Greeley & Wichita Region Day News

ST. LUCIE COUNTY SHERIFF’S OFFICE APPLICATION FOR EMPLOYMENT AN EQUAL OPPORTUNITY EMPLOYER We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, disability, marital or veteran status, or any other legally protected status. (PLEASE PRINT OR TYPE) Date _________________ Position(s) Applied For ______________________________________________________________________ Referral Source: Internet Employee Indeed Agency Website Other _________________ Last Name First Name Middle Name Social Security # (This information is used for identification purposes only) Address City State Zip Code Day Phone Evening Phone Cell Phone Email Address ______________________________________________________________________________ If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No Have you ever filed an application with this company before? Yes No If yes, give date ____________ Have you ever been employed with this company before? Yes No If yes, give date ____________ Are you currently employed? Yes No May we contact your present employer? Yes No Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Proof of citizenship or immigration status will be required upon employment. Yes No On what date would you be available for work? ____________________________________ Are you available to work: Full-Time Part-Time Shift Work Are you on layoff and subject to recall? Yes No Can you travel if a job requires it? Yes No Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation? Yes No If no, describe the accommodation required. __________________________________________________________________________________________________ EDUCATION School Name H.S. Diploma? (Y or N) Graduation Year Course of Study Number of Years Attended HIGH SCHOOL COLLEGE OTHER (Trade, Vocational, etc.) Describe any specialized training, apprenticeship, skills and extra-curricular activities. __________________________________________________________________________________________________ __________________________________________________________________________________________________ Describe any job-related training, skills, or experience, including any computer skills. __________________________________________________________________________________________________ __________________________________________________________________________________________________ List professional, trade, business or civic activities and offices held. (You may exclude membership which would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status.) __________________________________________________________________________________________________ __________________________________________________________________________________________________