To apply for an
open position, please complete this form and click the submit button
at the end. You must submit a separate application for each position
you apply for. Fields that must be filled out are marked with a red
asterisk (*) .There is also a
place for you to insert your resume at the end of this form.
IMPORTANT NOTICE:
PLEASE DO NOT USE THIS FORM TO APPLY
FOR HAMILTON COUNTY
SHERIFF or
JUVENILE COURT POSITIONS. If
you
are interested in open positions with those offices, you must contact them
directly.
NOTE: Applications for
Hamilton County positions are considered public records under Ohio’s
Public Records Act. As a public record, applications maintained by
the County are made available to any person requesting to view them.
BEGIN
APPLICATION
HAMILTON COUNTY BOARD OF COUNTY COMMISSIONERS
EMPLOYMENT APPLICATION
General
Information
* Posting
Number Applied For:
* Position Title:
How did you learn of this position?
Please Select One
County Bulletin Board
County Website
Other Website
Jobs Hotline
Newspaper Ad
University/Job Fair
Other
If you selected Other, please explain:
* Last Name:
* First Name:
Middle Initial:
* Mailing
Address:
Apt #
* City:
* State:
Please Select One
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
* Zip Code:
Home Phone:
Business Phone:
Cell Phone:
E-Mail Address:
Are you at least 18
years of age?
Yes
No
* Are you authorized to
work in the U.S.?
Yes
No
Have you
ever been or are you currently an employee of a Hamilton County
Department/Agency:
Yes
No
If yes, list dates and name of department(s) and any other name
under which you were known by Hamilton County:
* Have you
been convicted of a felony or misdemeanor, other than a minor
traffic violation?
Yes No
If yes,
list date(s) and type(s) of offenses(s) (Convictions may not
automatically disqualify you.):
The following information will be used only if it
is directly related to the position for which you are applying.
* Do you
have a valid driver's license?
Yes
No
If yes,
State
Please Select One
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Year of Expiration
Do you
have a vehicle you could use in your work?
Yes
No
Do you
currently have vehicle liability insurance?
Yes
No
Education
Use
the section below to list your educational achievements including any college, technical or vocational school
courses completed.
* Did
you receive a High School Diploma or GED?
Yes
No
1)
College/University Name and Location
Degree Awarded?Yes No
If YES, what year?
If NO, how many years
completed?
Type
of Degree:
Degree Type
No Degree
Associates
Bachelors
Masters
Doctorate
Major:
Number of Semester Hours:
Number of Quarter Hours:
2)
College/University Name and Location
Degree Awarded?Yes No
If YES, what year?
If NO, how many years
completed?
Type
of Degree:
Degree Type
No Degree
Associates
Bachelors
Masters
Doctorate
Major:
Number of Semester Hours:
Number of Quarter Hours:
3)
Technical/Vocational School Name and Location
Completed?
Yes
No
What Year?
Number of Weeks:
Number of Hours:
Course of Study:
4)
Technical/Vocational School Name and Location
Completed?
Yes
No
What Year?
Number of Weeks:
Number of Hours:
Course of Study:
Professional Licenses, Certifications and
Registrations
1) Type
(e.g. CDL, LSW, Stationary Engineer, etc)
License/Registration No.
Expiration Date:
Licensed to
practice
in Ohio?
Yes
No
2) Type
(e.g. CDL, LSW, Stationary Engineer, etc)
License/Registration No.
Expiration Date:
Licensed to
practice
in Ohio?
Yes
No
Work History
Give
complete information regarding present and former employment,
beginning with the most recent.
Please include your Military Service
and any employment with Hamilton County.
A resume may NOT be used as a substitute
for completing this information.
1)
* Current or Most Recent Employer
Street
Address, City,
State, Zip
Phone
Your Job Title
Dates
of Employment:
From:
To:
Salary:
Reason for
Leaving:
Duties and Responsibilities (If supervisory, please indicate
number and type of positions supervised)
( PLEASE
NOTE: This box can only hold up to 450 characters maximum) :
2)
Employer
Street
Address, City,
State, Zip
Phone
Your Job Title
Dates
of Employment:
From:
To:
Salary:
Reason for
Leaving:
Duties and Responsibilities (If supervisory, please indicate
number and type of positions supervised)
( PLEASE
NOTE: This box can only hold up to 450 characters maximum) :
3)
Employer
Street
Address, City,
State, Zip
Phone
Your Job Title:
Dates
of Employment:
From:
To:
Salary:
Reason for
Leaving:
Duties and Responsibilities (If supervisory, please indicate
number and type of positions supervised)
( PLEASE
NOTE: This box can only hold up to 450 characters maximum) :
4)
Employer
Street
Address, City,
State, Zip
Phone
Your Job Title
Dates
of Employment:
From:
To:
Salary:
Reason for
Leaving:
Duties and Responsibilities (If supervisory, please indicate
number and type of positions supervised)
( PLEASE
NOTE: This box can only hold up to 450 characters maximum) :
Additional Qualifications
Outline briefly any other skills or experience that may be
helpful to us in considering your qualifications.
Please include volunteer and other community activities:
Please check all of the Microsoft software programs you have
used:
Access
Excel
FrontPage
Outlook
PowerPoint
Publisher
Word
List
any other software programs or special machinery and equipment
you have experience working with:
References Other
than Former Employers and Relatives
1)
* Name:
* Phone:
Occupation:
Street Address, City, State and Zip
Code:
2)
Name:
Phone:
Occupation:
Street Address, City, State and Zip Code:
3) Name:
Phone:
Occupation:
Street Address, City, State and Zip Code:
Resume
(Optional)
Before submitting this application, please
read the following statement carefully:
By
submitting this application, I certify all information given by me
in this application is true and complete. I authorize Hamilton
County to verify the information provided and realize that false
information (misrepresentation or omission of information called
for) is a basis for disqualification or dismissal. I authorize
Hamilton County to contact educational institutions and current and
previous employers. I further authorize current and former employers
to give you any and all information concerning my previous
employment and any pertinent information they may have, and release
all parties from all liability for any damages that may result from
furnishing such information. I understand that
information provided by me may also be compared
with information contained in records maintained by Hamilton County
concerning myself for the purpose of determining my suitability for
employment with Hamilton County.