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POSITION TITLE AND NUMBER: 750 – Deputy

DATE APPLICATION FILED:

MARSHALL COUNTY PERSONNEL BOARD

APPLICATION FORM

APPLICANT INFORMATION

PLEASE CAREFULLY READ THE FOLLOWING BEFORE COMPLETING YOUR APPLICATION

A SEPARATE APPLICATION FORM IS REQUIRED FOR EACH POSITION TITLE

Completing the Application

You may print the application form and complete it manually or type information directly into the shaded areas.

Ø  To complete the form online, you must use the tab key to move from cell to cell. Avoid using the enter key because it will distort the table layout. Text will wrap automatically as you type into the cells. Once completed, the application should be printed out, signed and mailed or hand delivered to the Personnel Office address below.

Ø  If printing out the application form to complete it manually, the shaded areas will not print out. Once completed, the application should be signed and mailed or hand delivered to the Personnel Office address below.

Your application for employment with Marshall County is our only source of information about you. All applications, including those for promotional and transfer positions, MUST be completed IN FULL. All questions must be answered so applications can be given equitable consideration. RESUMES ARE ACCEPTED; HOWEVER A NOTATION “SEE RESUME/SEE ATTACHED” WILL NOT BE USED FOR EVALUATION PURPOSES. If a question does not apply indicate "N/A" for non-applicable. Failure to record both month and year when requested will result in minimum credit. IF YOU NEED ADDITIONAL SPACE ON ANY SECTION OF THE APPLICATION YOU MAY ATTACH ADDITIONAL SHEETS. PLEASE INDICATE ON EACH SHEET THE SECTION OF THE APPLICATION THE INFORMATION PERTAINS TO AND BE SURE YOU USE THE SAME FORMAT AS THAT SECTION.

If any position requires a certificate, license, etc. then these documents must be submitted with the application or by the closing date of the position announcement. Failure to provide this information will result in the application not being referred to the hiring office/department. The Personnel Board will not make copies of any required documents. The applicant must provide one copy of all documents he or she wants to submit with the application.

A completed official application must be received by the established closing date as stated on the announcement. An announcement with an "indefinite" closing date will remain open for a minimum time as specified on the announcement, but after that time may be closed without notice. Any announcement may be extended at any particular time during the advertising period at the discretion of the Personnel Administrator.

Applications and materials relevant to the application process will NOT BE ACCEPTED via FAX. Photocopies of applications are accepted if they are legible.

YOU MUST SIGN AND DATE THE APPLICATION FORM. APPLICATIONS THAT ARE NOT COMPLETED IN FULL AND SIGNED WILL NOT BE CONSIDERED.

Job Requirements

Please note the education, experience, and other special requirements listed in the announcement for the jobs that interest you. These are minimum standards all applicants must meet in order to be considered for employment.

Employment Policy

It is our policy that employment decisions are made on the basis of merit and fitness for the position. MARSHALL COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER. All applicants are required to provide proof of identity and authorization of employability at the time of appointment. All offers of employment may be contingent upon successful completion of a post offer drug screen and physical examination.

Hiring Procedure

1.  Every application received by the established closing date is reviewed for minimum qualifications and competitiveness by the Marshall County Personnel Board. Should you meet the requirements for the position, your name will be placed on a list of eligible candidates. Your name will remain on this eligible list for six (6) months or until the list expires, whichever occurs first.

2.  When a county department notifies the Personnel Board of a desire to fill a vacancy for a position the Board certifies to the department the top three names on the appropriate eligible list.

3.  Hiring departments hold interviews with applicants who are referred by the Personnel Board. The hiring department will notify persons selected for interviews.

4.  After the interviews and other selection procedures, the hiring department makes a selection and returns all applications to the Personnel Board. Those candidates not selected will remain on the eligible list and will be considered for future vacancies.

Additional Information

You may obtain information on Marshall County Personnel Board job announcements by visiting the county web site at http://www.marshallco.org.

PREFERENCE: Qualified Marshall County classified service employees will be afforded preference when establishing eligible lists.

YOUR INTEREST IN COUNTY EMPLOYMENT IS APPRECIATED!!!

Should you have a change of address or phone number after filing an application let us know!

Marshall County Personnel Board

Marshall County Courthouse, Room A342

424 Blount Avenue

Guntersville, Alabama 35976

(256) 571 – 7720

Office hours: 8:00 a.m. – 12:00 p.m. and 1:00 p.m. - 4:30 p.m., Monday through Friday

MARSHALL COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER. THOSE APPLICANTS REQUIRING ACCOMMODATION TO THE APPLICATION AND/OR INTERVIEW PROCESS SHOULD CONTACT THE MARSHALL COUNTY PERSONNEL BOARD.

ENTER SOCIAL SECURITY NUMBER BELOW. DATE OF APPLICATION

IMPORTANT: Please carefully read the applicant information section before completing this application. Please type or print using black or blue ink.

NOTE: This application may be used to fill both classified and unclassified positions in county government; however, use of this application in no way confers classified service status on any position that may be exempt from the classified service.

POSITION FOR WHICH YOU ARE APPLYING (one per application) / JOB CODE:
Deputy / 750
Full Name
Last / First / Middle
Address
House or Apartment Number / Street
City / State / Country / Zip
Telephone Number: / Home / () / Work / () / May we contact you at work? Yes No
Area Code / Area Code

PERSONAL INFORMATION

If employment is offered, can you provide verification of your legal right to work in the United States? Yes No

Are you over 18 years of age? Yes No (If not, employment is subject to verification that you are of minimum legal age and are able to supply

any required work permit.)

Are you able to meet the attendance requirements of the position? Yes No

Are you willing to work overtime and holidays if required? Yes No

Date available for work.

Type of employment desired: Full-time Part-time Temporary

Valid driver’s license number (if job related) State

Is this license a Commercial Driver’s License? Yes No If yes, what class?

Have you previously worked for Marshall County? Yes No

If yes, give dates and the position(s) you held.

REFERENCES (List three reliable persons, not relatives or employers, who know you well enough to give information about you)

NAME
/
ADDRESS AND PHONE NUMBER

EDUCATION

/ CHECK THE HIGHEST GRADE OF SCHOOL COMPLETED. /
High School Diploma or GED?
Yes No / 1 2 3 4 5 6 7 8 9 10 11 12
College 1 2 3 4 /
PROVIDE INFORMATION ON ALL SCHOOLS ATTENDED. SPECIFY UNDERGRADUATE OR GRADUATE WORK.
COLLEGE
VOCATIONAL / BUSINESS
Name and Address of School / Credit
Hours
Sem. Qtr. / Did You
Graduate?
Yes No / Type of Degree and Dates Attended / Major
PROFESSIONAL LICENSE OR CERTIFICATE
License/Certificate Issued By / Field/Trade/Specialization / License/ Certificate No. / Issue Date / Expiration Date
Fully describe any other special qualifications and skills possessed (i.e. skill with machines, computer software, foreign language) which relate to the job for which you are applying. Explain extent of experience and how acquired. Attach additional sheets if necessary (Section A)
Have you ever been involuntarily terminated, discharged, forced or asked to resign from any job? Yes No
If you answered Yes to the above question, attach an explanation on a separate sheet noting any mitigating or extenuating circumstances.
Have you even been convicted of a misdemeanor or felony crime? Yes No
If you answered Yes to the above question, list in the space below all prior misdemeanor and felony convictions and any extenuating or mitigating circumstances regarding such convictions. If necessary, you may use a separate sheet or sheets and attach to application. (Section B)
NOTE: A CONVICTION RECORD DOES NOT AUTOMATICALLY MEAN THAT APPLICANTS CANNOT BE APPOINTED, EXCEPT THAT A FELONY CONVICTION WILL BAR EMPLOYMENT IN A LAW ENFORCEMENT JOB. OTHER CONVICTIONS WILL BE WEIGHED RELATIVE TO THE POSITION BEING SOUGHT
FAILURE TO DISCLOSE A CONVICTION MAY BE CONSIDERED AS GROUNDS FOR DISQUALIFICATION. FOR THESE REASONS, APPLICANTS SHOULD BE CAREFUL TO DISCLOSE ALL CRIMINAL CONVICTIONS.
WORK HISTORY
THIS SECTION MUST BE COMPLETED REGARDLESS OF WHETHER OR NOT A RESUME’ IS ATTACHED.

Begin with your PRESENT or most recent employment. List in REVERSE ORDER periods of employment. Each time you changed jobs or your title changed should be listed as a separate period. Describe in detail your duties. Include military and/or voluntary experience in the same format listing the word “Volunteer” or “Unpaid.” (Attach additional sheets if needed) (Section C)

1. Current or Last Employer / Your Official Job Title
Address / Type of Business
FROM / TO / Total / Number of Hours / Beginning Salary / Ending Salary / May we contact your
Month / Year / Month / Year / Yrs./Mos. / Per Week / Employer?
$ Per / $ Per / Yes No
Number/Title of Employees You Supervised On a Continuing Basis / Equipment You Operated
Name, Title and Telephone Number of Supervisor / Reason for Leaving
Describe Your Duties in Detail
2. Employer / Your Official Job Title
Address / Type of Business
FROM / TO / Total / Number of Hours / Beginning Salary / Ending Salary / May we contact your
Month / Year / Month / Year / Yrs./Mos. / Per Week / Employer?
$ Per / $ Per / Yes No
Number/Title of Employees You Supervised On a Continuing Basis / Equipment You Operated
Name, Title and Telephone Number of Supervisor / Reason for Leaving
Describe Your Duties in Detail
3. Employer / Your Official Job Title
Address / Type of Business
FROM / TO / Total / Number of Hours / Beginning Salary / Ending Salary / May we contact your
Month / Year / Month / Year / Yrs./Mos. / Per Week / Employer?
$ Per / $ Per / Yes No
Number/Title of Employees You Supervised On a Continuing Basis / Equipment You Operated
Name, Title and Telephone Number of Supervisor / Reason for Leaving
Describe Your Duties in Detail
4. Employer / Your Official Job Title
Address / Type of Business
FROM / TO / Total / Number of Hours / Beginning Salary / Ending Salary / May we contact your
Month / Year / Month / Year / Yrs./Mos. / Per Week / Employer?
$ Per / $ Per / Yes No
Number/Title of Employees You Supervised On a Continuing Basis / Equipment You Operated
Name, Title and Telephone Number of Supervisor / Reason for Leaving
Describe Your Duties in Detail
Please explain any gaps in employment:
COMPLETE THIS SECTION IF YOU ARE CLAIMING VETERAN’S PREFERENCEIf you claim Veteran’s Preference, check the type below. Attach copies (which will not be returned) of the required documents to your application to support your claim. YOU WILL NOT RECEIVE VETERAN’S PREFERENCE POINTS UNLESS YOU FURNISH REQUIRED COPIES OF THE APPROPRIATE DOCUMENTS.
Veteran (5 points) – Requires DD214 or document showing dates of service and type of discharge.
Disabled Veteran (10 points) – Requires DD214 or other document as above and letter of disability from V. A. dated within last 6 months.
Deceased Veteran’s spouse (10 points) – Requires DD214 or other document as above and marriage and death certificates. Cannot be
claimed if spouse remarries.
Disabled Veteran’s spouse (10 points) – Requires DD214 or other document as above and V. A. letter of disability dated within last 6
months. Cannot be claimed unless still married to disabled veteran.
Permanently Disabled Veteran (10 points) – Requires DD214 or other document as above and V. A. letter indicating permanent disability.

Use this section to include any further information you wish us to consider:

APPLICANT’S STATEMENT (PLEASE READ CAREFULLY AND ASK ANY QUESTIONS BEFORE SIGNING)

I certify the information given by me in this application (and attachments) and all other information furnished in the application process is true and complete to the best of my knowledge. I understand any false information, misrepresentation, or concealment of fact is sufficient grounds for my application to be rejected or, if employed, my employment to be terminated.

I authorize the county to conduct a background investigation pertaining to my suitability for employment, which may include a criminal history check. I hereby authorize the release of information about my ability and fitness for employment with Marshall County by law enforcement agencies, employers, schools, and other individuals and organizations to authorized employees of Marshall County. I hereby release the aforementioned persons, corporations, agencies, associations and their employees, agents, and representatives from any liability for any claim or damage, which may result from compliance with this authorization.

I understand I may be required to submit to a drug screening as a condition of employment and refusal to submit to drug testing during the course of my employment may result in disciplinary action, up to and including discharge. I further understand that as a condition of employment I may be required to successfully pass a post offer physical examination.

Applicant’s Signature Date

MARSHALL COUNTY PERSONNEL BOARD

SUPPLEMENTAL DATA SHEET

FOR LAW ENFORCEMENT OFFICER APPLICANTS

Full Name
Last / First / Middle

PEACE OFFICER CERTIFICATION

Are you a certified law enforcement officer? Yes No

If yes, in what state are you certified?

Date of certification:

Name and location of training academy where you received your certification: