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Application for Employment

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    APPLICATION FOR EMPLOYMENT

    An equal opportunity employer

    Hancock County is an Equal Opportunity Employer, accepting applications for employment with no regard to race, gender, color, creed, religion, national origin, age, disability, marital status, or any other legally protected status. Certain jobs require Surety Bond or use of a County vehicle, and will be subject to additional screening.

  2. Personal Information
  3. In Case Of Emergency Notify:
  4. Employment Desired
  5. Are you employed now?
  6. If so, may we contact your employer?
  7. Do you have a Relative Working for the County?
  8. Are you a Public Employees Retirement System of Mississippi (PERS) Retiree?
  9. Have you previously been employed by Hancock County?
  10. Education

    Please list name and location, years attended, date gradated & subjects studied

  11. Are you active duty, reserve, a veteran or separated from the armed forces?
  12. Have you ever been convicted of, or plead guilty or no contest to a crime? This does not include minor traffic violations.

    * conviction does not equate to disqualification for employment. Each instance will be taken into consideration in regards to the job which you are applying for. 

  13. Employment History

    List your work experience below, beginning with your present or most recent employer first

  14. May we Contact?
  15. May we Contact?
  16. May we Contact?
  17. May we Contact?
  18. Personal References (Not Former Employers or Relatives)
  19. PLEASE READ CAREFULLY APPLICANT’S CERTIFICATION & AGREEMENT

    AS PART OF OUR NORMAL PROCEDURE IN PROCESSING APPLICATIONS, A ROUTINE INQUIRY WILL BE MADE CONCERNING YOUR BACKGROUND. FORMER EMPLOYERS, SCHOOL RECORD OFFICES AND PERSONAL, SCHOOL AND EMPLOYMENT REFERENCES MAY BE CONTACTED TO VERIFY AND OBTAIN INFORMATION CONCERNING YOUR BACKGROUND, QUALIFICATIONS WILL BE USED TO HELP MAKE A FAIR EMPLOYMENT DECISION. THIS INFORMATION WILL ONLY BE AVAILABLE TO THOSE PARTICIPATING IN THIS DECISION OR THOSE WHO PROCESS EMPLOYMENT APPLICATIONS. AS PART OF THIS INVESTIGATION, A CHECK OF CRIMINAL RECORDS, MOTOR VEHICLE RECORDS AND FINANCIAL CREDIT WILL ALSO BE CONDUCTED. I HEREBY AUTHORIZE THE EMPLOYER, ITS REPRESENTATIVES, EMPLOYEES OR AGENTS TO CONDUCT ALL PREEMPLOYMENT INQUIRIES AND TESTS AS DESCRIBED. I FURTHER AUTHORIZE THE EMPLOYER AND ITS AGES TO VERIFY ALL STATEMENTS CONTAINED IN THIS APPLICATION AND ANY OTHER MATERIALS I SUBMIT IN CONNECTION WITH MY EMPLOYMENT APPLICATION. I AGREE TO COMPLETE ANY REQUISITE AUTHORIZATION FORMS. I RELEASE THE EMPLOYER, ITS AGENTS AND ALL PROVIDERS OF INFORMATION FROM ANY LIABILITY ARISING OUT OF THE GATHERING AND USE OF SUCH INFORMATION. IN THE EVENT OF EMPLOYMENT, THIS AUTHORIZATION AND RELEASE IS VALID THROUGHOUT MY EMPLOYMENT AND A PHOTOCOPY IS AS EFFECTIVE AS THE ORIGINAL. I UNDERSTAND ALL OFFERS OF EMPLOYMENT ARE CONDITIONAL UPON SATISFACTORY REFERENCE CHECKS, SUCCESSFUL COMPLETION OF ALL PREEMPLOYMENT TESTS AND PRODUCTION OF ALL DOCUMENTS NECESSARY FOR THE EMPLOYER TO VERIFY MY IDENTITY AND WORK AUTHORIZATION IN ACCORDANCE WITH THE REQUIREMENTS OF THE IMMIGRATION AND NATURALIZATION SERVICES. I UNDERSTAND HANCOCK COUNTY IS A DRUG FREE WORKPLACE. I UNDERSTAND THAT I MAY BE SUBJECT TO DRUG TESTING IN THE FUTURE, INCLUDING RANDOM TESTING, PURSUANT TO POLICIES OF HANCOCK COUNTY. I HEREBY AGREE, ON REQUEST TO UNDERGO PHYSICAL EXAMINATION BY A PHYSICIAN DESIGNATED BY HANCOCK COUNTY AT THE COUNTY’S EXPENSE. I UNDERSTAND THAT ANY PHYSICAL OR MEDICAL EXAM WILL BE POST OFFER EMPLOYMENT. I ALSO AGREE TO UNDERGO FUTURE PHYSICAL EXAMINATIONS THAT THE COUNTY MAY REQUIRE FOR CONTINUED EMPLOYMENT. I CERTIFY THAT THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS ACCURATE AND COMPLETE. I UNDERSTAND THAT IF EMPLOYED, FALSE STATEMENTS ON THIS APPLICATION SHALL BE CONSIDERED SUFFICIENT CAUSE FOR DISMISSAL. I UNDERSTAND THAT ACCEPTANCE OF THIS APPLICATION BY THE EMPLOYER NEITHER EXPRESSES NOR IMPLIES I WILL BE OFFERED EMPLOYMENT. I UNDERSTAND MY EMPLOYMENT IS AT WILL AND I MAY RESIGN AT ANY TIME FOR ANY REASON; SIMILARLY, MY EMPLOYMENT MAY BE TERMINATED BY THE COUNTY AT ANY TIME FOR ANY REASON. ANY CHANGES TO THE AT-WILL EMPLOYMENT AGREEMENT WILL NOT BE VALID UNLESS IN WRITING SIGNED BY ME AND A DULY AUTHORIZED REPRESENTATIVE OF THIS EMPLOYING ORGANIZATION 

  20. By typing my name above, I certify the information provided is true and correct. In addition, I understand that this employment application is not an employment contract. I understand that misrepresentation or omission of facts called for is cause for rejection of the application, or dismissal, if I discovered after I am hired

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