ࡱ>  bjbj|| <|ZF EEEYYY8%dYit]0(0005: ?d[EghhhhhhDkmhEH5"5HHh00ioWoWoWHL80E0goWHgoWoWNe-g0`UY[Hf0gi0if~n7I8~n`g~nEg\HHoWHHHHHhhoWHHHiHHHH~nHHHHHHHHH : *KEEP THIS PAGE FOR YOUR RECORDS* POSITION TITLE AND NUMBER: 614-Equipment Operator II DATE APPLICATION FILED:  FORMTEXT       MARSHALL COUNTY PERSONNEL BOARD APPLICATION FORM APPLICANT INFORMATION PLEASE CAREFULLY READ THE FOLLOWING BEFORE COMPLETING YOUR APPLICATION A SEPARATE APPLICATION FORM IS REQUIRED FOR EACH POSITION TITLE Completing the Application You may print the application form and complete it manually or type information directly into the shaded areas. To complete the form online, you must use the tab key to move from cell to cell. Avoid using the enter key because it will distort the table layout. Text will wrap automatically as you type into the cells. Once completed, the application should be printed out, signed and mailed or hand delivered to the Personnel Office address below. If printing out the application form to complete it manually, the shaded areas will not print out. Once completed, the application should be signed and mailed or hand delivered to the Personnel Office address below. Your application for employment with Marshall County is our only source of information about you. All applications, including those for promotional and transfer positions, MUST be completed IN FULL. All questions must be answered so applications can be given equitable consideration. RESUMES ARE ACCEPTED; HOWEVER, A NOTATION SEE RESUME/SEE ATTACHED WILL NOT BE USED FOR EVALUATION PURPOSES. If a question does not apply indicate "N/A" for non-applicable. Failure to record both month and year when requested will result in minimum credit. IF YOU NEED ADDITIONAL SPACE ON ANY SECTION OF THE APPLICATION YOU MAY ATTACH ADDITIONAL SHEETS. PLEASE INDICATE ON EACH SHEET THE SECTION OF THE APPLICATION THE INFORMATION PERTAINS TO AND BE SURE YOU USE THE SAME FORMAT AS THAT SECTION. If any position requires a certificate, license, etc. then these documents must be submitted with the application or by the closing date of the position announcement. Failure to provide this information will result in the application not being referred to the hiring office/department. The Personnel Board will not make copies of any required documents. The applicant must provide one copy of all documents he or she wants to submit with the application. A completed official application must be received by the established closing date as stated on the announcement. An announcement with an "indefinite" closing date will remain open for a minimum time as specified on the announcement, but after that time may be closed without notice. Any announcement may be extended at any particular time during the advertising period at the discretion of the Personnel Administrator. Applications and materials relevant to the application process will NOT BE ACCEPTED via FAX. Photocopies of applications are accepted if they are legible. YOU MUST SIGN AND DATE THE APPLICATION FORM. APPLICATIONS THAT ARE NOT COMPLETED IN FULL AND SIGNED WILL NOT BE CONSIDERED. Job Requirements Please note the education, experience, and other special requirements listed in the announcement for the jobs that interest you. These are minimum standards all applicants must meet in order to be considered for employment. Employment Policy It is our policy that employment decisions are made on the basis of merit and fitness for the position. MARSHALL COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER. All applicants are required to provide proof of identity and authorization of employability at the time of appointment. All offers of employment may be contingent upon successful completion of a post offer drug screen and physical examination. Hiring Procedure Every application received by the established closing date is reviewed for minimum qualifications and competitiveness by the Marshall County Personnel Board. Should you meet the requirements for the position, your name will be placed on a list of eligible candidates. Your name will remain on this eligible list for six (6) months or until the list expires, whichever occurs first. When a county department notifies the Personnel Board of a desire to fill a vacancy for a position the Board certifies to the department the top three names on the appropriate eligible list. Hiring departments hold interviews with applicants who are referred by the Personnel Board. The hiring department will notify persons selected for interviews. After the interviews and other selection procedures, the hiring department makes a selection and returns all applications to the Personnel Board. Those candidates not selected will remain on the eligible list and will be considered for future vacancies. Additional Information You may obtain information on Marshall County Personnel Board job announcements by visiting the county web site at  HYPERLINK http://www.marshallco.org http://www.marshallco.org. PREFERENCE: Qualified Marshall County classified service employees will be afforded preference when establishing eligible lists. YOUR INTEREST IN COUNTY EMPLOYMENT IS APPRECIATED!!! Should you have a change of address or phone number after filing an application let us know! Marshall County Personnel Board Marshall County Courthouse, Room A342 424 Blount Avenue Guntersville, Alabama 35976 (256) 571 7720 Office hours: 8:00 a.m. 12:00 p.m. and 1:00 p.m. - 4:30 p.m., Monday through Friday  MARSHALL COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER. THOSE APPLICANTS REQUIRING ACCOMMODATION TO THE APPLICATION AND/OR INTERVIEW PROCESS SHOULD CONTACT THE MARSHALL COUNTY PERSONNEL BOARD. ENTER SOCIAL SECURITY NUMBER BELOW. DATE OF APPLICATION  FORMTEXT        FORMTEXT       IMPORTANT: Please carefully read the applicant information section before completing this application. Please type or print using black or blue ink. NOTE: This application may be used to fill both classified and unclassified positions in county government; however, use of this application in no way confers classified service status on any position that may be exempt from the classified service. POSITION FOR WHICH YOU ARE APPLYING (one per application)JOB CODE:Equipment Operator II614Full Name FORMTEXT       FORMTEXT       FORMTEXT       LastFirstMiddleAddress FORMTEXT       FORMTEXT       House or Apartment Number Street FORMTEXT        FORMTEXT     FORMTEXT       FORMTEXT       CityState Country ZipTelephone Number:Home( FORMTEXT    )  FORMTEXT      Work( FORMTEXT    )  FORMTEXT      May we contact you at work?  FORMCHECKBOX Yes  FORMCHECKBOX NoArea CodeArea CodePERSONAL INFORMATION If employment is offered, can you provide verification of your legal right to work in the United States?  FORMCHECKBOX Yes  FORMCHECKBOX No Are you over 18 years of age?  FORMCHECKBOX Yes  FORMCHECKBOX  No (If not, employment is subject to verification that you are of minimum legal age and are able to supply any required work permit.) Are you able to meet the attendance requirements of the position?  FORMCHECKBOX Yes  FORMCHECKBOX No Are you willing to work overtime and holidays if required?  FORMCHECKBOX Yes  FORMCHECKBOX No Date available for work.  FORMTEXT       Type of employment desired:  FORMCHECKBOX  Full-time  FORMCHECKBOX  Part-time  FORMCHECKBOX Temporary Valid driver s license number (if job related)  FORMTEXT       State  FORMTEXT       Is this license a Commercial Driver s License?  FORMCHECKBOX Yes  FORMCHECKBOX No If yes, what class?  FORMTEXT      Have you previously worked for Marshall County?  FORMCHECKBOX Yes  FORMCHECKBOX No If yes, give dates and the position(s) you held.  FORMTEXT       REFERENCES (List three reliable persons, not relatives or employers, who know you well enough to give information about you) NAMEADDRESS AND PHONE NUMBER FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT       EDUCATIONCHECK THE HIGHEST GRADE OF SCHOOL COMPLETED.High School Diploma or GED?  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX 1  FORMCHECKBOX 2  FORMCHECKBOX 3  FORMCHECKBOX 4  FORMCHECKBOX 5  FORMCHECKBOX 6  FORMCHECKBOX 7  FORMCHECKBOX 8  FORMCHECKBOX 9  FORMCHECKBOX 10  FORMCHECKBOX 11  FORMCHECKBOX 12 College  FORMCHECKBOX 1  FORMCHECKBOX 2  FORMCHECKBOX 3  FORMCHECKBOX 4 PROVIDE INFORMATION ON ALL SCHOOLS ATTENDED. SPECIFY UNDERGRADUATE OR GRADUATE WORK.COLLEGE VOCATIONAL / BUSINESS Name and Address of School Credit Hours Sem. Qtr.Did You Graduate? Yes No Type of Degree and Dates Attended Major  FORMTEXT        FORMTEXT       FORMTEXT      FORMTEXT      FORMCHECKBOX  FORMCHECKBOX   FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT      FORMTEXT      FORMCHECKBOX  FORMCHECKBOX   FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT      FORMTEXT      FORMCHECKBOX  FORMCHECKBOX   FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT      PROFESSIONAL LICENSE OR CERTIFICATELicense/Certificate Issued ByField/Trade/SpecializationLicense/ Certificate No.Issue DateExpiration Date  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT        FORMTEXT      Fully describe any other special qualifications and skills possessed (i.e. skill with machines, computer software, foreign language) which relate to the job for which you are applying. Explain extent of experience and how acquired. Attach additional sheets if necessary (Section A) FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Have you ever been involuntarily terminated, discharged, forced or asked to resign from any job?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf you answered Yes to the above question, attach an explanation on a separate sheet noting any mitigating or extenuating circumstances.Have you even been convicted of a misdemeanor or felony crime?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIf you answered Yes to the above question, list in the space below all prior misdemeanor and felony convictions and any extenuating or mitigating circumstances regarding such convictions. If necessary, you may use a separate sheet or sheets and attach to application. (Section B) FORMTEXT       NOTE: A CONVICTION RECORD DOES NOT AUTOMATICALLY MEAN THAT APPLICANTS CANNOT BE APPOINTED, EXCEPT THAT A FELONY CONVICTION WILL BAR EMPLOYMENT IN A LAW ENFORCEMENT JOB. OTHER CONVICTIONS WILL BE WEIGHED RELATIVE TO THE POSITION BEING SOUGHT FAILURE TO DISCLOSE A CONVICTION MAY BE CONSIDERED AS GROUNDS FOR DISQUALIFICATION. FOR THESE REASONS, APPLICANTS SHOULD BE CAREFUL TO DISCLOSE ALL CRIMINAL CONVICTIONS. WORK HISTORY THIS SECTION MUST BE COMPLETED REGARDLESS OF WHETHER OR NOT A RESUME IS ATTACHED. Begin with your PRESENT or most recent employment. List in REVERSE ORDER periods of employment. Each time you changed jobs or your title changed should be listed as a separate period. Describe in detail your duties. Include military and/or voluntary experience in the same format listing the word  Volunteer or  Unpaid. (Attach additional sheets if needed) (Section C) 1. Current or Last Employer Your Official Job Title  FORMTEXT        FORMTEXT       Address Type of Business  FORMTEXT        FORMTEXT        FORMTEXT      FROMTOTotalNumber of HoursBeginning SalaryEnding SalaryMay we contact yourMonthYearMonthYearYrs./Mos.Per WeekEmployer? FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT       FORMTEXT      $ FORMTEXT       Per  FORMTEXT      $ FORMTEXT       Per  FORMTEXT        FORMCHECKBOX  Yes  FORMCHECKBOX  No Number/Title of Employees You Supervised On a Continuing Basis Equipment You Operated  FORMTEXT        FORMTEXT       Name, Title and Telephone Number of Supervisor Reason for Leaving  FORMTEXT        FORMTEXT        FORMTEXT       Describe Your Duties in Detail  FORMTEXT        2. Employer Your Official Job Title  FORMTEXT        FORMTEXT       Address Type of Business  FORMTEXT        FORMTEXT        FORMTEXT      FROMTOTotalNumber of HoursBeginning SalaryEnding SalaryMay we contact yourMonthYearMonthYearYrs./Mos.Per WeekEmployer? FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT       FORMTEXT      $ FORMTEXT       Per  FORMTEXT      $ FORMTEXT       Per  FORMTEXT        FORMCHECKBOX  Yes  FORMCHECKBOX  No Number/Title of Employees You Supervised On a Continuing Basis Equipment You Operated  FORMTEXT        FORMTEXT       Name, Title and Telephone Number of Supervisor Reason for Leaving  FORMTEXT        FORMTEXT        FORMTEXT       Describe Your Duties in Detail  FORMTEXT        3. Employer Your Official Job Title  FORMTEXT        FORMTEXT       Address Type of Business  FORMTEXT        FORMTEXT        FORMTEXT      FROMTOTotalNumber of HoursBeginning SalaryEnding SalaryMay we contact yourMonthYearMonthYearYrs./Mos.Per WeekEmployer? FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT       FORMTEXT      $ FORMTEXT       Per  FORMTEXT      $ FORMTEXT       Per  FORMTEXT        FORMCHECKBOX  Yes  FORMCHECKBOX  No Number/Title of Employees You Supervised On a Continuing Basis Equipment You Operated  FORMTEXT        FORMTEXT       Name, Title and Telephone Number of Supervisor Reason for Leaving  FORMTEXT        FORMTEXT        FORMTEXT       Describe Your Duties in Detail  FORMTEXT        4. 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FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT      FORMTEXT       FORMTEXT      $ FORMTEXT       Per  FORMTEXT      $ FORMTEXT       Per  FORMTEXT        FORMCHECKBOX  Yes  FORMCHECKBOX  No Number/Title of Employees You Supervised On a Continuing Basis Equipment You Operated  FORMTEXT        FORMTEXT       Name, Title and Telephone Number of Supervisor Reason for Leaving  FORMTEXT        FORMTEXT        FORMTEXT       Describe Your Duties in Detail  FORMTEXT        Please explain any gaps in employment:  FORMTEXT        COMPLETE THIS SECTION IF YOU ARE CLAIMING VETERAN S PREFERENCE If you claim Veteran s Preference, check the type below. Attach copies (which will not be returned) of the required documents to your application to support your claim. YOU WILL NOT RECEIVE VETERAN S PREFERENCE POINTS UNLESS YOU FURNISH REQUIRED COPIES OF THE APPROPRIATE DOCUMENTS.  FORMCHECKBOX  Veteran (5 points)  Requires DD214 or document showing dates of service and type of discharge.  FORMCHECKBOX  Disabled Veteran (10 points)  Requires DD214 or other document as above and letter of disability from V. A. dated within last 6 months.  FORMCHECKBOX  Deceased Veteran s spouse (10 points)  Requires DD214 or other document as above and marriage and death certificates. Cannot be claimed if spouse remarries.  FORMCHECKBOX  Disabled Veteran s spouse (10 points)  Requires DD214 or other document as above and V. A. letter of disability dated within last 6 months. Cannot be claimed unless still married to disabled veteran.  FORMCHECKBOX  Permanently Disabled Veteran (10 points)  Requires DD214 or other document as above and V. A. letter indicating permanent disability.  Use this section to include any further information you wish us to consider:  FORMTEXT       APPLICANT S STATEMENT (PLEASE READ CAREFULLY AND ASK ANY QUESTIONS BEFORE SIGNING) I certify the information given by me in this application (and attachments) and all other information furnished in the application process is true and complete to the best of my knowledge. I understand any false information, misrepresentation, or concealment of fact is sufficient grounds for my application to be rejected or, if employed, my employment to be terminated. I authorize the county to conduct a background investigation pertaining to my suitability for employment, which may include a criminal history check. I hereby authorize the release of information about my ability and fitness for employment with Marshall County by law enforcement agencies, employers, schools, and other individuals and organizations to authorized employees of Marshall County. I hereby release the aforementioned persons, corporations, agencies, associations and their employees, agents, and representatives from any liability for any claim or damage, which may result from compliance with this authorization. I understand I may be required to submit to a drug screening as a condition of employment and refusal to submit to drug testing during the course of my employment may result in disciplinary action, up to and including discharge. I further understand that as a condition of employment I may be required to successfully pass a post offer physical examination.  FORMTEXT       Applicant s Signature Date MARSHALL COUNTY PERSONNEL BOARD SUPPLEMENTAL DATA SHEET EQUIPMENT OPERATOR II  JOB CODE 614 NOTICE: COMPLETION OF THIS DOCUMENT IS MANDATORY Full Name FORMTEXT       FORMTEXT       FORMTEXT      Last FirstMiddle I certify that all answers to the attached questions are true and correct and I understand that any misstatement of material fact contained on this questionnaire may cause forfeiture upon my part of all rights to any employment subject to the jurisdiction of the Personnel Board of Marshall County, Alabama.  FORMTEXT       APPLICANT S SIGNATURE DATE Marshall County has four (4) district shops located throughout the county. Please check the district(s) in which you wish to be considered for employment.  FORMCHECKBOX  District 1  Commissioner Bill Stricklend Shop is located at 3850 Eddy-Scant City Road approximately 1 mile off Alabama Highway 69N  FORMCHECKBOX  District 2 - Commissioner R. E. Martin Shop is located in Grant behind the Waterworks Board of Grant  FORMCHECKBOX  District 3  Commissioner David Kelley Shop is located at 2251 Oneonta Cut-off Road near Albertville  FORMCHECKBOX  District 4  Commissioner Jessie Swords Shop is located at 123 Hustleville Road just off Alabama Highway 75N  FORMCHECKBOX  Any District Please check the equipment you operate with a high degree of skill:  FORMCHECKBOX  Front-end Loader  FORMCHECKBOX  Backhoe  FORMCHECKBOX  Tandem Axle Dump Truck  FORMCHECKBOX  Bulldozer  FORMCHECKBOX  Tractor and Mower (Mow Trim)  FORMCHECKBOX  Chip Spreader  FORMCHECKBOX  Tar Distributor  FORMCHECKBOX  Low-boy Truck and Trailer  FORMCHECKBOX  Motor Grader (Ability to perform complex finishing and grading operations)  FORMCHECKBOX  Other (Please List):  FORMTEXT       (over) Do you have the knowledge and ability to do safety inspections and preventative maintenance on the equipment and vehicles you checked above?  FORMCHECKBOX Yes  FORMCHECKBOX No You must possess a valid Commercial Driver's License (Class A is preferred, Class B may be considered) to be employed in this position.  FORMTEXT        FORMTEXT       CDL Number/State: Class:  FORMTEXT       Endorsements:  FORMTEXT       Restrictions: EQUAL OPPORTUNITY/AFFIRMATIVE ACTION SURVEY COMPLETION OF THIS FORM IS VOLUNTARY Federal and state laws prohibit discrimination because of race, religion, color, age, sex, national origin, disability, or any other legally protected status. In an effort to comply with requirements regarding government record keeping, reporting, and other legal obligations, we ask that you complete this survey. Your cooperation is appreciated. Please be advised that this survey is not a part of your official application for employment. It is considered confidential information that will not be used in any hiring decision. DATE:  FORMTEXT       POSITION FOR WHICH YOU ARE APPLYING (one per application)JOB CODE:Equipment Operator II 614Full Name FORMTEXT       FORMTEXT       FORMTEXT      LastFirstMiddle  FORMCHECKBOX Male  FORMCHECKBOX Female Please check one of the boxes below that corresponds with your ethnic origin  FORMCHECKBOX White  FORMCHECKBOX Black  FORMCHECKBOX Hispanic  FORMCHECKBOX Asian/Pacific Islander  FORMCHECKBOX American Indian/Alaskan Native REFERRAL SOURCE  HOW DID YOU HEAR ABOUT US?  FORMCHECKBOX Marshall County Employee  FORMCHECKBOX Alabama Employment Service  FORMCHECKBOX Marshall County Web Site  FORMCHECKBOX Job Announcement Location:  FORMTEXT        FORMCHECKBOX Walk-in  FORMCHECKBOX Newspaper Ad Source:  FORMTEXT        FORMCHECKBOX Other:  FORMTEXT           MCAPF-1CE Page  PAGE 9 MCAPF-1-CE Page  PAGE 1 APPLICATION FOR EMPLOYMENT Marshall County, Alabama Marshall County Personnel Board Room A342, Courthouse Guntersville, AL 35976 (F*FXFF~~$If{kd$$IfTl0'0622 4 laTFFFF~~$If{kd.$$IfTl0'0622 4 laTFFG.G^G~~~$If{kd$$IfTl0'0622 4 laTFFFFFFFFGGGG G*G,G6G8GLGNGPGZG\G`GpHrHHHHHHHHHHHHHHHHHHHHHHHHHIIj (hoj:CJUj'hoj:CJUj4'hoj:CJUj&hoj:CJU hoj:CJ j hoj:CJUj hoj:CJUjhoj:CJUmHnHujhoj:CJUjhoj:CJU hoj:CJ2^G`GjGpG|GGGGH{{{{{{{ $$Ifa${kd $$IfTl0'0622 4 laTHHkd!$$IfTl֞= !'N0622 22 22 4 laTHHH&H0HDHVHXHZHnHpHHHHI0IXIIJJJ KBKFf-$IfFf$ $$Ifa$II II I"I,I.I0I2IFIHIJITIVIZI\IpIrItI~IIIIIIIIIIIIIIIIIIJJ JJJ$J&JBJDJFJXJZJvJjJ+hoj:CJUj*hoj:CJUjf*hoj:CJUj)hoj:CJUj)hoj:CJUj 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