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Employment Application

Marion County Sheriff's Department Badge

Marion County Sheriff's Office
280 Winchester Dr.
Hamilton, AL 35570

[{"type":"date","required":true,"label":"Date of Birth","name":"Date-of-Birth","className":"col-lg-4"},{"type":"text","required":true,"label":"S.S.#","placeholder":"xxx-xx-xxxx","name":"Social-Security-Number","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Phone Number","name":"Phone-Number","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Last Name","name":"Last-Name","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"First Name","name":"First-Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Middle Name","name":"Middle-Name","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Mailing 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Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"Mailing Address ZIP","name":"Mailing-Address-ZIP","className":"col-lg-4","subtype":"text"},{"type":"radio-group","required":true,"label":"If you are under 18 years of age, can you provide required proof of eligibility to work?","inline":true,"name":"If-you-are-under-18-years-of-age-can-you-provide-required-proof-of-eligibility-to-work","className":"col-md-6 col-lg-3","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"radio-group","required":true,"label":"Are you a citizen of the United States?","inline":true,"name":"Are-you-a-citizen-of-the-United-States","className":"col-md-6 col-lg-3","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"radio-group","required":true,"label":"Are you related to anyone in our employment?","inline":true,"name":"Are-you-related-to-anyone-in-our-employment","className":"col-md-6 col-lg-3","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"text","label":"If yes, who?","name":"If-yes-who","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Proof of Citizenship or Immigration Status will be required upon employment.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"Position:","name":"Position","className":"d-block","subtype":"text"},{"type":"radio-group","required":true,"label":"Are-you-employed-now?","inline":true,"name":"Are-you-employed-now","className":"col-md-6 col-lg-3","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"radio-group","required":true,"label":"If so, may we inquire your present employer?","inline":true,"name":"If-so-may-we-inquire-your-present-employer","className":"col-md-6 col-lg-3","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"Present Employer:","name":"Present-Employer","className":"col-md-6","subtype":"text"},{"type":"header","subtype":"h2","label":"EDUCATION","className":"d-block"},{"type":"text","label":"HighSchool/College/Other 1","name":"HighSchoolCollegeOther-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Location 1","name":"Location-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Years Attended 1","name":"Years-Attended-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Did you graduate 1","name":"Did-you-graduate-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"HighSchool/College/Other 2","name":"HighSchoolCollegeOther-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Location 2","name":"Location-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Years Attended 2","name":"Years-Attended-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Did you graduate 2","name":"Did-you-graduate-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"HighSchool/College/Other 3","name":"HighSchoolCollegeOther-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Location 3","name":"Location-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Years Attended 3","name":"Years-Attended-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Did you graduate 3","name":"Did-you-graduate-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"HighSchool/College/Other 4","name":"HighSchoolCollegeOther-4","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Location 4","name":"Location-4","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Years Attended 4","name":"Years-Attended-4","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Did you graduate 4","name":"Did-you-graduate-4","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"HighSchool/College/Other 5","name":"HighSchoolCollegeOther-5","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Location 5","name":"Location-5","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Years Attended 5","name":"Years-Attended-5","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Did you graduate 5","name":"Did-you-graduate-5","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"radio-group","label":"Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?","inline":true,"name":"Are-you-prevented-from-lawfully-becoming-employed-in-this-country-because-of-Visa-or-Immigration-Status","className":"d-block","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"Explain if yes:","name":"Explain-if-yes","className":"d-block","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Proof of Citizenship or Immigration Status will be required upon employed.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"In case of Emergency notify:","className":"d-block"},{"type":"text","label":"Name: (Emergency Contact)","name":"Name","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Address on contact","name":"Address-on-contact","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Phone for Contact","name":"Phone-for-Contact","className":"col-lg-4","subtype":"text"},{"type":"text","label":"U.S. Military or Naval Service","name":"US-Military-or-Naval-Service","className":"col-md-6","subtype":"text"},{"type":"text","label":"Rank:","name":"Rank","className":"col-md-6","subtype":"text"},{"type":"text","label":"Present Membership:","name":"Present-Membership","className":"d-block","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h2","label":"Employment History","className":"d-block"},{"type":"text","label":"Dates 1","name":"Dates-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Business 1","name":"Business-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Business Phone 1","name":"Business-Phone-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Time Employed 1","name":"Time-Employed-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Dates 2","name":"Dates-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Business 2","name":"Business-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Business Phone 2","name":"Business-Phone-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Time Employed 2","name":"Time-Employed-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Dates 3","name":"Dates-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Business 3","name":"Business-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Business Phone 3","name":"Business-Phone-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Time Employed 3","name":"Time-Employed-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h2","label":"References:","className":"d-block"},{"type":"paragraph","subtype":"p","label":"Give below the names of three persons not related to you, whom you have known for at least one year.","className":"d-block"},{"type":"text","label":"Reference 1 Name","name":"Reference-1-Name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 1 Address:","name":"Reference-1-Address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 1 Phone","name":"Reference-1-Phone","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 1 Years Acquainted","name":"Reference-1-Years-Acquainted","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 2 Name","name":"Reference-2-Name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 2 Address:","name":"Reference-2-Address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 2 Phone","name":"Reference-2-Phone","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 2 Years Acquainted","name":"Reference-2-Years-Acquainted","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 3 Name","name":"Reference-3-Name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 3 Address:","name":"Reference-3-Address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 3 Phone","name":"Reference-3-Phone","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Reference 3 Years Acquainted","name":"Reference-3-Years-Acquainted","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"radio-group","label":"Have you been convicted of a felony within the past 7 years?","inline":true,"name":"Have-you-been-convicted-of-a-felony-within-the-past-7-years","className":"d-block","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"Conviction will not necessarily disqualify as applicant from employment. If yes, please explain:","name":"Conviction-will-not-necessarily-disqualify-as-applicant-from-employment-If-yes-please-explain","className":"d-block","subtype":"text"},{"type":"header","subtype":"h2","label":"Consent, Notices, & Declarations:","className":"d-block"},{"type":"paragraph","subtype":"p","label":"I Authorize investigations of all statements contained in this application. I understand taht misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree to my employment is for no definite period and may, regardless of the date ofpayment of my wages and salary, be terminated at any time without any notice.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Driver's License Number:","name":"Drivers-License-Number","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Expiration Date:","name":"Expiration-Date","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Class:","name":"Class","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Endorsement:","name":"Endorsement","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"radio-group","label":"Do you have CDL's?","name":"Do-you-have-CDLs","className":"d-block","values":[{"label":"Yes","value":"Yes"},{"label":"No","value":"No"}]},{"type":"text","label":"List any additional information that you would like for us to know about you. (skills, experience, etc.)","name":"List-any-additional-information-that-you-would-like-for-us-to-know-about-you-skills-experience-etc","className":"d-block","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Today's Date","name":"Todays-Date","className":"col-md-6","subtype":"text"},{"type":"text","label":"Signature for application: (type)","name":"Signature-for-application-type","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"}]

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