Application - Clarendon County Administration

Clarendon County

411 Sunset Drive | Manning, SC 29102

Employment Application

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information, or any other legally protected status.

Applicant Information

Full Name:

Date:

Address:

Phone:

Email:

Date Available:

Social Security No.:

Desired Salary:

Position Applied for:

Do you have relatives working at Clarendon County?

Yes No

Are you a citizen of the United States?

Yes No

If no, are you authorized to work in the U.S.?

Yes No

Have you ever worked for Clarendon County?

Yes No

If yes, when?

Have you ever been convicted of a felony?

Yes No

If yes, explain:

Education

High School:

Address:

From:

To:

Did you graduate?

Yes No

Diploma:

College:

Address:

From:

To:

Did you graduate?

Yes No

Diploma:

Other:

Address:

From:

To:

Did you graduate?

Yes No

Diploma:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Previous Employment

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes No

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes No

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes No

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Describe any specialize training, skills, or additional information for consideration

APPLICANT'S STATEMENT I certify that my answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application of employment shall be considered active for a period not to exceed 45 days.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee my resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be charged by any written document to by conduct unless such change is specifically acknowledged in writing by an authorized executive of Clarendon County.

In the event of employment, I understand that false or misleading information given in my application, or interview(s) may result in discharge. Also, I understand that I am required to abide by all of the rules and regulations of Clarendon County.

I UNDERSTAND THAT ALL CLARENDON COUNTY EMPLOYEES ARE "EMPLOYESS-AT-WILL" WHO MAY QUIT AT ANY TIME FOR ANY REASON AND WHO MAY BE DISCHARGED AT ANY TIME FOR ANY REASON.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

Date:

If you would like to attach a résumé: