Please list three people, not related to you, who can judge your qualifications for the position(s) for which you have applied. If have held a paid position, at least one reference should be from a supervisor. Also, if you have held a camp job, at least one reference should be from a previous camp representative. 

Disability Accommodation Available for Applicants: I understand that if I require an accommodation for a disability so that I may participate in the selection process I am encouraged to contact Cornell Cooperative Extension of Jefferson County (CCE) office where I am applying.

Application Fraud & Misrepresentation: I certify that all statements (verbal and written) made on any and all material collected during the hiring process are true, complete, and accurate and I understand that misrepresentation or omission of facts called for in the employment application, resume, interview process, or other application material may prohibit consideration for employment at CCE and is cause for immediate termination if employed.

Reference and Background Checking: Applying for a specific job authorizes Cornell Cooperative Extension of Jefferson County to contact any of your schools, your current and former employers, or other references for the purpose of verifying information and/or obtaining an account of your education, work experience, and skills. By applying for a job you agree to hold any and all of your reference sources harmless and free of any liability for releasing such information. Please note that a more extensive background check is part of the employment decision making process and you will need to sign any necessary disclosure and release forms as part of the hiring process.

Please note that the point at which your prospective hiring supervisor will contact your employer may vary; however, this is most commonly done on a pre-employment basis usually after the initial interview. This practice is rarely performed on a pre-interview basis. If you have concerns about having your current employer contacted, please communicate those concerns to the person who conducts your initial interview to determine what, if any, alternatives exist.

Employment Eligibility Verification: All offers of employment by Cornell Cooperative Extension of Jefferson County are contingent on the provision of satisfactory proof of your identity and legal authority to work in the United States. Prior to or on your first day of employment, you must comply with the requirements of the Immigration and Naturalization Service's Employment Eligibility Verification (I-9 Form).

Offers of Employment: Please be advised that Cornell Cooperative Extension of Jefferson County will not be bound by offers or conditions of employment other than those made in official offer letters.

I hereby authorize investigation of all statements contained in this and other application documents. I understand that references contacted will not necessarily be limited to those indicated on this application. I authorize my former employers/schools and other individuals to release information relevant to my knowledge, skill, ability, experience, and suitability for the position for which I am applying. I further understand that employment with Cornell Cooperative Extension of Jefferson County is “at will” in that I, or the employer, may terminate employment at any time or for any reason consistent with applicable state or federal law. By signing the statement, I willfully accept the terms listed above.