Employment

MOST IMPORTANT – PLEASE READ

Failure to complete all parts of the application that apply to you will cause delay, and may result in our having to return your application. ALWAYS USE THE SAME NAME AND INITIALS WHEN YOU ARE SENDING INFORMATION TO THIS OFFICE ABOUT YOURSELF AND INDICATE ON THE DOCUMENTS THE TITLE(S) OF THE POSITION(S) FOR WHICH YOU ARE APPLYING. Have you’re: 1. Completed all parts of the application listing every job, which you have held: 2. Enclosed copies of documents requested such as a college transcript, or special license; and 3. read the statement below, and signed the application?

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BE SURE TO READ THIS STATEMENT BEFORE SIGNING

I HEREBY CERTIFY, that this application is complete to the best of my knowledge for the periods of employment listed and all information given is true and contains no misrepresentations.

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Furthermore: 1. I am aware that all statements submitted on this application are subject to investigation and verification. 2. I authorize the person, schools, law enforcement agencies and other organizations or employers named in this application to provide information requested by the Employer in its processing of this application. 3. I agree to provide, upon request of the Employer written releases and waivers of confidentiality should any former employer or schools require such a release. 4. I understand that any withholding of information or misrepresentation on this application or on Employer medical forms could result in rejection for employment, or if employed termination from employer. 5. It is understood that if a conditional offer of employment is given, I may be required to successfully complete a medical exam and Physical Capacity Profile (PCP) before hiring is finalized. Medical exams and PCP testing will be conducted by a physician designated by the County of Warren and will be conducted at the expense of the County. 6. I understand that if I am applying for the position of peace officer I must meet or exceed all requirements as required by the Iowa Law Enforcement Academy, which include physical agility, vision and hearing standards. 7. I authorize the County to conduct a driving record check if driving will be required in my position with the County, and will complete a criminal check regarding my background and further authorize all governmental agencies, departments, bureaus or related entities to release any and all information regarding my driving record and criminal history, if any, and also agree to prepare and sign any other form necessary to complete a criminal background check. I understand that a conviction is not an automatic bar to employment, but that the County will consider the seriousness and nature of the crime, the date of the conviction, and the extent of any rehabilitation. 8. I understand the County has the option of conducting a credit check on me. If such a check will be preformed the County will provide me with written notice to comply with the Fair Credit Reporting Act. I agree to execute the appropriate authorization if presented to me by the County. 9. If I am hired, I understand that I may resign at any time, with or without cause and without prior notice, and the County of Warren reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may re required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of Warren County, other than an authorized officer, has the authority to make any assurance to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. 10. The County of Warren does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, or federal law. 11. This application is current for only 60 days. At the conclusion of this time, if I have not heard from the County of Warren and still wish to be considered for employment, it will be necessary to fill out a new application. 12. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.