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An Equal Opportunity Employer
Jackson County Board of Supervisors
Post Office Box 998
Pascagoula, Mississippi 39568-0998
Phone (228) 769-3380 Fax (228) 769-3379
Which department did you work for in Jackson County?
When did you work for Jackson County?
(With or without reasonable accommodations.)
Business or Trade School
Please list any additional skills or qualifications that relate to your ability to perform the job for which you have applied; licenses, professional types of machinery, equipment you operate, etc.
Employment History 1
Employment History 2
Employment History 3
(a) charge/description of crime (b) the date of conviction (c) the city and state, and (d) the action taken.
I certify that all the foregoing statements are complete, true and correct. In consideration of the employment sought, I hereby authorize the County to investigate and request former employment to furnish any information concerning me, and I release them from any and all liabilities or damages due to furnishing truthful information.
I hereby agree, on request to undergo physical examination by a physician designated by the County at the County’s expense and to also undergo future physical examinations that the County may require for continued employment and to be photographed. I further agree that I will submit to pre-employment drug testing, and if I am hired, I understand that I may be subject to future drug testing pursuant to policies of Jackson County. I understand and agree to a pre-employment review of my motor vehicle record and, if I am employed and operate County vehicles or other similar equipment, to a periodic review of my motor vehicle record. I agree to conform to the rules and regulations of the County and understand that my employment and compensation may be terminated with or without cause and with or without notice at any time at the option of either the County or myself. I further understand that no employment contract exists or is created by the implementation of any County personnel policies and that no representative of the County has authority to enter into an agreement with me for employment of any specified period of time, or to make any agreement with me; contract to the foregoing; and also that any employee of Jackson County may be terminated at any time with or without cause.
In addition, I understand that this employment application is not an employment contract. I understand that misrepresentation or omission of facts called for is cause for rejection of the application, or dismissal, if discovered after I am hired.
We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, or any other classification protected by Federal, state, or local law. The information below will be used only for statistical purposes.
Completion of this data is voluntary and will not affect your opportunity for employment, or terms or conditions of employment, if hired. Please return this page with your application.
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