Fillable Employment Application WE ARE AN EQUAL OPPORTUNITY EMPLOYER (The Florida Bar)

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Employment Application WE ARE AN EQUAL OPPORTUNITY EMPLOYER (The Florida Bar)

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The Employment Application WE ARE AN EQUAL OPPORTUNITY EMPLOYER (The Florida Bar) form is 7 pages long and contains:

  • 3 signatures
  • 36 check-boxes
  • 104 other fields

Country of origin: US
File type: PDF

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Employment
Application
The Florida Bar
Human Resources
651 East Jefferson Street
Tallahassee, Florida
32399-2300
www.floridabar.org
Federal and state laws prohibit discrimination on the basis of sex, race, creed, religion, color, national origin,
citizenship, age in accordance with applicable law, handicap, disability, medical condition, marital and veteran’s
status in all practices, privileges, and conditions of employment. The Florida Bar strictly adheres to these laws
and regulations and will consider all qualified applicants for employment without regard to any of these factors.
Please notify Human Resources at applications@flabar.org in advance if you need reasonable accommodations to
participate in the employment process.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
All information provided will be a public record and will be released upon request, unless exempt or confidential.
(PLEASE TYPE or PRINT CLEARLY)
Position Applied For (Department and Position Title)
Date of Application
How Did You Learn About Us?
TFB Website
Advertisement
Friend
Relative
Walk-In
Employment Agency
Other
Last Name
First Name
Middle Name
Address
City
State
Zip Code
Telephone Number(s):
(Home)
(Cell)
Email Address
If you are under 18 years of age, can you provide required proof of your
eligibility to work?
Yes No N/A
Are you related to anyone working at The Florida Bar? If yes, give name and
relationship:
Yes No
Have you ever been employed with us before? If yes, give date (MM/YYYY):
Yes No
Are you currently employed?
Yes No
If yes, may we contact your present employer?
Yes No
Do you have a legal right to live and work in the United States?
Yes No
Proof of citizenship or immigration status will be required upon employment
On what date would you be available for work?
Are you applying for: Full-time? Part Time? Temporary?
Are you currently on “lay-off” status and subject to recall?
Yes No
Can you travel if a job requires it?
Yes No
Have you been convicted of a felony within the last 7 years?
Yes No
If yes, please explain:
Conviction will not necessarily disqualify an applicant from employment.
Education
High School
Name/Location of School
Received: Diploma Other (specify) None
Your name, if different while attending school:
College, University or Professional School (transcripts may be required)
Name of School Location
Dates of
Attendance
(Month / Year)
Credit
Hours
Earned
Major/Minor
Course of
Study
Type of
Degree
Earned
From
To
Qtr.
Sem.
(If college degree and/or licensure are required for position, proof of degree and/or licensure will be required at
interview.)
KSAs / Licenses / Languages
Knowledge / Skills / Abilities (KSAs)
List KSAs you possess and are relevant to the position you seek (e.g., cwpm typing speed, computer knowledge,
machinery operation, etc.).
Licenses / Certification
Describe any professional licenses, certifications, or registrations pertinent to the position to which you are
applying.
Military
Have you had any job-related training in the United States military? Yes No
If yes, please describe.
Languages and Additional Information
List languages you are fluent in (verbal / written) and provide any additional information helpful to use in
considering your application.
List professional, trade, business, or civic activities and offices held pertinent to the position you seek.
You may exclude memberships which would reveal sex, race, religion, color, natural origin, handicap, disability, or any
other legally protected status.
References
Provide three references who are not related to you and are not previous employers.
First & Last Name Telephone Number(s) Address
1.
2.
3.
Employment Experience
Describe all employment experience in detail, beginning with your current or most recent job. Include military
service, internships, and job-related volunteer work, if applicable. Attach additional sheets, if needed, using the
same format as on the application. All information in the employment section must be completed. Resumes may
be attached to provide additional information.
You may exclude organizations that indicate sex, race, religion, color, natural origin, handicap, disability, or any
other legally protected status.
THESE SECTIONS ARE REQUIRED TO BE COMPLETED IN FULL
1. Name of Present or Last Employer:
Address: Your Job Title:
City: State:
Supervisor’s Name: Phone Number:
Salary:
FROM: TO: HOURS PER WEEK:
YOUR NAME IF DIFFERENT DURING EMPLOYMENT:
Duties and Responsibilities:
Reason for Leaving:
2. Name of Present or Last Employer:
Address: Your Job Title:
City: State:
Supervisor’s Name: Phone Number:
Salary:
FROM: TO: HOURS PER WEEK:
YOUR NAME IF DIFFERENT DURING EMPLOYMENT:
Duties and Responsibilities:
Reason for Leaving:
3. Name of Present or Last Employer:
Address: Your Job Title:
City: State:
Supervisor’s Name: Phone Number:
Salary:
FROM: TO: HOURS PER WEEK:
YOUR NAME IF DIFFERENT DURING EMPLOYMENT:
Duties and Responsibilities:
Reason for Leaving:
If needed, please attach additional sheets using the same format as on the application.
Public Records Disclosure Exemption
Are you a current or former law enforcement officer, other covered employee**,
or the spouse or child of one, whose information is exempt from public records
disclosure under Section 119.071(4)(d), Florida Statutes (F.S.)?
YES
NO
**Other covered jobs include but are not limited to: correctional and correctional probation officers, firefighters, certain
judges, assistant state attorneys, state attorneys, assistant and statewide prosecutors, personnel of the Department of Revenue
or local governments who responsibilities include revenue collection and enforcement or child support enforcement, and
certain investigators in the Department of Children and Families [see §119.071. F.S.].
Applicant’s Statement
I certify that all information given herein, and in all other documentation presented as part of the application
process, is true and complete to the best of my knowledge.
I authorize investigation of all information contained in this application for employment and other submitted
documents as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any
applicant wishing to be considered for employment beyond this time period should inquire as to whether or not
applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment
relationship with this organization is of an “at will” nature, which means that the Employee may resign at any
time and the Employer may discharge Employee at any time with or without cause. It is further understood that
this “at will” employment relationship may not be changed by any written document or by conduct unless such
change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application, other
documents, and interview(s) may result in discharge. I understand, also, that I am required to abide by all rules
and regulations of the Employer.
Signature of Applicant ________________________________________ Date _______________________
Applicant's Name (please print) _________________________________________________________________
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Consent to Conduct Background Investigation
I, (please print), do hereby give The Florida Bar my permission to request true and
factual information from my current/previous employers, school and school officials, and references, and to verify
all documentation presented as part of my application for employment with The Florida Bar.
I agree to hold harmless any current/former employer, school and school official, or reference for providing true
and factual information to The Florida Bar that is relevant to the position(s) for which I am applying.
I also agree to permit The Florida Bar to conduct a criminal records and history check, a driver’s record check,
and a public records check of me.
I understand that The Florida Bar will be securing the above information and using it to make a determination of
whether to extend or to confirm an offer of employment to me.
Signature of Applicant ________________________________________ Date _______________________
W
itness' Signature
___________________________________________ D
ate
_______________________
Witness' Name (please print) ___________________________________________________________________
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Employment Application WE ARE AN EQUAL OPPORTUNITY EMPLOYER (The Florida Bar)

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Completed 11 April 2022

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