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(School Name, Address, City, State)
Please complete this section for any EMS positions.
The Woodford County Fiscal Court is an equal opportunity employer. We offer equal employment opportunities to all persons without regard to race, color, religion, age, marital or veteran's status, sex, national origin, disability, or any other legally protected status. Any applicant who needs an ADA accommodation in the employment selection process shall request the accommodation from the Woodford County HR Manager.
If you are to be hired be the Woodford County Fiscal Court, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.
Authorization
I certify that the facts contained in the application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire or dismissal if I have been employed, no matter when discovered by the Woodford County Fiscal Court.
I understand that any employment is conditioned on a background check. I authorize the Woodford County Fiscal Court to thoroughly investigate all statements contained in my application or resume, and authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Woodford County Fiscal Court, without me giving prior notice of such disclosure. In addition, I release the Woodford County Fiscal Court, any former employers and references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Woodford County Fiscal Court. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Woodford County Fiscal Court unless made in writing by an authorized Woodford County Fiscal Court representative.
If I am offered employment I agree to submit to a medical examination and drug test, if required, before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Woodford County Fiscal Court and as permitted by law. I consent to such examinations and test and I request that the examining doctor disclose to the Woodford County Fiscal Court the results of the examination, which results shall remain confidential and separated from my personnel file. I understand that my employment or continued employment to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, if required, and if I am hired a condition of my employment will be that I abide by Woodford County's Drug-Free Workplace Policy.
I understand that acceptance of this form does not indicate there is a position open and does not obligate the Woodford County Fiscal Court to hire. If hired, I agree to abide by all Woodford County Fiscal Court's work rules and policies and procedures. The Woodford County Fiscal Court retains the right to revise its policies or procedures, in whole or in part, at any time.
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.
This field is not part of the form submission.