Habersham County Sheriff s Office Sheriff Joey Terrell APPLICATION FOR EMPLOYMENT Dear Applicant, The Habersham County Sheriff s Office is a progressive, full service law enforcement agency. To ensure the citizens of Habersham County receive the highest quality law enforcement, we have established high standards for our employees. This agency strives to hire only the most qualified individuals to fill our positions. Our employee selection process is thorough and regimented. The Habersham County Sheriff s Office is an equal opportunity employer, and each applicant is afforded equal opportunity regardless of race, creed, color, gender, national origin, age, or disability. To be considered for employment, applicants must meet the following minimum qualifications: Applicants must be at least 21 years of age for sworn positions or 18 years of age for detention officers or civilian positions. Applicants must provide a copy of their high school diplomas or G.E.D., honorable discharge (if prior military), law enforcement academy certificate (if applicable), be a U.S. Citizen, possess a valid driver s license, have no adverse driving record, and possess no felony or family violence convictions. Marijuana usage within the past year (12 months), any illegal controlled substance or dangerous drug usage within the past five years (60 months), or any conviction or nolo contendere pleas for driving under the influence within the past five years (60 months) will automatically disqualify applicants from the selection process. The selection process begins with the submission of a completed application. Upon completion of the above items, the application packet will be thoroughly reviewed, and the selection process will begin. Because we are a public safety organization, we must have accurate and extensive information upon which to base our employment decisions; therefore, you must complete this application packet completely and accurately; incomplete applications will not be accepted. Please remember that any and all information contained within this packet is subject to truth verification. Sincerely, Sheriff Joey Terrell 1000 Detention Drive Clarkesville, Ga. 30523 : 706-754-6666 Fax: 706-754-1932 Website: www.habershamsheriff.com
APPLICATION MUST BE FILLED OUT COMPLETELY FOLLOWING DOCUMENTS MUST BE SUBMITTED WITH APPLICATION: Copy of Georgia Driver s License Copy of Social Security Card Certified Copy of Birth Certificate Certified Copy of High School Diploma or G.E.D. Copy of D.D. 214 (Military Service) ****DO NOT SEND ORIGINALS OF ANY OF THESE DOCUMENTS**** APPLICATIONS NOT COMPLETED OR WITHOUT REQUIRED DOCUMENTS ATTACHED WILL NOT BE PROCESSED
HABERSHAM COUNTY SHERIFF S OFFICE EMPLOYMENT APPLICATION Habersham County is a drug-free workplace The Habersham County Sheriff s Office 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. Habersham County Sheriff s Office 1000 Detention Drive Clarkesville GA 30523 Active for 30 days unless otherwise notified Date Applied Last First Middle Street City State Zip Number Social Security Number Years at Above of Job Applying For Are you available to work any time of the day yes no Are you available to work any day of the week yes no Former Habersham County Employee yes no Department/Division Job Title & Duties From To Relatives working for the Habersham County Government - s and Relationship 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 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 Yes No If yes, Please explain A yes will not necessarily disqualify you from employment MUST POSSESS A VALID Good Driving Record Driver's License Number Driver's License Class/Endorsements DRIVER'S LICENSE Yes No High School and Location Circle Highest Grade Completed Graduated Yes No 9 10 11 12 Trade (or apprentice) School From To College or Business School From Degree Earned Describe Special Vocational or Business Courses taken which relate to the job for which you are applying To
Use this space for comments about your special abilities I.E. Apprenticeships, Tools, Certifications, Experience, Etc 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 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 for past ten years, including military if applicable.) Use attachment if necessary. Employer From Mo/Yr To Mo/Yr Wage Start/Finish Job Title and Duties Supervisor Reason for Leaving EMPLOYMENT REFERENCES Occupation Occupation Occupation Occupation
PERSONAL REFERENCES Years Known Years Known Business or Occupation Business or Occupation Years Known Years Known Business or Occupation Business or Occupation PLEASE READ THIS IMPORTANT INFROMATION. ASK FOR CLARIFICATION IF NEEDED. The undersigned has applied for employment with the Habersham County Sheriff s Office and hereby authorizes the Habersham County Sheriff s Office 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 Habersham County Sheriff s Office. 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 Habersham County Sheriff s Office has a substance Abuse Prevention Program which includes drug testing. I agree to comply with applicable County policies. 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 true and correct to the best of my knowledge. 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 Habersham County Sheriff s Office 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
Georgia Bureau of Investigation Georgia Crime Information Center Georgia Driver s History Consent Form I hereby authorize Habersham County Sheriff s Office to receive a copy of my Georgia Driver s History information as part of my application for criminal justice employment, or for use relative to the performance of my official duties with this agency. Full (Print) Sex Date of Birth Driver s License Number Signature Date
Georgia Bureau of Investigation Georgia Crime Information Center Criminal History Consent Form I hereby give my consent for the Habersham County Sheriff s Office to receive any Georgia or III criminal history record information pertaining to me, as authorized under state and federal law for individuals seeking employment with a criminal justice agency. Full (Print) Sex Race Date of Birth Social Security Number Signature Date Special employment provisions (check if applicable): Employment with criminal justice agency civilian (Purpose Code J ) Employment with criminal justice agency P.O.S.T. certified (Purpose Code Z ) One of the following must be checked: This authorization is valid for 90/180 (circle one) days form the date of signature. I, give consent to the Habersham County Sheriff s Office to perform periodic criminal history background checks for the duration of my employment with this agency.
Biography In the space provided below, give a brief biography or history of yourself. Begin with your past and bring yourself into the present; and project yourself into the future. Tell where you were born, where you grew up, significant experiences and what you have done with yourself so far. Tell something about your hobbies, special interests and any other subject which zero in on your individuality. If you need additional space, attach a separate sheet.