Seminole County - Application for Employment

Instructions

This application must be complete and accurate. All statements made on application are subject to verification. Any incorrect or false statements to any question(s) in this application may be grounds for non-selection, or for termination after you begin work. All statements are subject to investigation, including a check of your training and experience statements. All information you give will be considered in reviewing your application. Also, your application may be subject to public inspection in accordance with the Florida Public Records Law, Chapter 119, Florida Statute.

All fields are required unless otherwise specified.
Only one application per person is required.
General Information


Last Name

First Name

Middle Name (Optional)

Height (inches)

Hair Color

Eye Color



Address

City
/
State/Zip Code
/
Telephone/Optional Cell
Position applying for

Salary Requirement

Date Available for Work (not required)

E-Mail Address (Must be correct if given):

How long have you been at your current address (Years/Months)?    /

Are you a United States Citizen (Y or N)?   
If no, do you have the legal right to remain and work in the U.S. (Y or N)?   

Do you have a valid Driver License (Y or N)?   
If yes, list number and state:  Number       State   
What class license?

Education and Training

Do you have a high school diploma (Y or N)?   
If no, did you pass the High School Equivalency Test (Y or N)?   

Please list any postsecondary education you have.
School Name/Address
Major/Minor
LevelCompleted
Graduated
Degree/Year

Are you presently attending school (Y or N)?  
If yes, what courses? 

List any licenses or certificates you currently hold (Technical/Professional, etc.):

List office and related equipment you can operate, if any:

List any organization to which you belong which you consider relevant to your ability to perform the job:

Do you speak any foreign languages (Y or N)?  
If yes, please list:  

Have you ever been a member of the Armed Services (Y or N)?  
If yes, Branch:        Discharge Date(m/d/y):  

 

Work History

List below all previous employment. List your present employer first and provide information on each consecutive previous employer. You may include volunteer work, if any.


Current Employer


Job Title

Supervisor's Name

Supervisor's Title
/ /
Employed From (m/d/y)
/ /
Employed To (m/d/y)

Hours Worked Per Week

Telephone

Address

City
/
State/Zip

Starting Salary  $

Last Salary  $

Name employed under (if different from current):

Specific duties performed:

Reason for leaving:

May we contact employer?  



Previous Employer


Job Title

Supervisor's Name

Supervisor's Title
/ /
Employed From (m/d/y)
/ /
Employed To (m/d/y)

Hours Worked Per Week

Telephone

Address

City
/
State/Zip

Starting Salary  $

Last Salary  $

Name employed under (if different from current):

Specific duties performed:

Reason for leaving:

May we contact employer?  



Previous Employer


Job Title

Supervisor's Name

Supervisor's Title
/ /
Employed From (m/d/y)
/ /
Employed To (m/d/y)

Hours Worked Per Week

Telephone

Address

City
/
State/Zip

Starting Salary  $

Last Salary  $

Name employed under (if different from current):

Specific duties performed:

Reason for leaving:

May we contact employer?  

References

List below the names of three persons not related to you whom you have known at least one year:

Name
Address/Business/Phone
Years Acquainted

Special Skills or Knowledge

Please check the appropriate box to indicate the level of competency or experience you have in each area.

Special Areas: General Areas:
Bookkeeping Calculator Use
Pleadings/Court Processing Computer Imaging
Writing/Editing Filing
Page Layout Typing/Keyboard Skills
Microfilm Production

Computer Hardware:
Mainframe Computer
Support
Network (LAN, WAN)
Support
PC/Mini Hardware Support 

Computer Software:
List applications with which you are familiar and indicate proficiency level.

Miscellaneous

Answer the following questions yes or no. If the answer is yes, please provide an explanation as requested.

1.   Have you ever been convicted of, pled guilty, no contest or nolo contendere to a crime? If yes, give details (date, place, offense(s), disposition, etc.). (A conviction does not automatically mean you cannot be appointed.)
(Y or N)        Details:

2.   Have you ever been charged with a crime? As a result, have you either been placed on a court-ordered probation, had adjudication withheld, or entered a pre-trial intervention program? If yes, give details (date, place, offense(s), disposition, etc.).
(Y or N)        Details:

3.   Have you ever been discharged for misconduct or unsatisfactory service from any job? If yes, please explain when and why you were discharged.
(Y or N)        Details:

4.   Have you ever filed an unemployment compensation claim? If yes, when and where?
(Y or N)        Details:

5.   Have you ever filed an application for employment for appointment with Seminole County or the Clerk of Circuit Court? If yes, indicate date(s) and position(s).
(Y or N)        Details:

6.   Have you ever been employed by Seminole County or appointed by the Circuit Court? If yes, indicate date(s) of employment or appointment, Department(s), Division(s), position(s), and reason for leaving.
(Y or N)        Details:

7.   Are any members of your family or relatives (by blood or marriage) employed by Seminole County or appointees of the Clerk of the Circuit Court? If yes, indicate their name(s), Department(s), Division(s), and relationship.
(Y or N)        Details:

Emergency Contact Information


Name

Relationship

Telephone

Address

City
/
State/Zip

Optional Resume

Would you like to attach a Microsoft Word format resume to this application? Select the browse command to find the file on your computer.

Optional Comments and Remarks

Certification

I hereby certify that all statements in this application are true and I agree and understand that any incorrect or false statement of facts shall cause forfeiture of appointment with the Clerk of the Circuit Court for Seminole County, Florida. I also certify that I have read the instructions above.

The Clerk of the Circuit Court or his Personnel Department is authorized to verify any or all of the information contained herein.

If appointed, I agree to abide by and comply with all rules, regulations, policies, and procedures of the Clerk of the Circuit Court for Seminole County, Florida.

I understand that if I am hired by the Clerk of the Circuit Court for Seminole County, Florida, that it is an appointment by the Clerk that is terminable at the will of either the Clerk or me. If hired by the Clerk of the Circuit Court, I understand and agree that I have no implied, express or statutory contract or right to employment or continued employment with the Clerk's Office.

Do you wish to certify this application? (Y or N)   
(Note: A certification is equivalent to your signature and is required for submitting applications electronically)

Click Submit only once - the application processing may take up to a minute.