HALL COUNTY LAW ENFORCEMENT APPLICANT INFORMATION



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HALL COUNTY LAW ENFORCEMENT APPLICANT INFORMATION PLEASE BE AWARE OF THE FOLLOWING CHANGES FOR NON-POST CORRECTIONS CERTIFIED APPLICANTS WHICH ARE MANDATORY BEFORE PROCEEDING WITH THE APPLICATION PROCESS *ALL CERTIFIED OFFICERS ARE EXEMPT FROM TESTING AND MAY PROCEED TO THE NEXT PAGE* All applicants that are NON-P.O.S.T OR CORRECTIONS CERTIFIED are required to achieve a passing score one of the required exams below. The Compass and Asset exams are given by Georgia Colleges and Technical Schools. All applicants must successfully pass and show proof of passing scores prior to returning completed application and being considered for employment. Please see the chart below for minimum passing score requirements as well as other acceptable Standardized Test Scores: POST ENTRANCE EXAM RESULTS Below are the minimum scores required for satisfying O.C.G.A 35-8-8 regarding completion of the POST entrance examination Test Sub-Test Scaled Score Asset Reading 38 Writing 35 Compass Reading 70 Writing 32 SAT Verbal 430 Math 400 ACT Verbal 18 Math 16 CPE Reading 75 Math 75 English 75 *LOCAL TESTING CENTER BELOW* Lanier Technical College 2990 Landrum Education Oakwood, GA 30566 Phone: (770) 531-6300 ***For more information regarding the POST ENTRANCE EXAM and information on other testing facilities you may visit our website at www.hallcounty.org (click employment and the information is under the online forms library on the right *** PLEASE DETACH THIS SHEET FROM YOUR APPLICATION AND KEEP FOR FUTURE REFERENCE. 1

HALL COUNTY BUILDING MAINTENANCE TECH II/CORRECTIONS OFFICER Attached is an application for employment as a BUILDING MAINTENANCE TECH II/CORRECTIONS OFFICER with Hall County Government. Applicants must be at least 18 years of age to be considered for employment. The following are required to be submitted with your application: 1. Copy of certified BIRTH CERTIFICATE. 2. Copy of certified CERTIFICATE OF CITIZENSHIP (if naturalized or a repatriated citizen of the United States). 3. Copy of certified HIGH SCHOOL DIPLOMA or GED and your COLLEGE DIPLOMA if you are a graduate. 4. Copy of certified Georgia P.O.S.T. Certificate if certified by the State of Georgia as a Communications Officer. 5. Copy of certified Military Discharge (Form DD-214, Member 4), if you are a veteran of the Armed Forces. 6. Copy of your DRIVER S LICENSE. 7. Copy of your SOCIAL SECURITY CARD. 8. Copy of passing test score from one of the following: Asset, Compass, SAT, ACT, or CPE. If you hand-deliver your application to our office with the above documentation, copies can be made for you. Applicants are required to meet ENTRY LEVEL P.O.S.T TESTING REQUIREMENTS and provide proof of score or show current certification documentation before the application is processed. The Department of Public Safety and/or law enforcement will conduct a BACKGROUND INVESTIGATION of all applicants. The investigation will include viewing records concerning criminal and driver histories, if any, contacting past employers and personal references as listed on your application, and contacts with other parties that might arise from the investigation to confirm suitability for employment Applicants considered for employment are required to submit to a pre-employment POLYGRAPH EXAMINATION at the request and expense of Hall County Government. Applicants considered for employment may also be required to complete a PSYCHOLOGICAL ASSESSMENT at the expense of the hiring agency. Polygraph questions may be drawn from the following areas: A) Driving Record D) Thefts B) Criminal Activity E) Physical Health C) Illegal Drugs F) Work Record Upon successful completion of all aforementioned requirements, applicants could be considered for an INTERVIEW. Applicants considered for employment are required to complete a POST-OFFER HEALTH SCREENING at the request and expense of the Hall County Government. Applicants who do not successfully complete any part of the PRE-EMPLOYMENT PROCESS will not be eligible for employment. Questions regarding the status of your application should be directed to: HALL COUNTY HUMAN RESOURCES DEPARTMENT P.O. DRAWER 1435 GAINESVILLE, GA 30503 2

HALL COUNTY GOVERNMENT HUMAN RESOURCES DEPARTMENT JOB VACANCY April 6, 205 BUILDING MAINTENANCE TECHNICIAN II/ CORRECTIONS OFFICER- BUILDING MAINTENANCE JOB CODE: 3540-113 SALARY: $32,886/Certified Grade 17 $31,320/Non-Certified SUMMARY OF DUTIES: Oversees and assists inmate maintenance/repair projects crew to perform Preventative and Predictive Maintenance tasks, and Routine Maintenance repairs on Hall County Buildings and equipment as assigned. Landscape- utilize inmate crew to complete mowing, edging, leaf collection and other landscaping duties. Preventative/Predictive Maintenance items include but are not limited to: HVAC- changing filters, checking belts, greasing fittings and completing system checklists on air conditioning units and related equipment. Electrical- changing interior and exterior light bulbs often using lifts or scaffolding for high ceilings or pole lights. Checking automated lighting timers and photonic controls for proper operation. Plumbing- checks interior and exterior plumbing fixtures for leaks notes deficiencies. Performs EPA mandated Backflow Preventer testing (see certification requirements) Seasonal- Completes Cleans gutter and downspouts, checks for roof leaks. General- Completes other items on supplied checklist, notes deficiencies in facility conditions on daily reports of completed work. and other related duties as required. Routine Maintenance and repair items include but are not limited to: Plumbing.- Minor repairs (faucets, spigots, flush valves.etc.) Electrical Changing ballasts in fluorescent fixtures. Carpentry- General repair work or light construction. Sheet rock repair/installation and finishing. Painting.Repair of office furniture (countertops, desks, shelving etc). Forms, pours and finishes concrete. Replaces or repairs broken doors, locks, and windows. Repairs Roof Leaks. Minor welding and other related duties as required. MINIMUM QUALIFICATIONS REQUIRED: High School Diploma or GED. Ability to read and write. Three years carpentry and building maintenance experience. Must be POST Certified or ability to obtain 6 months of employment. Any equivalent combination of education and experience which provides the minimum level of qualifications stated above. Valid Driver s License and a satisfactory Motor Vehicle Record (MVR). APPLY BY: Open until filled HALL COUNTY GOVERNMENT IS A DRUG FREE EMPLOYER AND ALL APPLICANTS ARE SUBJECT TO A POST OFFER DRUG SCREEN, BACKGROUND CHECK AND MEDICAL PHYSICAL. DUE TO GEORGIA STATE LAW, ALL APPLICATIONS ARE SUBJECT TO PUBLIC DISCLOSURE. EOE ONLY CANDIDATES TO BE INTERVIEWED WILL BE CONTACTED 3

HALL COUNTY GOVERNMENT EMPLOYMENT APPLICATION HUMAN RESOURCES DEPARTMENT P. O. Drawer 1435, Gainesville, GA 30503 Telephone: (770) 531-6712 ----- FAX: (770) 531-7137 Active for 30 days unless otherwise notified (REVISED 12/2010) Date Applied NOTE: All fields must be answered fully in order to be considered for employment. Please ask for assistance if any portion of application is unclear. All candidates will be required to pass a pre-employment drug test. LAST NAME FIRST MIDDLE STREET ADDRESS CITY STATE ZIP ( ) PHONE NUMBER SOCIAL SECURITY NUMBER YEARS AT ABOVE ADDRESS EMAIL ADDRESS JOB CODE NUMBER: (One job per application) 3540-113 NAME OF JOB APPLYING FOR: Building Maintenance Tech II, C.O. ARE YOU AVAILABLE TO WORK ANY TIME OF THE DAY YES NO EMAIL ADDRESS: ARE YOU AVAILABLE TO WORK ANY DAY OF THE WEEK YES NO FORMER COUNTY EMPLOYEE YES NO DEPARTMENT/DIVISION JOB TITLE & DUTIES FROM TO RELATIVES WORKING FOR THE HALL COUNTY GOVERNMENT NAMES AND RELATIONSHIP HOW DID YOU LEARN OF THIS AVAILABLE POSITION: WALK-IN TV 18 OTHER PLEASE CHECK: NEWSPAPER INTERNET EXPLAIN: ARE YOU AUTHORIZED TO BE EMPLOYED IN THE UNITED STATES? YES NO Note: If offered employment, you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligible for employment in the United States. LIST LICENSES / CERTIFICATES RELATED TO POSITION APPLIED FOR: HAVE YOU EVER BEEN CONVICTED FOR VIOLATING ANY LAW (INCLUDING TRAFFIC VIOLATIONS?) YES NO A YES WILL NOT NECESSARILY DISQUALIFY YOU FROM EMPLOYMENT IF YES, PLEASE EXPLAIN MUST POSSESS A VALID DRIVER S LICENSE. PLEASE COMPLETE THE FOLLOWING: POSSESS A VALID DRIVER S LICENSE DRIVER S LICENSE NO. DRIVER S LICENSE CLASS/ENDORSEMENTS YES NO U.S. MILITARY HISTORY BRANCH DATE ENTERED DATE DISCHARGED TYPE OF DISCHARGE HIGHEST RANK ATTAINED AND UNIT INDICATE SPECIFIC SKILLS ACQUIRED IN THE U.S. ARMED FORCES EDUCATIONAL HISTORY HIGH SCHOOL NAME LOCATION CIRCLE THE HIGHEST GRADE COMPLETED: 7 8 9 10 11 12 TRADE (OR APPRENTICE) SCHOOL FROM: TO: GRADUATED? YES NO GED COLLEGE OR BUSINESS SCHOOL FROM: TO: HRS. EARNED: QTRS. EARNED: MAJOR: DEGREE EARNED: DESCRIBE SPECIAL VOCATIONAL OR BUSINESS COURSES YOU HAVE TAKEN WHICH RELATE TO THE JOB FOR WHICH YOU ARE APPLYING: * The Hall County Government is an equal opportunity employer and provides fair and equal employment opportunities to all applicants for employment and employees without regard to race, color, religion, natural origin, citizenship status, age, sex, disability, veteran s status, or political affiliation. 4

USE THIS SPACE FOR COMMENTS ABOUT YOUR SPECIAL ABILITIES I.E. APPRENTICESHIPS, TOOLS, CERTIFICATIONS, EXPERIENCE, ETC. Describe your work history BEGINNING WITH YOUR CURRENT OR MOST RECENT JOB. Include military, volunteer experience and periods of unemployment. Complete address with zip code and phone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of completing this section. EMPLOYMENT HISTORY (PLEASE COVER EMPLOYMENT HISTORY FOR PAST TEN YEARS, INCLUDING MILITARY IF APPLICABLE). USE ATTACHMENT IF NECESSARY. (1) NAME OF EMPLOYER (2) ADDRESS OF EMPLOYER (3) PHONE NUMBER name address phone ( ) name address phone ( ) name address phone ( ) name address FROM MO./YR. TO MO./YR. WAGE RATE START/FINISH JOB TITLE AND DUTIES REASON FOR LEAVING SUPERVISOR S NAME phone ( ) NAME PLEASE COMPLETE ALL AREAS ABOVE, WHETHER OR NOT A RESUME IS ATTACHED. WORK REFERENCES WE MAY CONTACT (INCLUDE AT LEAST TWO MOST RECENT OR CURRENT SUPERVISORS) NAME ADDRESS ADDRESS OCCUPATION PHONE OCCUPATION PHONE NAME NAME ADDRESS ADDRESS OCCUPATION PHONE OCCUPATION PHONE PLEASE READ THIS IMPORTANT INFORMATION BELOW. ASK FOR CLARIFICATION IF NEEDED. The undersigned has applied for employment with the Hall County Government and hereby authorizes the Hall County Government to contact my current and former employers and references for the purpose of acquiring information regarding me; I hereby authorize such employers and references to supply such information verbally or in writing to the Hall County Government. In consideration for their furnishing such information, I hereby waive any and all claims against such former employers and references which may arise from their furnishing such information. I understand the Hall County Government has a Substance Abuse Prevention Program which includes drug testing. I agree to comply with applicable County policy. I understand that once offered a position I will be required to complete a medical evaluation and drug screening. I understand that once offered a position I may be required to pass a physical examination as a condition of continued employment. I certify that the answers given by me to all of the questions on this application are to the best of my knowledge and belief true and correct. I further affirm that I have not knowingly withheld any facts or circumstances that would detrimentally affect my application for employment, and I understand that any misleading or incorrect statement may render this application void and would be cause for dismissal, if employed. I AGREE THAT IF HIRED, THE HALL COUNTY GOVERNMENT OR I MAY TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE. I UNDERSTAND THAT NO COUNTY POLICY, PRACTICE, PROCEDURE, OR STATEMENT BY ANY COUNTY REPRESENTATIVE SHALL LIMIT OR ALTER THIS AT-WILL EMPLOYMENT RELATIONSHIP. I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS: SIGNATURE DATE 5

HALL COUNTY GOVERNMENT EMPLOYMENT APPLICATION HUMAN RESOURCES DEPARTMENT CONSENT FORM FOR EMPLOYMENT BACKGROUND CHECK ALL INFORMATION IS REQUIRED LAST NAME: FIRST NAME: MIDDLE NAME: MAIDEN NAME: HOME ADDRESS: (PHYSICAL ADDRESS, DO NOT USE POST OFFICE BOX NUMBERS) (CITY, STATE, ZIP CODE) As an applicant for employment, I hereby authorize Hall County Government to receive any criminal history driver s history or previous employment information pertaining to me for the purpose of my background investigation which may be in the files of any federal, state or local criminal justice agency. (SPECIAL NOTE-PLEASE SEE BELOW: IN ORDER TO BE EMPLOYED WITH HALL COUNTY APPLICANT MUST CHECK CONSENT BELOW TO PERIODIC BACKGROUND CHECKS.) Special employment provisions (check if applicable) Employment with mentally disabled (Purpose code M ) Employment with elder care (Purpose code N ) Employment with children (Purpose code W ) Employment with Hall County Government Law Enforcement Sworn Officers (Purpose Code Z) Employment with Hall County Government Law Enforcement Non-Sworn Officers (Purpose Code J) Employment with Hall County Government Non-Law Enforcement (Purpose Code E) One of the following must be checked: This authorization is valid for 90/180/ (circle one) days from date of signature. I, give consent to the above named to perform periodic criminal history background checks for the duration of my employment with this company. PLACE OF BIRTH: SOC. SEC. #: CITY / COUNTY / STATE DATE OF BIRTH: MONTH / DAY / YEAR SEX: M F RACE: SIGNATURE OF APPLICANT: NOTARY SIGNATURE: DATE: DATE: MY COMMISSION EXPIRES: NAME OF PERSON RECEIVING RECORD: DEPARTMENT: ***Special Conditions*** If an adverse employment or licensing decision is made against the person whose record was obtained under this law, the person shall be informed: That a record was obtained, the specific contents of the record and the effect the record has upon the decision. Failure to provide this information to the person subject to the adverse decision shall be a misdemeanor. (REVISED 10/2006) Hall County Human Resources P. O. Drawer 1435 Gainesville, GA 30503 770-531-6712 www.hallcounty.org 6

APPLICANT S CERTIFICATION (READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING) I hereby certify that all statements on my application are true and complete to the best of my knowledge and belief. I understand and agree that any misstatements or omissions of material fact may cause any offer of employment made by hall county public safety division to be withdrawn, or if employed, my employment to be terminated. I further understand that any employment offered to me will be contingent upon the results of a complete character and fitness investigation. I further and fully understand and consent to a polygraph examination concerning the veracity of my responses to the information requested on this application as required. I also understand and agree that my employment application shall be the property of the hall county government. I understand and agree that if employed, I will not divulge to anyone any confidential, privileged information acquired by me during my employment, except as may be required by law. It is understood that, as a condition of employment, in the hall county public safety division, I will, as provided by law governing protective services personnel, submit to a polygraph test when specifically ordered to do so. Signature of Applicant Date Witness Date Applicants must return the completed job application to the Hall County Human Resources Department. Human Resources will not assume responsibility for applications left with employees of other departments. I certify that I have read and received a copy Hall County Building Maintenance Tech II/Corrections Officer (front page of application packet): Signature of Applicant Date 7

HALL COUNTY GOVERNMENT PERSONAL INQUIRY WAIVER HUMAN RESOURCES DEPARTMENT Name Last, First Social Security Number Date of Birth I respectfully request and authorize you to furnish the Hall County Human Resources Department with any and all information that you may have concerning my school record, work record, military record, medical record, criminal record, reputation, or other facts as may be relevant to the nature of this inquiry. This information is to be used to assist the requesting agency in determining my qualifications and fitness for a position with the Hall County Government. I hereby release you, your organization, Hall County Government, and others from any liability or damage, which may result from furnishing the information requested. This instrument is valid for twelve months from the above date and may be photocopied as needed by the requesting official(s). Applicant s Signature Date Address (Number, Street, Apartment) City State Zip STATE OF GEORGIA, COUNTY OF HALL COUNTY AFFIDAVIT Before me personally appeared the said who says that he/she executed the above instrument of his/her own free will and accord, with full knowledge of the purpose thereof. Sworn to and subscribed in my presence this day of, 20. Notary Public Seal My Commission Expires 8