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**Please Note: You may submit a resume along with this application form. HOWEVER, you must fully complete ALL sections of the application form before it will be accepted by Price County for consideration of employment. DO NOT reference your resume on the application form. Incomplete and/or incorrectly completed applications which are received by the Office of Administration will not be considered for the open positions. Price County Office of Administration WILL NOT notify the candidate when an incomplete and/or incorrectly completed application is received.
Must be in .PDF or .DOC format.
A position description identifying the essential functions of this position is available from the Office of Administration upon request.
I understand and acknowledge
that Price County will make a thorough investigation of my work
history and may, if applicable for the position for which I have applied, verify my driver’s license record, criminal history record and all data given in my application for employment, related papers, or oral interviews. I consent to and authorize information requested by Price County or its agents and I release from liability any person giving or receiving any such information.
Furthermore, I certify that the information given by me on this application is true and correct without omissions to the best of my knowledge. I understand and agree that any
deliberate omissions of fact during the application/hiring process may result in a rejection of my application, or if employed, a termination from employment.
I further understand that Price County has adopted a Drug Free Work Environment that requires all candidates for employment
undergo a drug-screening test
prior to starting employment and
while employed, if required for the position, submit to drug screening per Price County and/or DOT policy.
A positive drug screen result will
disqualify a candidate from employment and, if a current employee, may result in termination of employment.
Under the provisions of section 19.36, Wisconsin Statutes, I request that my identity as an applicant for the position not be revealed without my consent or until required under law.
• Present employer(s)
• Criminal history record
• Former employer(s)
• Driver's license and driving record
• Personal references
• Caregiver/eWiSACWIS background check
• Any school, college, university, or other educational institution
As evidence of my desire to obtain a position with Price County, I hereby authorize any
official representative of
Price County, bearing this release, to obtain information and
records pertaining to me and my qualifications whether such
information is public, private
or confidential in nature from any or all of the above
sources. I understand that
determining my eligibility
Price County, in compliance
with State and Federal laws, will only gather and use
applicable for the
position for which I have applied.
I hereby release any individual or institution, including
its officers, employers, or related personnel, both individually or collectively, from any and
all liability from damages of whatever kind, which may at any time result to me, because of
compliance with this authorization and request to release information or any attempt to
comply with it. A photocopy of this release will be valid as an original thereof.
As evidenced by my signature below, I hereby authorize disclosure of records to the
person(s) or agency(s) as specified above.
This field is not part of the form submission.
* indicates a required field