Form

Online Employment Application

This application must be complete and accurate. All statements made on application are subject to verification. Any incorrect or false statements to any question(s) in this application may be grounds for non-selection, or for termination after you begin work. All statements are subject to investigation, including a check of your training and experience statements. All information you give will be considered in reviewing your application. Also, your application may be subject to public inspection in accordance with the Florida Public Records Law, Chapter 119, Florida Statute.
Full Name (First, Last, and Middle)
Mailing Address
Phone Number (Home)
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number (Cell)
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number (Work)
Please enter a valid phone number.Format: (000) 000-0000.
Drivers License Number / State
Are you a citizen of the United States or registered alien?
Have you ever been convicted of a crime or have you ever been a defendant in a civil action for intentional tort?
If Yes, Please Explain
While in the military service were you ever convicted by a general court martial?
Do you have a relative currently working for the Clerk of the Circuit Court & Comptroller?
If yes, please provide name and relationship
Job Interest
Position Applied For
Date you can begin
Wage desired
Minimum you will accept
Will you accept Temporary Work?
Will you accept Part-Time Work?
Military Service Records
Were you in the U.S. Armed Forces?
If Yes, which branch?
Date Range of Duty
Grade At Discharge
List of duties in the service including special training
Have you taken any training under the G.I. Bill of Rights?
If yes, what training did you take?
Veteran's Preference

For the purposes of appointments, retention, reinstatement and reemployment, Veterans’ Preference ensures that veterans and eligible spouse of veterans are given consideration at each step of the selection process. However, preference does not guarantee that a veteran or the eligible spouse of a veteran will be the candidate selected to fill the position. Completion of the Veterans’ Preference selection is made on a voluntary basis and kept confidential in accordance with the Americans with Disabilities Act.
Are you claiming Veterans Preference?
Please Upload The Veterans Preference Form Below

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Education - Feel Free To Skip If Included On Resume
Grade School - Highest Grade Completed
High School - Highest Grade Completed
College - Highest Level Achieved
Graduate Program - Number of Years
High School Attended
College Attended
Graduate School Attended
Vocational School Attended
Other Training
Special Skills, Aptitudes, and Other Qualifications - If Included In Resume Feel Free To Skip (List details of all skills aptitudes and other qualifications which you feel are relevant to employment, i.e. keyboarding, software knowledge, foreign languages read or spoken, etc.)
Former Employment - Feel Free To Skip If Included In Resume

Complete the following information for your last four employers starting with the most recent.
Employer 1
Employer 2
Employer 3
Employer 4
May We Contact Your Present Employer
If No, When May We Contact?
References

List the names and contact information for three persons not related to you, whom you have known at least one year. At least one should be a current or previous employer/supervisor.
Reference 1
Reference 2
Reference 3
Please summarize any additional information necessary to describe your full qualifications.
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THANK YOU for completing this application and for your interest in employment with us. We would like to assure you that your opportunity for employment with the Clerk’s Office will be based on merit and no other consideration.Applications must be filled out completely. Resumes may be submitted but do not take the place of any information required. This is a public document. Under Florida law, applications cannot be confidential.
Certification

I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, personnel staff, and other authorized employees of Putnam County government for employment purposes. This consent shall continue to be effective during my employment if I am hired. I understand that applications submitted for County employment are public records except as exempted above. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith. If I receive an offer of employment, I hereby authorize a representative of the Putnam County Clerk of Courts to complete a criminal background check, a general health exam and a drug screening to confirm my employability. I also authorize my former and current employers to release information concerning my employment.
Upload Your Resume

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Signature
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Online Employment Application

Job Interest

Military Service Records

Veteran's Preference

Education - Feel Free To Skip If Included On Resume

Former Employment - Feel Free To Skip If Included In Resume

References

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Certification