www.tulsacounty.org
Tulsa County Employment Application
line
Instructions
Please answer all questions starting with name and address. If you do not completely fill out this application, you will not be considered for the position applied for. It is the practice of the HR Division to review applications daily, so they may be filed according to position. This application for employment shall be considered active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment beyond this time period is required to complete a new application. Your application will be compared to other applications, and those candidates whose qualifications best meet the needs of Tulsa County for a particular opening will be contacted. All active applications will be considered. Tulsa County is an Equal Opportunity Employer. Applicants are considered regardless of race, religion, color, age, sex, national origin, or physical or mental disabilities.

Name    Email   Date

Address  
City  
State  
Zip  

Phone
Are you 18 or over?
Last 4 digits of Social Security Number  


Position Preference  
Expected Salary Date Available 

Have you ever worked for Tulsa County? If yes, when   What Department?   Who referred you to Tulsa County?  
   

Do you have any relatives working at Tulsa County now? If yes, who   Relationship   What department?  
   

Do you have a valid Drivers License? If yes, which state?
Do you have a valid Commercial Drivers License? If yes, which state?

Education Name of School and Location Number of Years Completed Degree Received Major Course of Study
High School or GED
Technical or Trade School
College or University
Other

Were you in the U.S. Military?
Duties performed


Professional or Trade Licenses/Certifications
   

Skills Check all that apply







Keyboarding wpm Other Skills not listed above

Have you ever been
found guilty of a felony?
If yes, what offense?   Date   Place (City & State) Disposition
 

Have you ever been refused a bond? If yes, for what position?

Are you eligible to work in the United States without restriction?

Work Experience Start with present or last employment and work back through previous positions.
Give record of each employment which you have had for the last ten years

Dates - From To Title of Position Salary - Starting Final
Name of Employer Duties
Address City State
Name of Supervisor Phone Reason for Leaving

Dates - From To Title of Position Salary - Starting Final
Name of Employer Duties
Address City State
Name of Supervisor Phone Reason for Leaving

Dates - From To Title of Position Salary - Starting Final
Name of Employer Duties
Address City State
Name of Supervisor Phone Reason for Leaving

Please Read Before you Continue
I understand and agree that:
1. Any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of, or if employed, termination from employment.
2. It is my understanding that Tulsa County may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by Tulsa County and I release from liability any person giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation may prevent my being hired, or if hired, may subject me to immediate dismissal.
3. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Tulsa County is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
4. Although management makes every effort to accommodate individual preferences, business needs. may at time make the following conditions mandatory: overtime, shiftwork, a rotating schedule, or a work schedule other than Monday through Friday. I understand and accept these conditions of my continuing employment.

I further understand that this is an application for employment and that no employment contract is being offered.

I understand that if I am employed, such employment is for an indefinite period of time and that Tulsa County can change wages, benefits, and conditions at anytime.

If employed, I will comply with all rules and regulations as set forth in the Tulsa County communications distributed to all employees by my employer.
I have read and understand the above.  

You may contact my present employer   Applicant's Name    
  Typing your name in the Applicant's Name field constitutes a signature
AN EQUAL OPPORTUNITY EMPLOYER
EOE M/F/Disabled/Veteran

 
 
 
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