EMPLOYMENT APPLICATION

TO ALL APPLICANTS - (Please read carefully) Thank you for your interest in employment with the Athens County Board of Developmental Disabilities (ACBDD). The ACBDD provides a broad range of supportive services to children and adults with developmental disabilities who live in Athens County. You may submit a resume with your application, but we require that all of the information asked for on this application be completed also.

Please provide as much detail as possible and answer all questions thoroughly.  If you need assistance completing the application, please advise the Human Resources (HR) representative. You may follow up with your application by contacting: personnel@athenscbdd.org.

Please NOTE:

• On Page 2 of the application, there are spaces provided for positions for which you are applying. If you wish to apply for more than two, please make a notation in box 2.

• There is a Voluntary Demographic Data form that will be offered after completion. We advise you that: (a) applicants are under no obligation to respond but may do so if they choose; (b) responses will remain confidential within the human resource department, and (c) responses will be used only for the necessary information to include in our affirmative action program.

Our office hours are Monday through Friday, 8:00 a.m. until 4:00 p.m. 

Completed applications are received and reviewed by the HR representative and made available to the supervisors in the facilities where appropriate openings exist based upon the applicant’s stated areas of interest and qualifications.

All offers of employment are contingent upon successful completion of a job-related medical examination, a criminal history background check, and, if the position requires the person to transport clients or operate agency vehicles for any other purpose, a driving abstract.

For many positions, state certification, licensure or registration requirements MUST be met. Be sure to enclose copies of the applicable document(s) and complete the information below as it relates to the position(s) for which you have applied.

Please list other certificates, registrations, or licenses you have that are required for the position(s) for which you applied.

As an applicant for employment with the Athens County Board of Developmental Disabilities, I understand that the ACBDD may make a thorough investigation of my past employment and activities through communication with any or all of my former employers listed on my application and any other sources of information that the ACBDD deems appropriate. I hereby authorize ACBDD to make such relative inquiry and investigation of matters that are pertinent to my employment at ACBDD. I reserve the right to request a disclosure of the nature and scope of any inquiry or investigation. Further, I understand and agree that because of the nature of the ACBDD's programs, the ACBDD may require a pre-employment physical examination which may include drug and alcohol screening tests. Examinations will be conducted at the ACBDD’s expense by a physician chosen by the ACBDD and duly licensed by the state. I hereby authorize the release of the results of job- related physical exam to ACBDD.

Pursuant to Ohio Administrative Code Section 5123-2-02, the Athens County Board of Developmental Disabilities is required to conduct background investigations for purposes of employment. Please note that per 5123-2-02, there are five tiers of disqualifying offenses with corresponding time periods that preclude an applicant from being employed with this agency. Therefore, all applicants under final consideration will be required to submit to a background check through the Bureau of Criminal Identification and Investigation. For more information, please review OAC 5123-2-02. Your signature below verifies only that you understand our requirement to conduct background checks following job offers.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

I swear or affirm that the statements in this application are true and correct, and I understand that in the event that false information is discovered and verified, it will be grounds for dismissal. I also understand that all information submitted with my application become property of ACBDD and may not be removed after submission to that office.