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Cascade County Employment Application
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Steps
1.
Cascade County Employment Application
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2.
Attachments
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3.
Applicant Survey
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4.
Education and Experience
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5.
Employment History
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6.
References
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7.
Applicant Agreement
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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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Attachments
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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Applicant Survey
Title VII of the U.S. Civil Rights Act requires Cascade County to "make and keep records relevant to the determinations of whether unlawful employment practices have been or are being committed." This is also a requirement of the Montana Human Rights Act and state and federal laws providing employment opportunities for veterans and persons with disabilities. The following survey helps to fulfill these requirements. This survey information will be separated from the application, kept confidential, and used only for statistical reports, background checks, and other lawful uses. Analysis of the information you and others provide may be used to monitor recruitment and selection practices in County government.
Have you ever been convicted of a crime involving theft, abuse, neglect, or mistreatment of an individual or any other felony/misdemeanor (except routine traffic violations)? A conviction will not necessarily disqualify you for the position.
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Yes
No
Please list the nature and date of all conviction(s).
Social Security Number
*
Date of Birth (mm/dd/yyyy)
*
Gender
Male
Female
Race/Ethnicity
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American Indian/Alaskan Native
Asian
Black or African American
Hispanic or Latino
Pacific Islander
Two or more races
White
Employment Preference: The Veterans' Employment Preference Act and the Persons with Disabilities Employment Preference Act provide preference in public employment for certain military veterans and people with disabilities, or the eligible relatives thereof. An applicant claiming employment preference must complete an Employment Preference Form, available through Human Resources or Montana Job Service. Applicants must upload the Employment Preference Form. Contact your local Montana Vocational Rehabilitation Services Office (Department of Public Health and Human Services) for detail on obtaining disabilities preference certification. For more information, contact your local Job Service.
Are you eligible to work in the United States?
*
Yes
No
Are you a Person with a Disability?
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Yes
No
Do you have certification from the Montana Department of Public Health and Human Services for Persons with Disabilities Employment Preference? Please upload certificate/letter in the Attachments section.
*
Yes
No
Are you a Veteran
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Yes
No
Veteran Status: Check the one box that best describes your veteran status OR check the one box that best describes your status as a preference eligible relative.
Disabled Vietnam Era Veteran
Vietnam Era Veteran
Veteran of Persian Gulf War
Disabled Veteran of Other Campaign/War Era
Veteran of Other Campaign/War Era
Other Disabled Veteran
Other Veteran
A Spouse of Disabled Veteran
Mother of a Veteran
Spouse of totally (100%) Disabled Person
Unremarried Surviving Spouse of a Veteran or Disabled Veteran
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Education and Experience
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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Employment History
Do you have Employment or Volunteer Experience? Please list your most recent position first.
*
Yes
No
Full Name and Address of Company
*
Job Title
*
Supervisor Name
*
Phone Number with Area Code
*
Email Address
May we Contact
*
Yes
No
Full or Part-Time
*
Full-Time
Part-Time
Dates of Employment (mm/yy to mm/yy)
*
Job Duties Performed
*
Reason for Leaving
*
Additional Employment History
*
Yes
No
Full Name and Address of Company
*
Job Title
*
Supervisor Name
*
Phone Number with Area Code
*
Email Address
May We Contact
*
Yes
No
Full or Part-Time
*
Full-Time
Part-Time
Dates of Employment (mm/yy to mm/yy)
*
Job Duties Performed
*
Reason for Leaving
Additional Employment History
*
Yes
No
Full Name and Address of Company
*
Job Title
*
Supervisor Name
*
Phone Number with Area Code
*
Email Address
May We Contact
*
Yes
No
Full or Part-Time
*
Full-Time
Part-Time
Dates of Employment (mm/yy to mm/yy)
*
Job Duties Performed
*
Reason for Leaving
*
Additional Employment History
*
Yes
No
Full Name and Address of Company
*
Job Title
*
Supervisor Name
*
Phone Number with Area Code
*
Email Address
May we Contact
*
Yes
No
Full or Part-Time
*
Full-Time
Part-Time
Dates of Employment (mm/yy to mm/yy)
*
Job Duties Performed
*
Reason for Leaving
*
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References
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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Applicant Agreement
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.
I agree.
Electronic Signature
*
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