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Jersey Co. 911 Employee Portal
jersey county 9-1-1 employment application
The Jersey County ETSB is an equal opportunity employer and will not discriminate against any employee or applicant on the basis of age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law. Consistent with its obligations under federal law, any organization that is a federal contractor or subcontractor is committed to taking affirmative action to employ and advance in employment qualified women, minorities, disabled individuals and veterans.
personal information
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Physical Address
*
Line 1
Line 2
City
State
Zip Code
Country
Are You a Citizen of the United States
*
Yes
No
Were You Ever A Member of the Military?
*
Yes
No
Rank At Time of Discharge
*
Type Of Discharge
*
Current Member of Guard or Reserve?
*
Yes
No
Current Rank
*
If Discharged, Do You Have A DD214 / NGB22
*
N/A
Yes
No
employment desired
Employment You Would Consider
*
Full-time
Part-time
Per Diem
Any
Are You Employed Now?
*
Yes
No
May We Contact Your Current Employer?
*
Yes
No
N/A
Have You Applied With Us Before?
*
Yes
No
If So, When?
*
How Did You Find Out About This Position?
*
Agency Website
Facebook
Job Fair
News Paper Ad
Word of Mouth
Other
Date You Can Start
*
Hourly Wage Desired
*
education
Highest Level of Education Completed
*
Some High School
GED
Completed High School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
PhD
COMPLETE ALL THAT APPLY. IF A SECTION DOES NOT APPLY PUT N/A.
High School Name & Location
*
Years Attended
*
Year Graduated
*
College Name & Location
*
Years Attended
*
Year Graduated
*
Graduate School Name & Location
*
Years Attended
*
Year Graduated
*
Technical / Trade School Name & Location
*
Years Attended
*
Year Graduated
*
Additional Education Information
*
Special Study, Skills or Research Work
*
work history
START WITH MOST RECENT
A. Employer
*
A. City & State
*
A. Phone Number
*
A. From
*
A. To
*
A. Job Title
*
A. Pay Rate
*
A. Reason for Leaving
*
Leave this Field Blank If This Is Your Current Employer.
A. Present Employer
*
Yes
No
B. Employer
*
B. City & State
*
B. Phone Number
*
B. From
*
B. To
*
B. Job Title
*
B. Pay Rate
*
B. Reason for Leaving
*
C. Employer
*
C. City & State
*
C. Phone Number
*
C. From
*
C. To
*
C. Job title
*
C. Pay Rate
*
C. Reason for Leaving
*
criminal history
HAVE YOU EVER BEEN:
A. Convicted of a Crime?
*
Yes
No
B. Placed On Probation?
*
Yes
No
C. The Victim of a Crime?
*
Yes
No
D. Was the Crime Reported to Police?
*
N/A
Yes
No
E. Do you Have Pending Warrants?
*
Yes
No
Maybe
Explanation
*
If You Answered Yes to Questions A, B, C or E or No to Question D, Please Explain Below by Referencing the Letter of the Question and then Providing Your Explanation.
References
LIST THREE PEOPLE NOT RELATED TO YOU THAT YOU HAVE KNOWN FOR AT LEAST ONE YEAR
A. Name
*
First
Last
A. Phone Number
*
A. Email
*
A. Address
*
Line 1
Line 2
City
State
Zip Code
Country
A. How Long Have You Known This Person?
*
1-3 years
3-5 Years
5-10 Years
Over 10 years
B. Name
*
First
Last
B. Phone Number
*
B. Email
*
B. Address
*
Line 1
Line 2
City
State
Zip Code
Country
B. How Long Have You Known This Person?
*
1-3 Years
3-5 Years
5-10 Years
Over 10 Years
C. Name
*
First
Last
C. Phone Number
*
C. Email
*
C. Address
*
Line 1
Line 2
City
State
Zip Code
Country
C. How Long Have You Known This Person?
*
1-3 Years
3-5 Years
5-10 Years
Over 10 Years
attachments
IF AVAILABLE, YOU MAY UPLOAD YOUR RESUME, COVER LETTER OR TRANSCRIPTS
Resume
*
Max file size: 20MB
Cover Letter
*
Max file size: 20MB
Transcripts
*
Max file size: 20MB
Other
*
Max file size: 20MB
certification
I certify that the facts contained in this application are true and complete to the best of my knowledge and further understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all the statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability from any damage that may result from furnishing same to you. I further understand that falsified information identified on this application will result in my removal for consideration for this position and any other positions within this agency I have or may apply for. I further authorize by my signature below, my permission for the agency to conduct a criminal background investigation based upon the information provided. I understand and agree that, if hired, while on probation my employment is for no definite period and may, with or without cause, be terminated without prior notice.
Full Name (First, Middle & Last)
*
Date
*
Last 4 Digits of SSN
*
Submit