Employment Application Form
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  • Position Applying for:
  • Date Available for Employment*
     - -
  • Sex at Birth*
  • Format: (000) 000-0000.
  • Are you willing to work shift work? (nights, holidays, weekends, etc.)*
  • Are you willing to wear a uniform?*

  • General Information

  • How did you hear about the position?*
  • Are you a High School Graduate?*
  • Are you a College/Tech School Graduate?*
  • Have you ever been employed by White County Sheriff's Office?*
  • Are you related to anyone employed by White County Sheriff's Office?*
  • Are you a citizen of the United States of America? (In accordance with the Immigration Reform Act of 1986, proof of authorization to be employed in the United States will be required of all prospective employees. Failure to establish such proof will prohibit or discontinue employment.)*
  • Have you ever been convicted of, or plead guilty or NOLO to a felony or misdemeanor, other than a minor traffic violation?*
  • Have you had any traffic charges within the last three (3) years? (Do not include parking tickets)*
  • Have you ever used marijuana?*
  • Have you ever possessed, sold, manufactured, used, or delivered illegal drugs??*
  • Have you ever illegally possessed, sold, manufactured, used or delivered legal prescription medication?*
  • Have you ever actively served in a branch of the U.S. Military?*
  • Are you now, or have you ever been, an inactive member of any branch of the U.S. Reserve Forces or National Guard?*
  • Do you have any previous law enforcement experience? (check all that apply)*
  • Are you a graduate of a police mandate school or academy?*
  • Do you have a Georgia O-Key number (P.O.S.T.) ?*

  • Work History

    Describe your work history BEGINNING WITH YOUR CURRENT OR MOST RECENT JOB. Complete all information requested.

  • Employer 1

  • Employer 2

  • Employer 3

  • Professional References

     Please list five (5) work related references that we may contact. Include two (2) that are current or most recent supervisors.

  • Personal References

     Please list five (5) personal references that we may contact. List people you have known for at least four (4) years which are not former employers, relatives, or people with whom you are living. 

  • Drug Free Workplace Acknowledgement

    The White County Government is a Drug Free Workplace. As a condition of employment with the White County Government, you will be required to submit to an alcohol and controlled substance screening test. In order to be employed by the White County Government, you must successfully pass this screening test. Candidates rejected for failing to pass the required screening will be required to wait at least 12 months before reapplying for employment. Employees who are indicted for, or convicted of, a controlled substance related violation under state or federal law, or who plead guilty or no contest to such charges must inform their Supervisor or Human Resources in writing within five days of the conviction or plead (this is a requirement of the Drug Free Workplace Act of 1988). Should you be offered a job with the White County Government, your position will be subject to post accident and reasonable suspicion testing. All safety sensitive positions will be subject to random drug and alcohol testing. These requirements are in accordance with the County's Substance Policy. By clicking here, you are acknowledging that you consent to such an examination and screening test.

     

  • Application Statement

     

    By submitting this form, the submitter has applied for employment with the White County Government and herby authorizes the White County Government to contact current and former employers and references for the purpose of acquiring information regarding the applicant; furthermore authorizing such employers and references to supply such information verbally or in writing to the White County Government. In consideration for their furnishing such information, the submitter waives any and all claim against such former employers and references which may arise from their furnishing such information. The submitter/applicant understands that the White County Government has a Substance Abuse Prevention Program which includes drug testing. The submitter/applicant agrees to comply with applicable county policy. The submitter/applicant understands that once offered a position, the submitter/applicant will be required to complete drug screening. The submitter/applicant certifies that the answers given in this application are to the best of applicants knowledge and believe to be true and correct. The applicant further affirms that the applicant has not withheld any facts or circumstances that would detrimentally affect the application for employment, and understands that any misleading or incorrect statement may render this application void and would be cause for dismissal, if employed. Acknowledgement below certifies that the listed applicant and submitter of this form are same. Applicant agrees that: I AGREE THAT IF HIRED, THE WHITE COUNTY GOVERNMENT OR I MAY TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE. I UNDERSTAND THAT NO COUNTY POLICY, PRACTIVE, PROCEDURE, OR STATEMENT BY ANY COUNTY REPRESENTATIVE SHALL LIMIT OR ALTER THIS AT-WILL EMPLOYMENT RELATIONSHIP.

  • Note: If documents are not uploaded, they must be brought to the interview if selected.

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  • I acknowledge that the information I have provided is true and real to the best of my knowledge.

  • Date*
     - -
  • Should be Empty: