Employment Application

Personal Information

Date of Application:

First Name: *

Middle Name:

Last Name: *

Street Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Email Address: *

Employment Eligibility

I can provide genuine documentation establishing my identity and employment eligibility

I am 18 years or older

If under 18, I can provide proof of eligibility to work

Have you ever been arrested or convicted of a crime or violation?

Yes No

If Yes, please explain:

Do you hold a current and valid Oklahoma driver's license?

Yes No

Employment Desired

Employment Type: *

Full Time Part Time Temporary

Position Applying For:

Courthouse:

Administrative/Clerical Other

District Shop:

Equipment Operator Truck Driver Other

Sheriff's Department:

Deputy Jailor Other

Previous Employment & Experience

Have you ever been employed with Kingfisher County before?

Yes No

Do you have the ability to perform the job-related functions of the job applied for?

Yes No

If No, please describe what reasonable accommodations would enable you to perform the job-related functions:

Education

Did you graduate from High School or receive an equivalent degree?

Yes No

Name of School:

Highest Grade:

College:

Years Attended:

Degree:

Other Education/Training:

List any special courses, seminars, and/or training that relate to the position for which you are applying:

List any professional, trade, or civic organizations that relate to the position for which you are applying:

Former Employers - Last Three (Most Recent First)

These fields are required and must be completed.

Employer 1

Date From:

Date To:

Name of Employer:

Address:

City:

State:

Zip:

Phone Number:

Last Position Held:

Starting Wages:

Ending Wages:

Supervisor's Name:

Reason for Leaving:

List jobs held, duties performed, skills used or learned, and advancements or promotions while you worked at this company. Also list what you liked most and least about this job:

Employer 2

Date From:

Date To:

Name of Employer:

Address:

City:

State:

Zip:

Phone Number:

Last Position Held:

Starting Wages:

Ending Wages:

Supervisor's Name:

Reason for Leaving:

List jobs held, duties performed, skills used or learned, and advancements or promotions while you worked at this company. Also list what you liked most and least about this job:

Employer 3

Date From:

Date To:

Name of Employer:

Address:

City:

State:

Zip:

Phone Number:

Last Position Held:

Starting Wages:

Ending Wages:

Supervisor's Name:

Reason for Leaving:

List jobs held, duties performed, skills used or learned, and advancements or promotions while you worked at this company. Also list what you liked most and least about this job:

Professional References

Provide the names of three non-relative professional references whom you have known for at least 1 year.

Reference 1

Name:

Phone:

Business/Relationship:

Years Acquainted:

Reference 2

Name:

Phone:

Business/Relationship:

Years Acquainted:

Reference 3

Name:

Phone:

Business/Relationship:

Years Acquainted:

Additional Information

List any additional information you feel may be helpful to us in considering your application:

Authorizations & Consents

I authorize Kingfisher County to conduct a background check and investigate all statements in my application *

I consent to drug and/or alcohol testing as a condition of employment *

Signature Date:

The Kingfisher County Sheriff's Office

Thank You!

Personal Information

Employment Eligibility

Employment Desired

Position Applying For:

Previous Employment & Experience

Education

Former Employers - Last Three (Most Recent First)

Employer 1

Employer 2

Employer 3

Professional References

Reference 1

Reference 2

Reference 3

Additional Information

Authorizations & Consents

The Kingfisher County Sheriff's Office

Contact Info

Kingfisher County Sheriff's Office 1001 Victory Lane, Kingfisher, OK 73750

(405) 375-4242

(405) 375-6491

SERVE AND PROTECT

Contact us