Bedford County Online Employment Application

To apply online you must read, understand and agree to the terms below.


Bedford County is an equal opportunity employer and does not discriminate on the basis of sex, race, color, religion, national origin, age or veteran status in employment opportunities or benefits. No question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state and federal law.


This application is one part of the process. Other parts of this process may include an interview, written examination, drug screen and/or a physical demonstration of the ability to perform the essential functions of the job. If you need accommodation in order to complete any part of the hiring process, please contact Bedford County Human Resources.


I give Bedford County Human Resources the right to investigate all references and to secure additional information about me. I consent to the release of information to Bedford County Human Resources about my ability and fitness by employers, schools, law enforcement agencies and other individuals and organizations. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. 

It is understood and agreed upon that any misrepresentations by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer if I am chosen as an employee. 

I certify that, to the best of my knowledge, all the information and statements provided by me in and with this application are true, correct, complete and provided in good faith.

Disclaimer Confirmation: *
Yes, I agree

Contact information:
Today's Date *   
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number *
Example:9315555555
Email *
Please retype the email for verification:

Employment Information
1. Are you legally eligible for employment in this country? *Yes No
2. Are you able to meet the attendance requirements of the position? *Yes No
3. Have you ever been employed by Bedford County at any time before? *Yes No
4. Have you ever plead "guilty" or "no contest" to, or been convicted of any crime? *Yes No
5. Do you have a valid Driver's License? *Yes No
6. Are you at least 18 years of age? *Yes No
7. Are any of your relatives (by blood or marriage) presently employed by Bedford County? *Yes No
If yes, Name/Relationship/Department?
Positon Applied For * Department *
Available Hours *
Date Available For Work   
Desired Salary

Education:
High School *
Address *
From * To *
Did you graduate? *Yes No
College *
Address *
From * To *
Did you graduate? *Yes No Still Attending
Degree *
Other
Address
From To
Did you graduate?Yes No Still Attending
Degree

Resume
Upload resume cover letter
Upload a copy of your resume in PDF format

References:
References *
Please list three (3) references with telephone contact information and additional comments

Previous Employment
Company *
Address * Phone *
Job Title * Supervisor *
Starting Salary * Ending Salary *
Responsibilities *
From * To *
Reason for Leaving *
May we contact your supervisor for a reference? *Yes No
Company
Address Phone
Job Title Supervisor
Starting Salary Ending Salary
Responsibilities
From To
Reason for Leaving
May we contact your supervisor for a reference?Yes No
Company
Address Phone
Job Title Supervisor
Starting Salary Ending Salary
Responsibilities
From To
Reason for Leaving
May we contact your supervisor for a reference?Yes No
List any additional knowledge or skills you have that qualify you for this position: (computer skills, certifications, licenses, foreign language, job related training, professional memberships, etc.)

Survey and Demographics:
Gender *Male Female
Race/Ethnicity *White/Caucasian Black Hispanic Asian/Pacific Islander American Indian Alaskan Native
Age *Under 40 40 Over 40
Disability *Yes No
How did you hear about this position?Website Newspaper Family Friend Other
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