DOUGLAS COUNTY - EMPLOYMENT APPLICATION

  • PERSONAL INFORMATION

  • Have you ever been employed by Douglas County?

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  • Do you have relatives employed by Douglas County?

  • Do you have a valid driver's license?

  • Do you have a Commercial Drivers License?

EMPLOYMENT EXPERIENCE

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  • EDUCATION AND TRAINING

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  • Foreign languages you speak or comprehend:

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  • REFERENCES

    • Give the name, email address, and phone number of two employment and one personal reference whom Douglas County may contact, who have knowledge of your habits and abilities, and have known you at least one year. References will not be called unless you are a final candidate.

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  • PROOF OF RIGHT TO WORK REQUIRED. You must provide documentation of either your United States citizenship or your legal right to work in the United States within three (3) days after being employed.

     

    PRE-EMPLOYMENT PHYSICAL EXAMINATION MAY BE REQUIRED. Douglas County is concerned that every county employee have the physical ability to safely perform his or her essential job functions. If you are offered employment Douglas County may require a pre-employment physical examination. The physical examination is intended to evaluate whether or not you can safely perform essential job functions without risks to yourself, co-workers, and/or the public.

     

    RANDOM DRUG TESTING. Employees holding jobs that are Safety Sensitive Positions are required, under federal law, to participate in random drug and alcohol testing programs. An example of a Safety Sensitive Position is one requiring a valid Commercial Driver’s License. Douglas County strongly supports maintaining a Drug Free Workplace.

     

    EQUAL EMPLOYMENT OPPORTUNITY STATEMENT. As an equal opportunity employer, Douglas County does not discriminate on the basis of race, color, religion, sex, gender identity, sexual orientation, pregnancy, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors. Douglas County is most willing to accommodate disabled individuals to allow for an equal opportunity to interview for this position. Please contact the Human Resources Department for more information.

     

    CERTIFICATION, AUTHORIZATION AND AGREEMENT

    I hereby certify that all statements made in this application are complete and true, to the best of my knowledge. I understand and agree that any false or misleading statement shall be considered sufficient cause for employment disqualifications or discharge from employment.

     

    I authorize my current and former employer(s) to provide Douglas County all available information regarding my current and former employment. I authorize all schools, colleges and universities that I have attended to provide Douglas County all available information regarding my education. I understand that such information may or may not be favorable. I hereby release my current and former employer(s), the educational institutions I have attended, the references I have listed, and Douglas County, and their employees, from any and all claims, liability and damages resulting from the release of information to Douglas County.

     

    I am willing to take a pre-employment physical examination, if I am offered employment. 

     

    I understand that, as a condition of employment, I must provide documentation to Douglas County within three (3) days after my employment to prove United States citizenship or the right to work in the United States.

     

    I authorize Douglas County to investigate any of the information in this application. If driving a motor vehicle is an essential function of the position applied for, then I authorize Douglas County to review all driving record information available through the Department of Licensing.

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