Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, disability or genetics.
Please give the name, address and telephone number of three references who are not related to you and
are not former employers:
Please provide any additional information you feel would be helpful to us in considering your application (submit additional documents, including resume and cover letter, if necessary).
I certify that the answers given herein are true and complete to the best of my knowledge.
I authorize investigations of all statements contained in this application for employment as may be
necessary in arriving at an employment decision. Those investigations may include, but are not limited
to, verification of prior employment, verification of academic record, investigation of criminal record and
other background checks. I understand that this application is not (and is not intended to be) a contract
of employment.
In the event of employment, I understand that false or misleading information given in my application or
interview(s), or documentation submitted in support of my application, may result in discharge.
Additionally, I understand that as a public employee I will be held to a high standard of conduct, and that
I am required to abide by all rules, regulations, policies and procedures adopted by the agency.
The Allen County Department of Job and Family Services is subject to certain nondiscrimination and affirmative action
recordkeeping and reporting requirements which require the Agency to invite employees to voluntarily self-identify their
gender and race/ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any
adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions
of applicable federal laws, executive orders, and regulations, including those which require the information to be summarized
and reported to the Federal Government for civil rights enforcement purposes.
Applicants are considered for all positions, and employees are treated during employment without regard to race, color,
religion, sex, national origin, age, disability or genetics.
This data is for periodic government reporting and will be kept in a confidential file separate from the Application for
Employment.
Your application has been sent. We will contact you soon!
