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CCSD - Employment Application

[{"type":"header","subtype":"h4","label":"PERSONAL INFORMATION","className":"d-block"},{"type":"text","required":true,"label":"Full Name","placeholder":"First, Middle, Last and Suffix","name":"Full-Name","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"DOB","name":"DOB","className":"col-md-6"},{"type":"text","required":true,"label":"Physical Address","placeholder":"Street Address, 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This is vital to us to be able to provide 24-hour service to Cleburne County.  By checking the box below, applicants for those positions are stating they understand the position they are applying for may require them to work those hours.<div><br></div><div>Admin/Records employees typically work Monday through Friday 8:30am-4:30pm in accordance with County Policy. </div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Position Applied For","name":"Position-Applied-For","other":true,"className":"col-lg-4","values":[{"label":"Patrol","value":"Patrol"},{"label":"Jail","value":"Jail"},{"label":"Admin/Records","value":"Admin/Records"},{"label":"Court/Transport","value":"Court/Transport"}]},{"type":"checkbox-group","required":true,"label":"Hours Confirmation","name":"Hours-Confirmation","other":true,"className":"col-lg-4","values":[{"label":"Yes, I understand the hours","value":"Yes, I understand the hours"}]},{"type":"checkbox-group","required":true,"label":"Employment Desired","name":"Employment-Desired","className":"col-lg-4","values":[{"label":"Full-time","value":"Full-time"},{"label":"Part-time","value":"Part-time"},{"label":"Reserve","value":"Reserve"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h4","label":"SOCIAL MEDIA ACCOUNTS: List all Social Media Account Handles (Do Not Provide Passwords)","className":"d-block"},{"type":"text","label":"Facebook","placeholder":"Facebook","name":"Facebook","className":"col-md-6","subtype":"text"},{"type":"text","label":"Twitter","placeholder":"Twitter","name":"Twitter","className":"col-md-6","subtype":"text"},{"type":"text","label":"Snap Chat","placeholder":"Snap Chat","name":"Snap-Chat","className":"col-md-6","subtype":"text"},{"type":"text","label":"Instagram","placeholder":"Instagram","name":"Instagram","className":"col-md-6","subtype":"text"},{"type":"text","label":"Other Social Media Account","placeholder":"Other Social Media Account Handle","name":"1st-Other-Social-Media-Account","className":"col-md-6","subtype":"text"},{"type":"text","label":"Other Social Media Account #2","placeholder":"Other Social Media Account Handle","name":"2nd-Other-Social-Media-Account","className":"col-md-6","subtype":"text"},{"type":"header","subtype":"h4","label":"EMPLOYMENT ELIGIBILITY","className":"d-block"},{"type":"radio-group","required":true,"label":"Are you legally eligible to work in the U.S.?","name":"Are-you-legally-eligible-to-work-in-the-US","className":"col-md-6 col-lg-3","values":[{"label":"Yes","value":"Yes legally eligible to work in US"},{"label":"No","value":"No, not legally eligible to work in US"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"radio-group","required":true,"label":"Have you ever been convicted of a misdemeanor?","name":"Have-you-ever-been-convicted-of-a-misdemeanor","className":"d-block","values":[{"label":"Yes","value":"Yes, been convicted of a misdemeanor"},{"label":"No","value":"No, not been convicted of a misdemeanor"}]},{"type":"textarea","label":"If yes, please explain. 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PHOTO","className":"d-block"},{"type":"file","required":true,"label":"Upload a picture of the FRONT of your Driver's License (35 Mb max). Files can be PDF, JPG, JPEG format. To upload multiple files, please hold control while clicking on multiple files before clicking \"Open\".","name":"DL-photo","subtype":"file","multiple":true,"className":"d-block"},{"type":"header","subtype":"h4","label":"BACKGROUND CHECK CONSENT AND DISCLAIMER","className":"d-block"},{"type":"paragraph","subtype":"p","label":"By submitting this form, I hereby authorize the County to investigate all statements in this application and to secure any necessary information from all my employers, references, and academic institutions.  I hereby release all of those employers, references, academic institutions, and the County from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with the County.  Cleburne County offers employment to all eligible persons regardless of race, color, national origin, religion, gender, sexual orientation, age, disability, marital or veteran status, or any other legally protected status, and is an affirmative action/equal opportunity employer.  I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated. In the event of my employment with the County, I will comply with all official policies of the County policy manual and or other communications distributed by the County and the department head.","className":"d-block"}]