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Cherokee County
Board of Commissioners
1130 Bluffs Parkway, Suite 286 Application for Employment
Canton, Georgia 30114
Phone (678) 493-6000 Date:________________________
APPLICANT INFORMATION
Last Name First M.I. Date
Street Address Apartment/Unit #
City State ZIP
Phone E-mail Address
Date Available Desired Salary
Position Applied for
EDUCATION
High School Address
From To Did you graduate? YES NO If no, do you have a GED? YES NO
College Address
From To Did you graduate? YES NO Degree
Other Address
From To Did you graduate? YES NO Degree
GENERAL INFORMATION
Will you accept the approved starting pay for this position you have applied for? Yes No
Have you ever been employed with Cherokee County Government? Yes
No
If Yes when? Department/Office
Are you related to anyone currently employed with
Cherokee Ct Gov’t?
Yes No
Relative’s Name Relationship Department
How did you learn of this opening? Can you submit legal verification of the right to work
in the United States?
Yes No
In accordance with the Immigration Reform and Control act of 1986, proof of authorization to be employed in the United States will be required of all
prospective employees. Failure to establish such proof will prohibit or discontinue employment.
Have you ever been convicted of or plead guilty or nolo to a felony or misdemeanor, other than a minor traffic violation?* Yes No
If yes, when:_______________________________________ Where:______________________________________________________________
For what:_______________________________________________________________________________________________________________
*Conviction of a crime will not necessarily disqualify you from employment.
Active Military Service (list date, serial, or service number for all active service.)
From _____________________ to ___________________ Serial or Service Number________________ Branch of Service ____________________
PREVIOUS EMPLOYMENT
Describe your work history beginning with your current or most recent job. Include volunteer experience. Failure to give complete information regarding
each job held may result in your disqualification. Complete addresses with zip codes and phone numbers for all employers are necessary. A resume may
be attached only as additional information and will not be accepted in lieu of completing this section.
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
DRIVING HISTORY
Do you have a Valid Driver’s License? Yes No Which State? Driver’s License No.
Date of Expiration
Have you incurred any traffic charges within the last (3) years? Not
including parking tickets.
Yes No
If Yes, Give Date (s) , Type of Charges
and Case #:
SKILLS AND TRAINING
Please complete this section if applying for a position that requires the following skills:
COMPUTER SKILLS:
WordPerfect Excel Harvard Graphics Access
MicroSoft Word Power Point MS Publisher Other :___________________
Are you able to perform all the duties listed in the job description? Yes No
If you answered no to the above, please explain what can be done to provide you with reasonable recommendation.
What special skills, qualifications or certifications have you gained from former employers or other experiences which relate to the type of work you are
applying for?
DISCLAIMER AND SIGNATURE
I certify that the information given in this application is true and complete to the best of my knowledge. I understand that this application is not a
contract of employment. I further understand that should employment be offered, my employment and compensation may be terminated with or without
cause at any time by either the county or myself. I understand that submission of this application in no way assures me a position and that no county
representative has the authority to enter into any employment agreement with me contrary to the foregoing.
I understand that any untrue statement in this application may result in my dismissal at any time during my employment with Cherokee County
Government.
I authorized the release of high school and college transcripts, information concerning my previous employment and any information my former
employers may have pertinent to this application and the employment procedures of Cherokee County Government. I release all parties from all liability
for any damage that may result from requesting, providing, processing, retaining or releasing any information about me. A photographic copy of this
authorization shall be a valid as the original.
By signing this application, I hereby acknowledge that I understand and agree to all provision outlined herein.
Signature Date
Cherokee County Government Does not discriminate on the basis of race, color,
National origin, sex, religion, age or disability in employment or the provision of
Services.

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Four Part-time Positions Currently Open - Canton Justice Center - Canton, GA

  • 1. Cherokee County Board of Commissioners 1130 Bluffs Parkway, Suite 286 Application for Employment Canton, Georgia 30114 Phone (678) 493-6000 Date:________________________ APPLICANT INFORMATION Last Name First M.I. Date Street Address Apartment/Unit # City State ZIP Phone E-mail Address Date Available Desired Salary Position Applied for EDUCATION High School Address From To Did you graduate? YES NO If no, do you have a GED? YES NO College Address From To Did you graduate? YES NO Degree Other Address From To Did you graduate? YES NO Degree GENERAL INFORMATION Will you accept the approved starting pay for this position you have applied for? Yes No Have you ever been employed with Cherokee County Government? Yes No If Yes when? Department/Office Are you related to anyone currently employed with Cherokee Ct Gov’t? Yes No Relative’s Name Relationship Department How did you learn of this opening? Can you submit legal verification of the right to work in the United States? Yes No In accordance with the Immigration Reform and Control act of 1986, proof of authorization to be employed in the United States will be required of all prospective employees. Failure to establish such proof will prohibit or discontinue employment. Have you ever been convicted of or plead guilty or nolo to a felony or misdemeanor, other than a minor traffic violation?* Yes No If yes, when:_______________________________________ Where:______________________________________________________________ For what:_______________________________________________________________________________________________________________ *Conviction of a crime will not necessarily disqualify you from employment. Active Military Service (list date, serial, or service number for all active service.) From _____________________ to ___________________ Serial or Service Number________________ Branch of Service ____________________
  • 2. PREVIOUS EMPLOYMENT Describe your work history beginning with your current or most recent job. Include volunteer experience. Failure to give complete information regarding each job held may result in your disqualification. Complete addresses with zip codes and phone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of completing this section. 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 DRIVING HISTORY Do you have a Valid Driver’s License? Yes No Which State? Driver’s License No. Date of Expiration Have you incurred any traffic charges within the last (3) years? Not including parking tickets. Yes No If Yes, Give Date (s) , Type of Charges and Case #:
  • 3. SKILLS AND TRAINING Please complete this section if applying for a position that requires the following skills: COMPUTER SKILLS: WordPerfect Excel Harvard Graphics Access MicroSoft Word Power Point MS Publisher Other :___________________ Are you able to perform all the duties listed in the job description? Yes No If you answered no to the above, please explain what can be done to provide you with reasonable recommendation. What special skills, qualifications or certifications have you gained from former employers or other experiences which relate to the type of work you are applying for? DISCLAIMER AND SIGNATURE I certify that the information given in this application is true and complete to the best of my knowledge. I understand that this application is not a contract of employment. I further understand that should employment be offered, my employment and compensation may be terminated with or without cause at any time by either the county or myself. I understand that submission of this application in no way assures me a position and that no county representative has the authority to enter into any employment agreement with me contrary to the foregoing. I understand that any untrue statement in this application may result in my dismissal at any time during my employment with Cherokee County Government. I authorized the release of high school and college transcripts, information concerning my previous employment and any information my former employers may have pertinent to this application and the employment procedures of Cherokee County Government. I release all parties from all liability for any damage that may result from requesting, providing, processing, retaining or releasing any information about me. A photographic copy of this authorization shall be a valid as the original. By signing this application, I hereby acknowledge that I understand and agree to all provision outlined herein. Signature Date Cherokee County Government Does not discriminate on the basis of race, color, National origin, sex, religion, age or disability in employment or the provision of Services.