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General Employment Application
Use this application to apply for employment with Greene County, GA for all positions.
General Information
Evaluations of applications are based on individual merit. information must be complete so that all applications can be given equitable consideration. All qualified applicants will receive consideration for employment regardless of race, color, religion, sex, age, national origin or disability. Greene County will hire only authorized workers, regardless of national origin. This application must be typed or printed. Please complete one application for each position for which you apply. You must sign and date your application in ink. Incomplete applications may be rejected. Resumes are not accepted in lieu of a completed application.
Job Announcement Closing Date
Job Announcement Closing Date
Position Desired
Salary Requirement
Name
First, Middle Initial, Last
Email Address
Address
City
State
Zip Code
Home Phone Number
Work Phone Number
Other Phone Number
How did you hear of this opening?
Date Available to Begin Work
Date Available to Begin Work
Have you ever worked for Greene County Government?
1. Yes
2. No
When and Where
Give name, relationship and department of any relatives who are employed with Greene County Government.
Will you accept the following types of work:
Temporary Work
1. Yes
2. No
Part-Time Work
1. Yes
2. No
Shiftwork
1. Yes
2. No
Weekend/Holiday
1. Yes
2. No
Are you over 18 years old?
1. Yes
2. No
Are you a citizen of the U.S.?
1. Yes
2. No
Are you legally eligible to work in the U.S.?
1. Yes
2. No
Note:
If offered employment you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligible for employment in the United States.
Do you have a valid Drivers License?
1. Yes
2. No
State
Do you have a valid Commercial Drivers License?
1. Yes
2. No
What Classification
Note
Possession of a valid drivers license is not an essential function of all employment offered by the County. Answering "No" to this question is not necessarily a bar to consideration for employment. If offered employment, applicants will be required to obtain a current copy of their Motor Vehicle Records Report from the appropriate designated agency and provide it to Greene County.
Have you received any traffic citations in the past 3 years?
1. Yes
2. No
Please Indicate Type of Offense and Dates
Have you (since the age of 18) ever been convicted of or plead guilty or no contest to a misdemeanor?
1. Yes
2. No
Have you (since the age of 18) ever been convicted of or plead guilty or no contest to a felony?
1. Yes
2. No
If Yes, Describe Circumstances
Note
Any applicant convicted of any criminal offense involving the manufacture, distribution, trafficking, or sale of a controlled substance, dangerous drugs or marijuana, or convicted of any felony involving a violent crimes such as assault with a deadly weapon, aggravated assault or murder are ineligible for employment with Greene County. Such applicants shall be automatically rejected. Applicants convicted of any other felony will be considered on a case-by-case basis. Any applicant who has been convicted of any felony or misdemeanor and has received a pardon from the appropriate State Pardons/Parole Board shall be eligible for employment with the County. By signing this application, applicants agree to submit to a background investigation by Greene County and will also be required to submit to pre-employment drug testing as designated and provided for by the County.
Have you ever been suspended, dismissed or asked to resign from any job?
1. Yes
2. No
If Yes, Explain in Detail
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Education

Work History

Describe your work history beginning with your current or most recent job. Include military, volunteer experience and periods of unemployment. Failure to give complete information regarding each job held will result in your disqualification. Complete address with zip code and phone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of completing this section.
Name of Organization or Firm
Telephone
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Address
City
State
Zip Code
Total Time Employed
Official Job Title
Name of Supervisor
Pay
Start to End
Describe Specific Job Duties
Specific Reason for Leaving
Name of Organization or Firm
Telephone
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Address
City
State
Zip Code
Total Time Employed
Official Job Title
Name of Supervisor
Pay
Start to End
Describe Specific Job Duties
Specific Reason for Leaving
Name of Organization or Firm
Telephone
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Address
City
State
Zip Code
Total Time Employed
Official Job Title
Name of Supervisor
Pay
Start to End
Describe Specific Job Duties
Specific Reason for Leaving
Name of Organization or Firm
Telephone
Dates Employed
Dates Employed Start Date
—
Dates Employed End Date
Address
City
State
Zip Code
Total Time Employed
Official Job Title
Name of Supervisor
Pay
Start to End
Describe Specific Job Duties
Specific Reason for Leaving
Please use this space for additional information pertinent to your education, training and experience.
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Type of Employment

Are you applying for a position with Greene County Fire Rescue.*
1. Yes
2. No
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Greene County Fire Rescue Applicant Questionnaire

Signature Page

Authorization to Release Information
I have made application for employment with Greene County Government. I authorize my former employers to give any information regarding my employment and/or any information they have regarding me, whether or not it is in their records. I hereby release them from any damage whatsoever for issuing same.
May we contact your present employer?
1. Yes
2. No
Other
Upload Cover Letter (Optional)
Upload Resume (Optional)
You must sign the "Authorization to Release Information" statement to enable us to contact prior employers, even though we may not contact your present employer.
Date
Date
Applicant's Signature
Applicants Certification & Agreement
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I am aware that the falsification of this application or the omission of complete information will result in disqualification, or upon discovery, termination of employment. The County is hereby authorized to make any investigation of my prior educational and work history.
Date
Date
Applicant's Signature
Resumes, letters of reference, etc. submitted with the application become property of Greene County and cannot be returned. The information you have provided on the application is subject to public disclosure under the Georgia Open Records Act.

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