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Cody Youghn, Sheriff
Need to get in touch with someone in the Sheriff's office?
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Mystic Water Maintenance Request
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Road Concerns Form
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General Employment Application
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Are you 18 Years or Older?
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Salary Desired
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Are you currently employed?
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High School Education: Name and Location of school, state date-end-date, and did you graduate?
Any other Schools attended: Name and Location of school, state date-end-date, and did you graduate?
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If Yes, Which Branch?
Are youu related to anyone in our Employ?
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If Yes, Who are you related to?
Date you can start
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Have you applied to Irwin County before? If yes, tell us when and where.
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If so, may we contact your present employer?
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College Education: Name and Location of school, state date-end-date, and did you graduate?
Are you fluent in more than one language?
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If Yes, what other language/languages are you fluent in?
Present Membership in National Guard or Reserves?
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Most Recent Employer
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Supervisor
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Other Employment
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Other Employment
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Other Employment
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Reference #2
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Business
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Reference #3
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Relation (Relative, Family Friend, Co-Worker, etc.):
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By typing your name in this box, you are authorizing an investigation of all statements contained in this application. You also understand that misrepresentation or omission of facts is cause for dismissal. Further, You understand and agree that your employment if for no definite period of time and that you may be terminated at any time without prior notice regardless of the date of payment of your wages and salary.
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Board of Roads & Revenues Application for Employment
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Number
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Are you legally eligible for employment in the USA?
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Are you of the legal age to work?
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Position applied for
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Do you have a CDL License?
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If no, are you willing to apply for them?
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Were you previously employed by us?
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If Yes, when?
Date / Time
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Are there any other experiences, skills or qualifications which will be of special benefit in the job for which you are applying?
Elementary Education: Name and Address of school, start date-end date, and did you graduate?
High School Education: Name and Address of school, start date-end date, and did you graduate?
College Education: Name and Address of school, start date-end date, and did you graduate?
Any other schools attended or classes taken?
Most Recent Employer:
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Phone Number:
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Supervisor
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Address
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Start Date-End Date
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Position and Salary
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Reason for Leaving
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Describe the work that you did:
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Other Employment:
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Phone Number:
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Supervisor
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Address
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Start Date-End Date
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Position and Salary
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Reason for Leaving
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Describe the work that you did:
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Personal Reference Name
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Address
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Phone Number
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Years Known
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Personal Reference Name
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Address
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Phone Number
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Years Known
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Personal Reference Name
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Address
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Phone Number
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Years Known
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By typing your name below, you hereby give permission to contact the employers listed above concerning your prior work experience
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