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Henry County 911 Employment Application

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Steps

1. Personal Information(current) This section is complete This section is incomplete
2. Position Information This section is complete This section is incomplete
3. Education This section is complete This section is incomplete
4. Employment History This section is complete This section is incomplete
5. References This section is complete This section is incomplete
6. Disclaimer & Signature This section is complete This section is incomplete

Personal Information

First Name*
Middle Initial
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Have you ever been convicted of a felony?*
1. Yes
1. No
Are you eligible to work in the United States?*
1. Yes
1. No
Upload Your Resume
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Position Information

Type of employment desired*
1. Full Time
1. Part Time
Saraly desired
Hours of work (per week) desired if part-time
How did you hear about the position?*
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Education

High School*
Address
Did you graduate?*
1. Yes
2. No
College
Address
Degree
Other
Address
Degree
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Employment History

References

Please list three references. (If not already included on resume)
Full Name
Relationship
Phone Number
Full Name
Relationship
Phone Number
Full Name
Relationship
Phone Number
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Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

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Email address

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New Castle, IN 47362

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New Castle, IN 47362

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