Walton County Internal Application
Request for Change of Status or Transfer
Position Applying For:
Name: Date:
Mailing Address:
City State Zip
Home Phone: Work Phone:
Present Position: Date of Hire:
Present Department: Supervisor’s Name:
This would be a: Transfer Promotion Demotion
Please list the titles and length of service for each job you have held while employed by Walton County:
Job Title Department From (mm/yy) To (mm/yy)
Please list any training and/or education related to the position you are applying for:
Name of School Major/Are
a of Study Indicate Diploma/Degree Received
Qualifying Experience:
Do you have any relatives that work for Walton County? If so, please list their name, department & relationship to you:
I hereby certify that the preceding information is true and correct to the best of my knowledge and belief:
Employee Signature: Date:
Supervisor Signature: Date:
(Supervisor signature is not required to be considered for position)
*Must be immediately forwarded to Human Resources.
HR Form Revised 02/2020
Please answer each question clearly
and completely. Type or print in blue or black ink. If you need more space,
attach additional pages. While you can a
ttach a resume to this application, incomplete or unsigned
applications will not be considered. If you require assistance in the application process, please contact Human
Resources at (770)
267-1329 or hr.resume@co.walton.ga.us .
Walton County Board of
Commissioners is an Equal Opportunity Employer.
Interview Date & Time:
Interviewed By:
