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  • Employment Application

  • Cumberland County, Tennessee is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status. If offered employment, you will be required to provide documentation to verify eligibility. All Applicants may be subject to a background check. Further, depending on the position for which you are applying, you may be subject to pre-employment drug testing. Please answer all questions. If a question does not apply to you, answer with "No" or "NA" for "Not Applicable."* Required Fields

  • Date*
     / /
  • Format: (000) 000-0000.
  • Date Available To Begin Working*
     / /
  • Are you 18 years or older?*
  • Are you 21 Years or Older?*
  • Are you authorized to work in the U.S.?*
  • Shift Preference*
  • Are you able to perform the essential functions of the job for which you are applying, with/without reasonable accommodation?*
  • Do you have any relatives/friends who work for Cumberland County?*
  • Have you ever worked for Cumberland County Before?*
  • Have you ever been convicted of a felony in the last seven years?*

  • Education:

  • Did you graduate?*
  • Did You Graduate?*
  • Did You Graduate?*
  • Have you completed any special courses, seminars and/or training that would enable you to perform the position for which you are applying?*

  • References

    Please list three references (not relatives or employers)

  • Reference 1

  • Format: (000) 000-0000.

  • Reference 2

  • Format: (000) 000-0000.

  • Reference 2

  • Format: (000) 000-0000.

  • Previous Employment

  • Are you currently employed?*
  • Have you ever been discharged or asked to resign from a job?*

  • Most Recent Employer

  • Format: (000) 000-0000.
  • May we contact your previous supervisor for a reference?*

  • Next Most Recent Employer

  • Format: (000) 000-0000.
  • May we contact your previous supervisor for a reference?*

  • Next Most Recent Employer

  • Format: (000) 000-0000.
  • May we contact your supervisor for a reference?*
  • Are you a Military Veteran?*
  • If you answered yes, while in the military, did you complete any special courses, seminars, and/or training that would enable you to perform the position for which you are applying?*
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  • Disclaimer and Signature

  • "I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize CUMBERLAND COUNTY to verify their accuracy and to obtain reference information on my work performance. I hereby release CUMBERLAND COUNTY from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause."

  • Date*
     / /
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