We con­sid­er appli­cants for all posi­tions with­out regard to race, col­or, reli­gion, creed, gen­der, nation­al ori­gin, age, dis­abil­i­ty, mar­i­tal or vet­er­an sta­tus, sex­u­al ori­en­ta­tion, or any oth­er legal­ly pro­tect­ed status.

    If you are under 18 years of age, can you pro­vide proof of your eli­gi­bil­i­ty to work?

    Have you ever been employed with us before?

    Are you cur­rent­ly employed?

    May we con­tact your present employer?

    On what date would you be able for work?

    Are you avail­able to work:

    Appli­cants are con­sid­ered for all posi­tions, and employ­ees are treat­ed dur­ing with­out regard to race, col­or, reli­gion sex, nation­al ori­gin, age, mar­i­tal or vet­er­an sta­tus, med­ical con­di­tion or handicap.

    As employ­ers, we com­ply with gov­ern­ment record-keep­ing, report­ing and oth­er legal require­ments, please fill out the appli­cant data record. We appre­ci­ate your cooperation.

    This data is for peri­od­ic gov­ern­ment report­ing and will be kept in a con­fi­den­tial file.

    Are you avail­able to work:

    Are you pre­vent­ed from law­ful­ly becom­ing employed in the coun­try because of Visa or Immi­gra­tion Status?

    Have you been con­vict­ed of a felony with in the last 7 years?

    Con­vic­tion will not nec­es­sar­i­ly dis­qual­i­fy an appli­cant from employment.

    Appli­cant Data Record

    Gov­ern­ment agen­cies require peri­od­ic reports on the sex, eth­nic­i­ty, hand­i­capped, and vet­er­an sta­tus of appli­cants. This data is for analy­sis and affir­ma­tive action only. Sub­mis­sion of infor­ma­tion about a hand­i­cap is voluntary.

    CHECK ONE:

    CHECK IF ANY OF THE FOLLOWING ARE APPLICABLE:

    EDUCATION

    Ele­men­tary School

    High School

    Under­grad­u­ate School

    Grad­u­ate School

    Oth­er School

    Indi­cate any for­eign lan­guages you can speak, read and/or write. 

    Employ­ment Experiences

    Start with your present or last job. Include any job-relat­ed mil­i­tary ser­vices assign­ments and vol­un­teer activ­i­ties. You may exclude orga­ni­za­tions which indi­cate race, col­or, reli­gion, gen­der, nation­al ori­gin, dis­abil­i­ties or oth­er pro­tect­ed status.

    List pro­fes­sion­al, trade, busi­ness or civic activ­i­ties and offices held. You may exclude mem­ber­ship which would reveal gen­der, race, reli­gion, nation­al ori­gin, age ances­try, dis­abil­i­ty or oth­er pro­tect­ed status: 

    Oth­er Qualifications

    Sum­ma­rized spe­cial job-relat­ed skills, and qual­i­fi­ca­tions, licens­es or cer­ti­fi­ca­tions acquired from employ­ment, train­ing, edu­ca­tion or oth­er expe­ri­ence. Acquired from employ­ment, train­ing, edu­ca­tion or oth­er experience.

    State any addi­tion­al infor­ma­tion you feel may be help­ful to us in con­sid­er­ing your application.

    Note to Appli­cants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

    Are you capa­ble of per­form­ing in a rea­son­able man­ner the activ­i­ties involved in the job occu­pa­tion for which you have applied?

    Ref­er­ences

    Appli­can­t’s Statement

    I cer­ti­fy that the answers giv­en here­in are true and com­plete to the best of my knowledge.

    I autho­rize inves­ti­ga­tion of all state­ments con­tained in the appli­ca­tion for employ­ment as may be nec­es­sary in arriv­ing at an employ­ment decision.

    This appli­ca­tion for employ­ment will remain active if appli­cant meets all the require­ments for eli­gi­bil­i­ty as set forth by the Union Coun­ty Sher­if­f’s Office Mer­it Board stan­dards. 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 an Employ­ee at any time or with­out cause. It is fur­ther under­stood that this “at will” employ­ment rela­tion­ship may not be charged by any writ­ten doc­u­ment or by con­duct unless such change is specif­i­cal­ly acknowl­edged in writ­ing by an autho­rized exec­u­tive of this organization.

    You must fur­nish with this appli­ca­tion of a copy of each of the fol­low­ing doc­u­ments, if applic­a­ble to you:

    Birth Certificate 

    Social Secu­ri­ty Card 

    High Scholl Diploma/G.E.D. Certificate 

    Col­lege or Uni­ver­si­ty Diploma/Certification

    Mil­i­tary Ser­vice Record 

    Mil­i­tary Dis­charge Papers 

    CRIMINAL BACKGROUND INVESTIGATION RELEASE FORM

    Please read this form care­ful­ly and be aware that by allow­ing the Union Coun­ty Sher­if­f’s Office to inves­ti­gate your back­ground with the autho­rized enti­ties you will be waiv­ing and releas­ing all claims for dam­ages you might sus­tain aris­ing out of the crim­i­nal back­ground check and review.

    I under­stand that a suc­cess­ful crim­i­nal back­ground inves­ti­ga­tion is a con­di­tion of my employ­ment or with the Union Coun­ty Sher­if­f’s Office.

    I agree to waive and relin­quish all claims I may have against the Union Coun­ty Sher­if­f’s Office, its offi­cers, agents, ser­vants, and the employ­ees from any and all claims from dam­ages which I may have or which may accrue to me on account of the results of any aspect of the crim­i­nal back­ground investigation.

    I do here­by ful­ly release and dis­charge the Union Coun­ty Sher­if­f’s Office, its respec­tive offi­cers, agents, ser­vants and
    employ­ees from any and all claims from dam­ages which I may have or which may accrue to me on account of the results of any aspect of the crim­i­nal back­ground investigation.

    I fur­ther agree to indem­ni­fy and hold harm­less and defend the Union Coun­ty Sher­if­f’s Office, its respec­tive offi­cers, agents, ser­vants and employ­ees from any and all claims result­ing from dam­ages sus­tained by me or aris­ing out of, con­nect­ed with, or in any way asso­ci­at­ed with, any if the activ­i­ties of the crim­i­nal back­ground inves­ti­ga­tion and review. I also under­stand that a crim­i­nal charge or a crim­i­nal con­vic­tion will not auto­mat­i­cal­ly exclude me from the employ­ment I am seek­ing. How­ev­er, a false answer or refusal to answer on the appli­ca­tion or refusal to sign this release is auto­mat­ic grounds for exclu­sion from the job I am apply­ing for.

    I have read and ful­ly under­stand this Waiv­er and Release of All Claims.

    APTITUDE TEST

    Please read this form care­ful­ly and be aware that by allow­ing the Union Coun­ty Sher­if­f’s Office to per­form a phys­i­cal apti­tude test you will be waiv­ing and releas­ing all claims for dam­ages you might sus­tain aris­ing out of the exam­i­na­tion of and per­for­mance result­ing from the phys­i­cal apti­tude test. I under­stand that I may be sub­ject to a phys­i­cal Apti­tude Test as a con­di­tion of my employ­ment with the Union Coun­ty Sher­if­f’s Office. 

    I under­stand that dur­ing the Phys­i­cal Apti­tude Test I will be asked to per­form var­i­ous phys­i­cal activ­i­ties that will test and chal­lenge my strength, endurance and over­all health. I under­stand that dur­ing the per­for­mance of the Phys­i­cal Apti­tude Test that cer­tain phys­i­cal ele­ments of my body will be taxed, includ­ing my oxy­gen, heart rate, blood pres­sure, mus­cle and joint strength. By sign­ing this form, I acknowl­edge and affir­ma­tive­ly state that I am not under any doc­tor’s restric­tion or lim­i­ta­tion; nor am I suf­fer­ing from any ail­ment or con­di­tion that would lim­it my abil­i­ty to per­form the Phys­i­cal Apti­tude Test.

    I also state that I under­stand that if I have any con­cerns or ques­tions about my abil­i­ty to per­form any phys­i­cal­ly stren­u­ous and chal­leng­ing task that I have ample time to avail myself to a prop­er physi­cian for an exam­i­na­tion to deter­mine whether I should also be so restrict­ed. If I do avail myself to such an exam­i­na­tion I will prompt­ly noti­fy the Union Coun­ty Sher­if­f’s Office if I am not able to per­form the Phys­i­cal Agili­ty Test.

    Hav­ing knowl­edge of and hav­ing acknowl­edged the fore­go­ing, I agree to waive and relin­quish all claims I may have against the Union Coun­ty Sher­if­f’s Office, or their offi­cers, agents, ser­vants, and employ­ees as a result of my par­tic­i­pa­tion in the Phys­i­cal Apti­tude Test.

    I do here­by ful­ly release and dis­charge the Union Coun­ty Sher­if­f’s Office, their respec­tive offi­cers, agents, ser­vants and employ­ees from any and all claims from dam­ages which I may have or which may accrue to me on account of my par­tic­i­pa­tion in the Phys­i­cal Apti­tude Test.

    I have read and ful­ly under­stand this Phys­i­cal Apti­tude Release Form.