Teton County Idaho Employment Application 2015 1
Teton County Idaho
150 Courthouse Drive, Driggs, ID
Phone
: 1-208-354-8780 Fax: 1-208-354-8410
www.tetoncountyidaho.gov
Thank you for your interest in employment with Teton County.
Please read the following information before completing your application.
• Applications are only accepted for open positions and are kept active for 3 months.
• Complete a separate application for each position for which you are applying.
Attach a personal resume and cover letter outlining your qualifications.
• Answer all questions fully and accurately.
• If you need reasonable help in and/or completing the County's application process,
please contact Teton County Human Resources (208-354-8780).
Employment Application
Applicant Information
Full Name:
Date:
Last
First
M.I.
Address:
Apartment/Unit #
City
State
ZIP Code
Phone:
Email
Date Available:
Desired Salary:
$
Position Applied for:
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever worked for Teton County?
YES
NO
If yes, when?
Do you have a relative working for the
County?
YES
NO
Have you been convicted of/or are you
under investigation of a felony charge?
YES
NO
If yes, explain:
Education
High School:
Did you graduate?
YES
NO
College:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
Other:
Address:
From:
To:
Did you graduate?
YES
NO
Degree:
References
Please list three professional references.
Teton County Idaho Employment Application 2015 2
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name:
Relationship:
Company:
Phone:
Address:
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
YES
NO
Teton County Idaho Employment Application 2015 3
Military Service
Branch:
From:
To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer and Signature
• I certify that the information in this application is true, complete and correct to the best of my knowledge.
• I understand that any falsification or omission of information may disqualify me from further consideration and
may be considered justification for termination if discovered at a later date.
• I have read the job description for the position in which I am applying and certify that I am able to perform the
primary job responsibilities, with or without reasonable accommodations.
• I authorize Teton County to conduct or have conducted a background investigation, relevant law enforcement
related checks, reference checks, educational verification, and, if applicable, a motor vehicle records check.
• I understand that Teton County is a drug free workplace, and that if I am offered employment, the offer may be
contingent on my passing a pre-employment drug test.
• I authorize persons, schools, current employer and previous employers named in this application to release
information to Teton County, and I release them from any liability, claims or damages of any nature that may result
from furnishing the information requested.
• Upon hire, I agree to comply with all county rules, policies, standards, and/or procedures applicable to my position
of employment.
• If hired by Teton County, I understand that I will be an AT-WILL employee and may be terminated at any time
without cause or reason.
• I understand that this is an application for employment, and that no employment contract, expressed or implied, is
being offered.
• I have read and understand the statements above. (Signature does not necessarily indicate agreement.)
Signature:
Date:
Teton County is an equal opportunity employer. It is our policy to hire and promote persons regardless of age, race,
sex, color of skin, disability, religion, or national origin. Teton County complies with the Americans with Disabilities Act
(ADA) and, upon request, makes reasonable accommodations for persons with a qualifying disability. Teton County
will accord preference to employment of veterans of the U.S. Armed Services in accord with provisions of Idaho
Code § 65-502 or its successor. In the event of equal qualifications for an available position, a veteran or family member
who qualifies for preference pursuant to Idaho Code § 65-502 or its successor will be employed.
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