On-line Application
On-line Application
First Name
Your answer
Middle Initial
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
zipcode
Your answer
Phone Number
Your answer
Have you been a resident of the state of Ohio for five (5) years or longer?
Position you are applying for.
Do you presently have a valid Ohio Drivers License?
Do you have a highschool diploma or equivalent?
Disclaimer *
Prior to actual employment and consistent with provisions of O.R.C. 109.57, verification of the response to this question will be obtained from the Ohio Bureau of Criminal Identification and Investigation and other agencies. The verification process will require submission of fingerprints. Information obtained about convictions/charges will be evaluated to determine whether the nature of the offense is manifestly inconsistent with the position sought.I hereby declare the information provided by me in this application for employment is true, correct and complete to the best of my knowledge.I authorize you to obtain an investigative report to verify the statements made herein using information obtained through personal acquaintance, references, a check of criminal convictions and from any other source deemed appropriate. If position requires operation of vehicle for Board business, I authorize you to obtain a copy of my traffic records through local authorities as well as the Bureau of Motor Vehicles.I understand that if employed, any misstatement or omission of fact on this application shall be considered cause for automatic dismissal.
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.