Fillable STATE OF FLORIDA AUDITOR GENERAL EMPLOYMENT APPLICATION (Auditor General - State of Florida)

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STATE OF FLORIDA AUDITOR GENERAL EMPLOYMENT APPLICATION (Auditor General - State of Florida)

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BROWSE AUDITOR GENERAL - STATE OF FLORIDA (FL) FORMS
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FORM AG 12155 (06/08/18)
STATE OF FLORIDA
AUDITOR GENERAL
EMPLOYMENT APPLICATION
G-74 CLAUDE PEPPER BUILDING
111 WEST MADISON STREET
TALLAHASSEE, FLORIDA 32399-1450
(850) 412-2733
AN EQUAL OPPORTUNITY EMPLOYER
INFORMATION AND INSTRUCTIONS
1.
To be considered for employment for any position with
the Auditor General, you MUST file this application,
which must be completed in its entirety, signed by the
applicant, and dated. The application may be signed
electronically and submitted with any attachments to
flaudgen_opportunities@aud.state.fl.us. It may also be
submitted to the AUDITOR GENERAL, Attn:
Employment Opportunities, G-74 Claude Pepper
Building, 111 West Madison Street, Tallahassee, Florida
32399-1450.
2.
If the position for which you wish to be considered for
employment requires a college degree, this application
is considered incomplete without college transcripts
and will not be processed further until received.
Unofficial transcripts are acceptable for the application
review process; however, official transcripts of all college
course work are required for employment with the
Auditor General in any classification that requires a
college degree.
3.
Determination of eligibility will be measured by the
minimum training and experience listed in the Auditor
General class specification.
4.
This application will be retained for consideration for a
period of four months. If you wish to be considered for
employment beyond four months, you must submit a
verbal or written request to update this application for
another four-month period.
5.
You should keep the Auditor General advised in writing
of all changes that could affect your availability for
employment or if you no longer desire employment with
the Auditor General.
6.
It is the policy of the Auditor General to provide Equal
Employment Opportunities to all employees and
applicants for employment. When making personnel
decisions or taking personnel actions, the Auditor
General shall not discriminate on the basis of race,
color, national origin, sex, gender, religion, age,
disability, marital status, political affiliation, or arrest
record.
7.
The Auditor General is part of the Florida legislative
branch. Employees of the Auditor General have certain
restrictions on their outside activities and certain
employees are subject to financial disclosure
requirements. Information about these requirements is
available from the Auditor General.
8.
The Auditor General complies with the Americans
With Disabilities Act of 1990. Assistance in
completing this application is available by contacting
the Auditor General. During the interview process, you
may be asked questions concerning your ability to
perform job-related functions. If you are given a
conditional offer of employment, you may be required
to complete a post-job offer medical history
questionnaire and/or undergo a medical examination if
required of all employees entering in the same job
category. All medical information will be kept
confidential and in separate files.
9.
Pursuant to the policy of the Auditor General, all
employment applications are available for public
review, except as prohibited by law.
FORM AG 12155 (06/08/18)
-1-
STATE OF FLORIDA
AUDITOR GENERAL
EMPLOYMENT APPLICATION
AN EQUAL OPPORTUNITY EMPLOYER
G-74 CLAUDE PEPPER BUILDING, 111 WEST MADISON STREET, TALLAHASSEE, FLORIDA 32399-1450 (850) 412-2733
It is the policy of the Auditor General to provide Equal Employment Opportunities to all employees and applicants for
employment. When making personnel decisions or taking personnel actions, the Auditor General shall not discriminate on the
basis of race, color, national origin, sex, gender, religion, age, disability, marital status, political affiliation, or arrest record.
APPLICANT INFORMATION
Position(s) Applying For:
Last Name First Name
Middle Name
Address: Number and Street, Apt #
City
County
State ZIP Code
Telephone Numbers (Please include area code):
Home
Business
Cell
E-Mail Address:
Minimum annual salary you are willing to accept: $________________ Date available to begin work: _____________________
Will you accept employment anywhere in Florida? _____ Yes _____ No
Will you travel if a job requires it? _____ Yes _____ No
Have you ever filed an application with us before? _____ Yes _____ No If Yes, date application filed: _______________________
Have you ever been employed with us before? _____ Yes _____ No If Yes, dates of employment: ___________________________
EMPLOYMENT ELIGIBILITY
Are you lawfully authorized to work in the United States? _____ Yes _____ No
All new Auditor General employees are required by the Immigration Reform and Control Act of 1986 to present documentation that
establishes identity and employment eligibility at the time they begin employment.
SELECTIVE SERVICE
Section 110.1128, Florida Statutes, requires male applicants who are 18 through 25 years of age to provide proof of registration or
exemption issued by the United States Selective Service as required by the Military Selective Service Act. If you are in this group,
please provide your Selective Service Number, if applicable.
Selective Service Number: __________________________________
-
If No, SOHDVHselect \RXUSUHIHUUHG ORFDWLRQV:
Sarasota
Deland
Delray Beach
Gainesville
Jacksonville
Lake City
Lakeland
Fort Myers
Marianna
Miami
Orlando
Pensacola
Port St Lucie
Tampa
Tallahassee
Key West
Panama City
FORM AG 12155 (06/08/18)
-2-
RELATIVES
Florida law, the Florida Legislature, and the Auditor General place certain restrictions on the employment of related persons. Information
about these restrictions is available from the Auditor General. Therefore, please list the names and relationships of relatives* who are
employees of the Auditor General or any unit of the Florida Legislature.
Name: _____________________________________________ Relationship: ____________________________________________
Name: _____________________________________________ Relationship: ____________________________________________
*"Relative" is defined as: Father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law,
mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister,
halfbrother, or halfsister.
CONVICTIONS
Have you ever been convicted of a felony or first degree misdemeanor? _____ Yes _____ No
A conviction includes a plea of nolo contendere, a guilty plea, guilty verdict, or any other finding of guilt.
If Yes, what charges? _________________________________________________________________________________________
Where? ______________________________________________________________ Date: ________________________________
Disposition of Charges: ________________________________________________________________________________________
NOTE: A “yes” answer to these questions will not necessarily preclude you from employment. The nature, severity, date of offense, and job
duties of the position applied for will be considered.
EDUCATION AND TRAINING
List or check
highest
grade completed: 1-12 or GED __________
Graduate School 1 2 3 4
LAST HIGH SCHOOL ATTENDED:
Name: ______________________________________________________ City and State: ___________________________________
Dates Attended: From MM/YY ________________ To MM/YY _______________
Received: _____ Diploma __________ MM/YY or _____ GED __________ MM/YY
COMMUNITY COLLEGES,
COLLEGES, AND UNIVERSITIES
ATTENDED: (Name, City, State)
Dates Attended
Major
Minor
Degree
From
MM/YY
To
MM/YY
Semester
Hours
Quarter
Hours
Type
MM/YY
Awarded
NOTE: List ALL community colleges, colleges, and universities attended and provide a transcript from each school. Unofficial
transcripts are acceptable for the application review process. Official transcripts are required for employment. For educational degrees
obtained from an institution outside the United States, provide a copy of a transcript evaluation from an evaluation service. If
applying for an auditor position, the evaluation service used must be acceptable to the Florida State Board of Accountancy
(Board) and the purpose of the evaluation must be for the Board. To determine evaluation services acceptable to the Board, contact
the Florida Department of Business and Professional Regulation.
OTHER SCHOOLS OR TRAINING (Trade, Vocational, Armed Forces, or Business): Provide school name and location, dates
attended, subjects studied, certificates, and any other pertinent data.
_______________________________________________________________________________________________________________
College 1
2
3 4
FORM AG 12155 (06/08/18)
-3-
PROFESSIONAL REGISTRATIONS, CERTIFICATIONS, AND LICENSURES
Certificates or Licenses you currently possess:
Type _____________ Official Number ____________ Authorized by (Federal or State Examining Board)____________________
Type _____________ Official Number ____________ Authorized by (Federal or State Examining Board)____________________
OTHER QUALIFICATIONS, SKILLS, AWARDS, AND MEMBERSHIPS
For example, list personal computer skills; computer software knowledge; publications; public speaking; foreign language
proficiency; professional society memberships; honors, awards, and fellowships; etc.
______________________________________________________________________________________________________________
EMPLOYMENT HISTORY
Are you presently employed? _____ Yes _____ No
Prior to a conditional offer of employment, may we contact your present employer regarding your employment? ____Yes ____ No
If we may not contact your present employer, please explain: _____________________________________________________
Have you ever been discharged, forced to resign, or had any disciplinary action taken against you for misconduct or poor job performance
for any job?
Start with your present employment status and list your entire work history including part-time, temporary, volunteer jobs, periods of
unemployment, and military service. List each promotion as a separate employment. Provide accurate, complete information for each period
of employment as outlined below. A resume may not substitute for this, however, you may attach a resume as supplemental information.
PRESENT OR LAST EMPLOYER
MAIN TELEPHONE
FROM
ENDING SALARY ___________
HOURS PER WEEK ___________
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE ______________________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
MM/DD/YY ________________
TO
STARTING SALARY __________
MM/DD/YY
_____________
Yes _____ No _____ If Yes, please explain: _____________________________________________________
Has any disciplinary action ever been taken against the certificate(s) or license(s) listed above? ____ Yes ____ No
If Yes, please explain:_________________________________________________________________________________________
Have you ever had a certificate or license revoked? _____ Yes _____ No
If Yes, please explain: _________________________________________________________________________________________
If you are not currently a Certified Public Accountant, do you meet the Florida State Board of Accountancy’s educational requirements
for licensure (150 semester / 225 quarter hours of college education that includes a bachelor’s degree with major coursework in accounting and 30 semester /
45 quarter hours of upper level accounting courses that include coverage of auditing, cost and managerial accounting, financial accounting, and
taxation and 36 semester / 54 quarter hours of upper level [with some exceptions for lower level] general business courses which must include 3 semester / 4
quarter hours of business law courses)?
_____ Yes _____ No If No, please explain: _________________________________________________________
If you are currently a licensed Certified Public Accountant in another state or territory, are you eligible for licensure by the Florida State
Board of Accountancy? (To determine licensure requirements, contact the Florida Department of Business and Professional Regulation.)
_____ Yes _____ No If No, please explain: _________________________________________________________
FORM AG 12155 (06/08/18)
-4-
PREVIOUS EMPLOYER
MAIN TELEPHONE
FROM
TO
STARTING SALARY __________
ENDING SALARY __________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
PREVIOUS EMPLOYER
MAIN TELEPHONE
FROM
TO
STARTING SALARY __________
ENDING SALARY __________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
PREVIOUS EMPLOYER
MAIN TELEPHONE
FROM
TO
STARTING SALARY __________
ENDING SALARY __________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE ______________________
HOURS PER WEEK __________
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE ______________________
HOURS PER WEEK __________
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE ______________________
HOURS PER
WEEK __________
MM/DD/YY
MM/DD/YY
MM/DD/YY
MM/DD/YY
MM/DD/YY
MM/DD/YY
________________
________________
________________
________________
________________
________________
FORM AG 12155 (06/08/18)
-5-
PREVIOUS EMPLOYER
MAIN TELEPHONE
FROM
TO
STARTING SALARY __________
ENDING SALARY __________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
PREVIOUS EMPLOYER
MAIN TELEPHONE
FROM
TO
STARTING SALARY __________
ENDING SALARY __________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
PREVIOUS EMPLOYER
MAIN TELEPHONE
FROM
TO
STARTING SALARY __________
ENDING SALARY __________
COMPLETE ADDRESS
JOB TITLE
JOB DUTIES
REASON FOR LEAVING OR SEEKING OTHER EMPLOYMENT
NOTE: If additional space is needed, please attach additional sheets using the above format.
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE ______________________
HOURS PER WEEK __________
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE ______________________
SUPERVISOR'S NAME
__________________________________
TITLE ___________________________
TELEPHONE
______________________
HOURS PER WEEK __________
HOURS PER WEEK __________
MM/DD/YY
MM/DD/YY
MM/DD/YY
MM/DD/YY
MM/DD/YY
MM/DD/YY
________________
________________
________________
________________
________________
________________
FORM AG 12155 (06/08/18)
-6-
REFERENCES
Please list three references who are not relatives or former or current employers.
NAME E-MAIL ADDRESS TELEPHONE NUMBER OCCUPATION
____________________ ___________________________ _____________________ ____________________
____________________ ___________________________ _____________________ ____________________
____________________ ___________________________ _____________________ ____________________
SOURCE OF INFORMATION
Indicate by check mark () below the source(s) from which you learned about the Auditor General.
Newspaper (Name)
University, College, or Other School
Classified Ad Feature Article
Other Publications (Name of Publication)
Web Site
Career Fair (Sponsor)
State Employee (Name of Agency Where Employed)
State Agency (Name of Agency)
Other (Specify)
Auditor General Web Site
REMARKS
Use this space for comments or to continue explanations requested in the application, as necessary.
APPLICANT'S STATEMENT
If you have any questions regarding the following statements, please contact the Auditor General before signing.
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in this
application and hereby give the Auditor General permission to contact universities, colleges, and other schools; previous and current employers;
references; and others and hereby release the Auditor General from any liability as a result of such contact. I understand that misrepresentations,
omissions of facts, or incomplete information requested in this application may remove me from further consideration for employment. In addition,
if employed, any misrepresentations or omissions of facts called for in this application will be cause for dismissal at any time without any previous
notice.
I understand that, while the Auditor General makes every effort to provide steady, continuous work, there are no employment contracts for a definite
term and the permanence of any position cannot be guaranteed and that all employees may elect to leave at any time on their own accord. I further
understand that my employment with the Auditor General is for no specific term and may be terminated by me or the Auditor General with or
without notice or cause at any time. I further understand that no oral promise, policy, custom, business practice, or other procedure constitutes an
employment contract for a definite term or modifies the at-will employment relationship between me and the Auditor General.
I understand the contents of any employee manuals, as well as other employer policies and practices, are subject to change or modification by the
Auditor General solely at his discretion, without notice. I also understand that no supervisor or other official of the Auditor General (except The
Auditor General, in writing) has the authority to enter into any agreement with me or to make any agreement contrary to the foregoing.
I understand that, if employed, I will be fingerprinted and my fingerprints will be searched through the databases of the Florida Department of Law
Enforcement and the Federal Bureau of Investigation. I have no objections to the fingerprinting and database searches.
By typing or signing your name on the signature line below, you hereby acknowledge that you have read and understand the above statements.
SIGNATURE______________________________________________________________ DATE ________________________
Other(Name)
(Name)
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STATE OF FLORIDA AUDITOR GENERAL EMPLOYMENT APPLICATION (Auditor General - State of Florida)

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Completed 23 July 2020

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