Roane County TN Job Application

Upload Resume

Name:*

First NameLast Name

Today's Date:*

Date

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Please enter a valid phone number.

Email:*

example@example.com

Date available to start:*

Date

Position applying for:*

Desired Salary:*

Are you a citizen of the United States?*

YesNo

If no, are you authorized to work in the U.S?*

YesNoI am a U.S. Citizen

Have you ever worked for this company?*

YesNo

If so, when?

Leave blank if not applicable.

Have you ever been convicted of a felony?*

YesNo

If yes, explain.

Leave blank if not applicable.

Highest Level of Education

Summarize any special training, skills, licenses, and/or certifications that may assist you in performing the position for which you are applying. *

Company:*

Phone Number:*

Please enter a valid phone number.

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:*

Supervisor's Phone Number:*

Please enter a valid phone number.

Job Title:*

Starting Salary:*

Ending Salary:*

Responsibilities:*

From:*

Date

To:*

Date

Reason for leaving:*

May we contact your previous supervisor for a reference?*

YesNo

Company:

Phone Number:

Please enter a valid phone number.

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Supervisor:

Supervisor's Phone Number:

Please enter a valid phone number.

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

Date

To:

Date

Reason for leaving:

May we contact your previous supervisor for a reference?

YesNo

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 authorities, and educational institutions and to otherwise verify the 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 truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations, or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment, and no questions on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.

I understand that this application remains current for only 20 days. At the conclusion of time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immediate discharge from the employer's service, whenever it is discovered.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Signature*

Date*

Date

Roane County Tennessee Government is an equal opportunity employer. To File a complaint of discrimination write: USDA, Director, Office of Civil Rights, Washington, D.C. 20250.

Roane County, TN Job Application

APPLICANT INFORMATIOIN

EDUCATION

SKILLS AND QUALIFICATIONS

PREVIOUS EMPLOYMENT

APPLICANT STATEMENT:

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.