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Tara S. Green CLERK OF THE CIRCUIT COURT (Clay County Florida Clerk of Court and Comptroller)

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Tara S. Green
CLERK OF THE CIRCUIT COURT
825 North Orange Avenue
P.0. Box 698
Green Cove Springs, Florida 32065
904-284-6317
Clay County Clerk of the Circuit Court Employment Application Information and Instructions
Your application will remain active for a period of one year from the date of the application. You may only renew your application by
resubmitting another application form for our records. The Clay County Clerk of the Circuit Court's Office believes in promoting from
within. Any open positions are advertised internally. If the position is not filled in this manner, then we pull from current applications
on hand. The Clerk's office does not advertise open positions in any publication. Once your application is submitted, it and any
accompanying materials become the property of the Clerk's office and a matter of public record.
Final employment rests with the Clay County Clerk of the Circuit Court; however, employment of personnel is in compliance with
Federal and State laws regarding non-discrimination and preference.
The application form must be completed and returned to the Clerk's Human Resources' office before an applicant is eligible to
interview for an open position. All required items must be on file prior to any consideration for interview and/or employment. You
may submit a resume along with your application; however, the application itself must be completed also. Application form must be
completed in all applicable areas, dated, and signed.
Criminal background check and drug screening: All employees of the Clerk's office are required to have a background check and
drug screening. All employment shall remain probationary at least until these checks are cleared. Because it is necessary for all Clerk's
employees be bonded, any criminal background check which reveals a finding of guilt by a court or jury, an admission of guilt or no
contest in any criminal matter regardless of adjudication may result in your termination even after probationary time is completed.
Employment with the Clerk's office is a statutorily appointed position and serves at the will and pleasure of the elected Clerk of the
Circuit Court.
PROUD TO BE DRUG FREE EEOC
N/A at this time
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FDVA form VP-2 55A-7.013, FAC s. 295.07, FS
Certification of Current Member of
Reserve Component of the United States Armed Forces
or The Florida National Guard
To be completed by your IMMEDIATE MILITARY SUPERVISOR:
I certify that ____________________________________________ is a current member of
____________________________(branch) Reserve Component of the United States Armed
Forces or The Florida National Guard (circle one) and is in “Honorable“ standing as of this date.
___________________________________ Date:_________________
Signature of Immediate Military Supervisor
_________________________________ _________________________________
Supervisor’s Printed Name and Rank Military Supervisor’s Telephone Number
To be completed by APPLICANT:
Section 295.07(1)(g), Florida Statutes, provides for Veterans’ Preference in appointment and
retention for a Current member of any Reserve Component of the United States Armed Forces or
The Florida National Guard, serving honorably.
In order to receive Veterans’ Preference in employment appointment and retention, this form
documenting my current service must be returned to the Human Resources office along with
Veterans’ Preference Certification, FDVA form VP-1, in order to complete the application packet.
I certify that I am a Current member of ________________________________________,
honorably serving, that I intend to continue my military service, and that the following
information is accurate:
Address:___________________________________________________________________
Home/mobile telephone(s): _____________________________________________________
By:_______________________________________ Date:_________________
Signature of Current Member
_______________________________________
Printed name
FDVA form VP-3 55A-7.013, FAC s. 295.07, FS
Certification of Unremarried Widow or Widower
Section 295.07(1)(d), Florida Statutes, provides Veterans’ Preference in appointment and retention
for an unremarried widow or widower of a Veteran who died of a serviced connected disability and
Section 295.07(1)(e), Florida Statutes, provides Veterans’ Preference in appointment and retention
for an unremarried widow or widower of a member of the United States Armed Forces who died in
the line of duty under combat-related conditions.
In order to receive Veterans’ Preference in employment appointment and retention, this form
documenting the fact that I have not remarried, must be returned to the Human Resources office
along with Veterans’ Preference Certification, FDVA form VP-1, in order to complete the application
packet.
To be completed by Unremarried Widow or Widower:
I certify that I, ________________________, was married to _________________________,
a member of _________________________ (branch) of the United States Armed Forces.
I further certify that I have not remarried since the date of his/her death.
___________________________________ Date: _____________________________
Signature of Widow or Widower
Printed name: _______________________________________
Home/mobile telephone(s): _______________________________________
Address: ___________________________________________________________________
Witness: _______________________________ Date: _____________________________
Printed name: _______________________________________
Address: ___________________________________________________________________
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Tara S. Green CLERK OF THE CIRCUIT COURT (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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