APPLICATION FOR EMPLOYMENT

We are pleased that you are interested in applying for a position with our Health Department. Taney County Health Department is an equal opportunity employer and does not discriminate in hiring or employment practices on the basis of race, color, religious creed, national origin, age, sex, marital status, ancestry, veteran status, pregnancy, medical condition, citizenship status, genetic information, sexual orientation, gender identity, disability or other basis prohibited by applicable local, state, or federal law. No question on this form is intended to secure information to be used for such discrimination.

Please read statements below carefully before signing this employment application disclosure.

I certify that the answers provided on this application are true, accurate and complete. I understand that any false information, omissions, or misleading information contained in this application or during the interview process, may be grounds for refusal to hire or may result in immediate termination. I acknowledge the confidential nature of the Health Department’s business and agree to maintain the confidentiality of the business affairs of the Health Department and its customers, at all times, before, during and after my employment.

I acknowledge that an offer and acceptance of employment is of an "at will" nature, which means that I may resign at any time and the employer may discharge me at any time with or without cause. I further understand that no supervisor, manager or representative of Taney County Health Department has any authority to enter into an agreement for employment for any specific period of time or to make any agreement contrary to these terms of employment, except such person or persons to whom such authority has been specifically granted by Taney County Health Department Board of Trustees.

I voluntarily consent to submit to a drug test at the request and expense of the Health Department and understand that Taney County Health Department reserves the right to conduct random drug testing. For employment purposes and with my prior written consent, the Health Department may investigate my driving record from time to time during my employment. I understand, if hired, I will be required to provide proof of identity and legal authorization to work in the United States. I also understand that Taney County Health Department participates in the United States Department of Homeland Security E-Verify program. I understand that, if hired, a criminal background check will be conducted and my employment is contingent upon the results of that check as it pertains to my job duties.

I understand that my application for employment shall remain in Taney County Health Department’s active files for a period of six months. Active files will be purged of applications and/or resumes on file for more than six months. If I wish to extend my candidacy, I must reapply by submitting another employment application.

I hereby authorize all previous employers, to release to Taney County Health Department any and all information regarding my employment. In addition, I authorize Taney County Health Department to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions to verify the accuracy of all information. I hereby further release Taney County Health Department, and any and all of its employees, of liability relating to, lawfully seeking and using truthful and nondefamatory information in the employment process.

I have carefully read, understand and will comply with all aspects of the employment disclosures stated in this document, and understand that completion of this application is not to be considered an offer of employment.