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Employment Application

If you need help filling out this application form or for any phase of the employment process, please contact Human Resources, and every effort will be made to accommodate your needs in a reasonable amount of time.

All qualified applications will receive consideration without unlawful discrimination because of race, creed, religion, color, sex, sexual orientation, gender identity, age, national origin, or disability.

Contact Information

  1. Education

    High School

  2. College or Trade School

  3. Add College or Trade School

    Employment History

    List employment from the past 10 years, starting with your most recent job. Account for any time period that you were unemployed by stating the nature of your activities.

    Employer 1

  4. Add Employer

    Upload Attachments


  5. References

    Please list three personal references, other than prior employers or relatives, whom we can contact.

    Reference 1

  6. Reference 2

  7. Reference 3


  8. Additional Information


  9. Note: A conviction will not automatically disqualify an applicant for a particular job and that the type and seriousness of the crime, the frequency of violoations, the date of conviction, and the applicant's entire work and educational history will be considered.

    Job Description

  10. Driver's License

  11. Background Checks

    To ensure that individuals who are employed by Clinton County are well qualified and to ensure that Clinton County maintains a safe and productive work environment, the county will conduct pre-employment background checks on all applicants who accept an offer of employment. Background checks may include verification of any information on the applicant’s resume or application form, a criminal history background check, a check of any relevant abuse registries, a check of the applicant’s driving record, and any other check deemed to be relevant by Clinton County.

    All offers of employment are conditional on receipt of a background check report that is acceptable to Clinton County. All background checks are conducted in conformity with the Federal Fair Credit Reporting Act, the Americans with Disabilities Act, and the state and federal privacy and antidiscrimination laws. Reports are kept confidential and are only viewed by individuals involved in the hiring process.

    If information obtained in a background check would lead Clinton County to deny employment, a copy of the report will be provided to the applicant, and the applicant will have the opportunity to dispute the reports accuracy. If the County’s background check includes a criminal record check and the check indicates that the applicant has a criminal history, the applicant will be given an opportunity to provide information regarding his/her criminal history. This must be provided within 5 business days of receiving the information. At any time during employment, additional checks, such as a driving record or credit report, may be made if appropriate and job related.

    Applicant's Statement

    By typing my name below, I certify that answers given herein are true and complete.

    I authorize investigations of all statements contained in this Application for Employment as may be necessary in arriving at an employment decision.

    I authorize Clinton County to conduct a check of the status of my driver’s license and my driving record and agree to sign a separate authorization for this specific purpose.

    This Application for Employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Clinton County is “at will,” which means that the Employee may resign at any time, and the Employer may discharge the Employee at any time with or without cause. It is further understood that the “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Clinton County.

    I understand that any offer of employment that is extended to me is considered to be a conditional offer and is subject to successful completion of all required background checks. Identifying information such as my social security number and driver’s license number will be requested at the post-offer, pre-employment stage.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I will be required to abide by all rules and regulations of the Employer.

    I agree to give Clinton County permission to complete appropriate background checks and agree to sign separate permission/authorization forms so that this can be accomplished.

    Your Signature

  12. Please type your full name to serve as an electronic signature.