positions.
Name of Employer:
Name of last supervisor:
Dates of employment:
From:
To:
Salary:
From:
To:
Address:
Phone #: Last job title:
Reason for Leaving (be specific):
Duties performed while you worked at this company:
Name of Employer:
Name of last supervisor:
Dates of employment:
From:
To:
Salary:
From:
To:
Address:
Phone #: Last job title:
Reason for Leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
Name
Address
Phone Relationship
List (3) three references other than family members
Location
Rent/Own
Mortgage Company
Landlord Name & Number
List Residences for past 5 years
Please Read Before Signing
I understand and agree that:
1. Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of employment, or if employed,
termination from employment.
2. It is my understanding that Payne County may make a thorough investigation and may verify all data given in this application. I herby authorize my
present and previous employers and educational institutions to provide information requested to Payne County.
3. I agree that my employment may be terminated by Payne County at any time without liability for wages or salary except such as may have been earned at
the time of such termination.
4. Business needs may at times make the following conditions mandatory: overtime, shift work, a rotation of schedule, or a work schedule other than Monday
through Friday.
5. Payne County reserves the right to request a post-employment physical examination and comprehensive drug testing as a normal part of the selection
process.
This is an application for employment. Employment is not being offered at this time. I understand that if I am employed, such employment is for an indefinite period
of time and that Payne County can change wages, benefits, and conditions at any time.
If employed, I will comply with all rules and regulations as set forth in the Payne County policy and other policies established by departmental procedures.
By signing this I am acknowledging that I have read this application and understand all statements and questions contained in the application for employment, and
have answered to the best of my ability.
Applicant Signature Date
Do Not Write in this Area – For Official Use Only
Interview Date Referred Date Department
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Application for Employment (Payne County, Oklahoma)

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Completed 18 July 2020

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