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Cascade County Employment Application

CASCADE COUNTY EMPLOYMENT APPLICATION
The information contained on this form is sought in good faith. It will not be used in any way to discriminate against any applicant for employment in violation of state and federal law. PLEASE READ THE JOB VACANCY ANNOUNCEMENT CAREFULLY TO FIND: What attachments must be submitted (supplement questions, transcript, Employment Preference Form, etc.), the required special qualifications or licenses, the closing date for receipt of applications. An application tailored to the position is to your advantage. Under state and federal law, qualified applicants with disabilities are entitled to reasonable accommodations. Modifications or adjustments may be provided to assist applicants to compete in the recruitment and selection process, to perform the essential duties of the job, or to enjoy equal benefits and privileges of employment available to other employees. An applicant must request an accommodation when needed. A description of the selection process and the essential job duties is included in the vacancy announcement. Late or incomplete applications will not be considered. Cascade County is an EQUAL OPPORTUNITY EMPLOYER.
First Name, Middle Initial, Last Name*
Email Address*
Address*
City*
State*
Zip Code*
Phone Number*
Please list the title of the position(s) you are applying for.*
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UPLOAD ALL REQUIRED ATTACHMENTS : Required items are listed on the Vacancy Announcement and may include Resume, Supplemental Forms, Employment Preference Form, DPHHS Disability Certification or DD-214, Copy of Valid Driver's License, Training Certificates or Licenses.
Driver's License*
Resume
Employment Preference Form, DPHHS Disability Certification or DD-214
Certifications or License ( if required )
Supplemental Forms or CCSO Criminal History Authorization ( if required )
Diploma ( if required ) or other documents
Copy of Signed Job Description ( if required )
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Name of High School, HSE or GED with Address including City and State.*
Graduation Year (yyyy)*
Name of College, University, Other Schools or Training Courses with Address and Dates Attended.
Name of Degree(s) Received.
Professional Licenses, Registrations or Certifications with Licensing Agency Name and Location and Type of License.
Special Skills : Computer Software, Languages, Typing Speed, Data Entry, Ten-Key, Legal Terminology, Medical Terminology.
Equipment - List the types of equipment you operate. Specify name and/or model.
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List three (3) PROFESSIONAL REFERENCES. A professional reference is typically a former employer, a colleague, a client, a vendor, a supervisor, or someone who can vouch for your qualifications.
Name of Reference*
Phone Number with Area Code*
Email
Address including City, State and Zip Code*
Name of Reference*
Phone Number with Area Code*
Email
Address including City, State and Zip Code*
Name of Reference*
Phone Number with Area Code*
Email
Address including City, State and Zip Code*
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My signature below certifies that all information on this and all attached pages are true, correct and complete to the best of my knowledge and contain no willful falsifications or misrepresentations. Falsifications or misrepresentations may disqualify me from consideration for employment with Cascade County or, if hired, may be grounds for termination at a later date. Employers may be contacted as references. I understand that, if I am the final applicant for the applied position, a criminal background check may be conducted and the results thereof may disqualify me from consideration for employment with the County.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*

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