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Employment Application
Wilson County Government Application for Employment
228 E Main Street Room 212 Lebanon, TN 37087
We appreciate your interest in employment with Wilson County Government. The County provides equal employment and advancement opportunities for all persons regardless of race, creed, sex, national origin, age, religion, disability, marital status or any other classification protected by law. Those applicants requiring reasonable accommodations through the application and interview process should notify a member of the Human Resources department.
All applicants should complete one application for each position desired. Applications are accepted only for current open positions.
Job Posting
Select Posting to Apply for:
AEMT/Firefighter (Fire Training preferred but not required) 10122021
Personal
First Name*:
Middle Name:
Last Name*:
Home Phone*:
Work Phone:
Cell Phone:
Email Address*:
Social Security Number*:
Addresses
Current Address
Street*:
City*:
State*:
Zip Code*:
Since (Mo/Yr)*:
Education
High School
School:
City:
State:
Diploma:
No
Yes
Undergrad School
School:
City:
State:
Diploma:
No
Yes
Deg/Cert/Dip:
Area of Study:
Grad School
School:
City:
State
Diploma:
No
Yes
Deg/Cert/Dip:
Area of Study:
Other School
School:
City:
State:
Diploma:
No
Yes
Deg/Cert/Dip:
Area of Study:
Employment
Employment Information
Are you able to perform the essential functions of the job for which you are applying, either with or without a reasonable accommodation?::
Yes
No
Can you work Overtime, if needed?::
No
Yes
Please answer all of the following questions.
1) Are you a U.S. citizen, or do you have the legal right to employment in the U.S.?
No
Yes
Please Verify You Are 18 years of age or older?
No
Yes
2) Are any of your relatives (by blood or marriage) presently employed by Wilson County?
No
Yes
If yes, Name / Relationship / Department:
3) Have you ever worked for Wilson County Government?
No
Yes
4) Have you ever been discharged or asked to resign from employment?
No
Yes
If yes, please explain...
5) Have you ever been convicted of a felony or misdemeanor crime? (Please note that conviction includes plea, verdict, or finding of guilt regardless of whether you were sentenced by a court.)
No
Yes
6) Are criminal charges, felony or misdemeanor, pending against you?
No
Yes
If yes, state name and relationship...
Employers
Are you currently employed?
No
Yes
May we contact your current employer?
No
Yes
Most Recent Employer
Employer*:
City*:
State*:
Zip Code*:
Phone*:
Position Held*:
From (m/yyyy)*:
To (m/yyyy)*:
Pay upon leaving*:
Supervisor*:
Duties*:
Reason for Leaving*:
Prior Employer
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Pay upon leaving:
Supervisor:
Duties:
Reason for Leaving:
Prior Employer
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Pay upon leaving:
Supervisor:
Duties:
Reason for Leaving:
Prior Employer
Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Pay upon leaving:
Supervisor:
Duties:
Reason for Leaving:
Skills
Job-related Skills
Skills
Explain your qualifications for the position desired, why you would be successful in the position and the goals you are pursuing:
Professional References
Reference
Name*:
Telephone*:
Employed by*:
Years Acquainted*:
Reference
Name*:
Telephone*:
Employed by*:
Years Acquainted*:
Reference
Name*:
Telephone*:
Employed by*:
Years Acquainted*:
Reference
Name*:
Telephone*:
Employed by*:
Years Acquainted*:
Resumes
Resume (Text Version)
Copy and Paste a text version of your resume here.
Upload File
Cover Letter
(Permitted File Types for Cover Letter: doc,docx,pdf,txt - Maximum File Size: 4183504 bytes)
Resume/CV
(Permitted File Types for Resume/CV: doc,docx,pdf,txt - Maximum File Size: 4183504 bytes)
General
(Permitted File Types For General Uploads: doc,docx,pdf,txt - Maximum File Size: 4183504 bytes)
General
(Permitted File Types For General Uploads: doc,docx,pdf,txt - Maximum File Size: 4183504 bytes)
General
(Permitted File Types For General Uploads: doc,docx,pdf,txt - Maximum File Size: 4183504 bytes)
Agreement
Applicant Certification Agreement
1. I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete and correct. I understand that falsified information or significant omissions may disqualify me and my application from further considerations for employment and may be considered justification for dismissal if discovered at a later date.
2. I expressly authorize without reservation the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorizes and educational institutions to verify accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and others persons, corporations, organizations for furnishing such information about me. I understand that because I am applying for a County position that my application becomes part of public record and may be viewed upon request.
3. I understand that the employer does not unlawfully discriminate in employment and no questions on this application is used for the purpose of limited or excusing any applicant from consideration from employment on a basis prohibited by applicable local, state, or federal law.
4. I understand this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered from employment, it will be necessary to reapply and fill out a new application.
5. If I am hired, I understand that I am free to resign at any time with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as required by law. This application does not constitute an agreement or contract of employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the County Mayor. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
6. Applicants may be subject to pre-screening requirements including drug screening, background check, physical, motor vehicle record check, reference check, written testing, criminal records check, and fingerprinting. I hereby authorize the County to conduct all pre-employment inquiries and tests as described. I release the County and all providers of information from any liability arising out of the gathering and use of such information.
Security Code
Security Code
Do Not Sign until you have Read the Above Applicant Statement
I certify that I have read and fully understand and accept all terms of the foregoing Applicant Statement. (Type Name in Signature Box.)*:
Date:
2022-05-28 14:42:22
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