DGSO Job Application Form

Job Application Form

DOUGLAS COUNTY KANSAS APPLICATION FOR EMPLOYMENT

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, gender, religion, national origin, disability or other protected classification.

We are an equal opportunity employer.

Completing and submitting the application form is explicit approval for the Douglas County Sheriff’s Office\Douglas County to obtain your Driver’s License Record (DLR). Before completing and submitting your application, please review the Summary of Your Rights Under the Fair Credit Reporting Act available at the link below.

Driver's License Record Disclosure - Accessibility Update 012423

File size: 195.25 KB

Created: 12-24-2021

Updated: 01-24-2023

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Job Application - Page 1 - Contact Information - Step 1 of 4

Your Contact Information

Please note that fields or questions with a red asterisk (*) are required.

First Name *

Middle Name

Last Name *

Email Address *

Primary Phone Number *

Current Residential Address *

Address Line 1

Address Line 2

City

State

Zip Code

Questionnaire

Position you are applying for? *

Corrections Officer
Deputy Sheriff (Lateral Only)
Other - Please specify in the field below.

Other position you are applying for?

Please specify the position you are applying for. Please note that jobs not listed above may not be currently accepting applications.

Are you over 18 years old? *

You must be at least 18 years old to apply for any position at DGSO.

Do you have a High School diploma or G.E.D.? *

Please explain: *

You answered "No" to having a High School diploma of G.E.D.. Please provide additional information to explain your response.

Are you able to perform the essential functions of this position, with or without reasonable accommodation? *

Please explain: *

You answered "No" to being able to perform the essential functions of the position, with or without reasonable accommodation. Please provide additional information to explain your response.

Background

Have you ever been arrested for a misdemeanor or felony?* *

*Please note: An arrest record does not necessarily preclude an applicant from employment in a law enforcement position.

Please explain: *

You answered "Yes" to having ever been arrested for a misdemeanor or felony. Please provide additional information to explain.

Have you ever been convicted of a crime involving dishonesty (e.g., forgery, false reporting, fraud)? *

Please explain: *

You answered "Yes" to having ever been convicted of a crime involving dishonesty. Please provide additional information to explain.

Have you been convicted of a misdemeanor theft offense within the past 12 months? *

Please explain: *

You answered "Yes" to having ever been convicted of a misdemeanor theft offense within the past 12 months. Please provide additional information to explain.

Do you currently possess a valid driver’s license? *

Please explain: *

You answered "No" to having a valid driver's license. Please provide additional information to explain.

Is your driver’s license currently free of restrictions that would prevent you from performing job-related duties? *

Please explain: *

You answered "No" to having a driver's license currently free of restrictions that would prevent you from performing job-related duties. Please provide additional information to explain.

Driver's License

Driver’s License Number *

State of Issue *

Are you willing to submit to a post-offer pre-employment drug screening, if required? *

If No, please explain: *

Attach Resume

Optional

File Upload

Drag & Drop Files, Choose Files to Upload

We accept PDF files up to 5MB (5,120KB) ONLY. If your resume is larger it can be submitted at a later time by email.

Signature

Required

Signature

PLEASE READ BEFORE SIGNING I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing which, if disclosed, would affect this application unfavorably. I authorize my previous employers and schools to give any information regarding employment or educational records. I agree that this organization and my previous employers shall not be held liable in any respect if a job offer is not extended, is withdrawn or my employment is terminated because of false statements, omissions, or answers made by me on this application. In the event of my employment with this organization I will comply with all rules and regulations set forth in any communication distributed to employees. In compliance with the Immigration Reform and Control Act of 1986, I understand that I will be required to provide approved documentation that verifies my right to work in the United States on my first day of employment. I further understand and agree that my employment is for no definite period of time and may, regardless of the date of payment of wages or salary, be terminated for any reason and at any time without previous notice. I hereby acknowledge that I have read and understand the above statements.

Signature *

Clear Signature

By signing your name here it qualifies as an electronic signature.

Today's Date *

This concludes the application. Thank you for your time.