County Application

Use the following form to apply for current county job postings. You will be required to submit a resume and cover letter when submitting the application. There is also a PDF version of the application that can be mailed to the County Administrator's office.

Full Name*

Phone*

Email Address*

Address*

City*

State*

Zip*

Position Applying For*

Shift Preferred
1
2
3
Any

Expected Pay*

Would you accept full time work?

Would you accept part time work?

On what date would you be available for work?*

Have you ever been employed here before?*

If yes, date of previous employment

List any special training or skills which will benefit you in the position to which you are applying

Are you legally eligible for employment in the United States?*

Are you of legal age to work in the United States?*

Educational Background

Grammar School

Name and Location

Course of Study

Did you graduate?

Degree or Diploma

High School

Name and Location

Course of Study

Did you graduate?

Degree or Diploma

College

Name and Location

Course of Study

Did you graduate?

Degree or Diploma

Graduate School

Name and Location

Course of Study

Did you Graduate?

Degree or Diploma

Vocational Training - Other

Name and Location

Course of Study

Did you graduate?

Degree or Diploma

Membership in professional or civic organizations.
(Exclude those which may disclose your race, color, religion, or national origin.)

Employment Experience

Please list your most recent employer first.

1. Employer

Address

Phone

Job Title

Supervisor

Dates Employed

Starting Hourly Rate / Salary

Final Hourly Rate / Salary

Work Performed

Reason for Leaving

It is OK to contact this employer

2. Employer

Address

Phone

Job Title

Supervisor

Dates Employed

Starting Hourly Rate / Salary

Final Hourly Rate / Salary

Work Performed

Reason for Leaving

It is OK to contact this employer.

3. Employer

Address

Phone

Job Title

Supervisor

Dates Employed

Starting Hourly Rate / Salary

Final Hourly Rate / Salary

Work Performed

Reason for Leaving

It is OK to contact this employer.

4. Employer

Address

Phone

Job Title

Supervisor

Dates Employed

Starting Hourly Rate / Salary

Final Hourly Rate / Salary

Work Performed

Reason for Leaving

It is OK to contact this employer.

Personal References

(Other than family members or previous employers)

1. Name

Phone

Address

2. Name

Phone

Address

3. Name

Phone

Address

Upload your resume and cover letter using the controls below.

File Size: 5000KB Maximum
File Types: .doc .docx .pdf .txt

I understand that the Immigration Reform and Control Act of November 6, 1986 requires me to prove the legality of my residency or citizenship. I am also aware that the failure to provide such proof at the time of request may legally force my termination. To the best of my knowledge the information contained on this application is true. I understand that nothing contained in this employment application or in the granting of an interview is intended to create a contract between me and Shiawassee County for either employment or the provision of any benefits; and further understand that if an employment relationship subsequently is established, I will have the right to terminate my employment at any time and the county will have a similar right. In addition, I understand that no promise, representation or agreement contrary to the foregoing is binding on the county unless made in writing and signed by me and an authorized representative of the county.

I authorize the release of any and all job related information and motor vehicle record(s) that the County of Shiawassee may request or any records pertaining to past or present employment which may now exist or in the future exist.

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Administration

Dr. Brian Boggs, County Coordinator

County Application

Educational Background

Employment Experience

Personal References

Upload Files