Tuscola County Sheriff's Office APPLICATION FOR EMPLOYMENT

Tuscola County Sheriff's Office APPLICATION FOR EMPLOYMENT

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, marital or veteran status, or any other legally protected status.
MISSION STATEMENT: The Tuscola County Sheriff’s Office will serve the public by providing assistance, coordination and delivery of law enforcement, corrections andsupport services for the safety and protection of people and property with respect to the constructional rights of all citizens.
Enter EMPCO test score:
**Must have taken EMPCO test before completing application (for Corrections).
Position Applied For
Personal:
Applicant's Full Name

First NameMiddle NameLast Name
Applicant's Email
example@example.com
Applicant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Best time to contact you at home?

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Applicant's Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many years have you lived at your current address?
Applicant's Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long did you live at your previous address?
PERSON TO BE NOTIFIED IN CASE OF ACCIDENT OR EMERGENCY
Emergency Contact's Name

First NameLast Name
Emergency Contact's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Work Experience Continued
Comments: Include explanation of any gaps in employment.
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Describe any job-related training received in the United States military.
List professional, trade, business or civic activities and offices held
You may exclude memberships which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
ADDITIONAL INFORMATION
OTHER QUALIFICATIONS: Summarize special job-related skills and qualifications acquired from employment or other experience.
State any additional information you feel may be helpful to us in considering your application.
Note to applicants: DO NOT ANSWER THE FOLLOWING QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.

PERSONAL PROFESSIONAL REFERENCES

DO NOT INCLUDE FAMILY MEMBERS OR PAST SUPERVISORS
- Reference Name: 1
  
  First NameLast Name
- Reference Email: 1
  example@example.com
- Reference Occupation: 1
- Reference Phone: 1
  Please enter a valid phone number.Format: (000) 000-0000.
- Best time of day to call Reference: 1
  
  Hour Minutes
  
  AM/PM Option
  
  Until
  until
  Hour Minutes
  
  AM/PM Option
- Reference Name: 2
  
  First NameLast Name
- Reference Email: 2
  example@example.com
- Reference Occupation: 2
- Reference Phone: 2
  Please enter a valid phone number.Format: (000) 000-0000.
- Best time of day to call Reference: 2
  
  Hour Minutes
  
  AM/PM Option
  
  Until
  until
  Hour Minutes
  
  AM/PM Option
- Reference Name: 3
  
  First NameLast Name
- Reference Email: 3
  example@example.com
- Reference Occupation: 3
- Reference Phone: 3
  Please enter a valid phone number.Format: (000) 000-0000.
- Best time of day to call Reference: 3
  
  Hour Minutes
  
  AM/PM Option
  
  Until
  until
  Hour Minutes
  
  AM/PM Option

PLEASE READ CAREFULLY

APPLICANT’S CERTIFICATION AND AGREEMENT

In the event of employment, I understand that false, misleading or omitted information in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer.

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice.*
Signature of Applicant:
Signed Date

MonthDayYear
Date
*NOTE: The Provisions of the Fair Credit Reporting Act may be applicable if a credit report on the applicant is obtained and considered.
Should be Empty:

Tuscola County Sheriff's Office APPLICATION FOR EMPLOYMENT

Personal:

PERSON TO BE NOTIFIED IN CASE OF ACCIDENT OR EMERGENCY

MILITARY SERVICE RECORD

Education History

Work Experience

Work Experience Continued

PERSONAL PROFESSIONAL REFERENCES

PLEASE READ CAREFULLY