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APPLICATION FOR EMPLOYMENT / INTERNSHIP PROGRAM

DeKalb County State Court Probation
556 North McDonough Street
3rd Floor Courthouse Administrative Tower
Decatur, Ga. 30030

Thank you for considering DeKalb County State Court Probation as a potential employer. Our department is a law enforcement agency and as such, applicants will undergo an in-depth application process including and extensive background investigation.

Please complete all areas of the application legibly. Please print or type all entries in the black ink.

Fill out the application/questionnaire completely and accurately.  Incomplete applications will not be considered.  All statements in your questionnaire are subject to an administrative investigation and a polygraph examination.  Information requested or provided will be used to conduct a Criminal History or Driver’s History investigation prior to employment.

PERSONAL INFORMATION:

Name
Address
The following information is required to conduct a Criminal History or Driver’s History Investigation and to complete a P.O.S.T. Application for Certification as a Peace Officer.
Sex:
US Citizen:

LICENSES:

Do you possess a valid Georgia Driver’s License?
Has your Driver’s License ever been suspended or revoked?

GENERAL QUESTIONS:

Are you seeking full-time employment?
Are you legally eligible to be employed in the United States?
(ALL EMPLOYEES TO PROVIDE PROOF OF IDENTITY AND AUTHORIZATION OF EMPLOYABILITY)
Have you submitted a current resume with this application?
Do you authorize this department to contact your current/previous employer(s) or personal references to obtain relevant employment or social history information?

RESIDENCES:

List addresses for the last seven (7) years if applicable beginning with your current address:

DD/MM/YYYY
DD/MM/YYYY
Address

WORK HISTORY:

Do you have a financial interest in any business or employment in a position (including part-time employment) which expect to retain if hired?
Were you ever discharged or forced to resign by any previous employer?
Have your employers always treated you fairly?
If selected for a position, you may be asked to use your personal vehicle for business purposes.
Do you own or are you buying an automobile?
Have you ever been a party to a lawsuit or involved in any legal action (other than a witness)?

EDUCATION:

Indicate below the schools you have attended, and the major courses completed. If you cannot remember, please state as such.  DO NOT TROUBLE TO WRITE THE SCHOOL FOR INFORMATION.

Elementary School:

DD/MM/YYYY
DD/MM/YYYY
Graduated

Junior High School:

DD/MM/YYYY
DD/MM/YYYY
Graduated

High School:

DD/MM/YYYY
DD/MM/YYYY
Graduated

College:

DD/MM/YYYY
DD/MM/YYYY
Graduated

Graduate or Vocational:

DD/MM/YYYY
DD/MM/YYYY
Graduated
Are you now on any eligibility lists for employment?
Have you ever been employed by DeKalb County before?
Have you previously submitted an application for employment with DeKalb County?
Is any member of your family employed by DeKalb County?
Are you now or have you ever been an active or inactive member of the any branch of the Unites States Armed Forces, Reserve Forces or National Guard?

REFERENCES:

List below four (4) persons not related to you and not former employers who have known you for at least five (5) years.

WORK HISTORY: 

IF EMPLOYED BY THE PROBATION OFFICE YOUR DUITES MAY REQUIRE THAT YOU WORK NIGHTS, WEEKENDS AND HOLIDAYS.

Do you object to night or shift work?
Do you object to working weekends and or holidays?

List all employment, both full and part time. Please put your present or most recent job first. If you need more space, you may attach additional sheets. Include military service and temporary or part time jobs in their proper time sequence.

List all employment, both full and part time.

Please put your present or most recent job first. If you need more space, you may attach additional sheets. Include military service and temporary or part time jobs in their proper time sequence.
This department participates in the DeKalb County Drug Free Workplace program and several positions in this department are considered Safety Sensitive positions. Please answer the following questions relative to the Drug Free Workplace program:
Do you drink alcoholic beverages?
Have you ever used marijuana or any illegal drug/substances?
CRIMINAL HISTORY INFORMATION:
Have you ever been arrested?
Have you ever been CONVICTED of an offense against the law or are there pending criminal charges against you for any violation of the law? (YOU MAY OMIT TRAFFIC VIOLATIONS FOR WHICH YOU PAID LESS THAN $100 IN FINES AND ANY OFFENSES COMMITTED BEFORE YOUR 18TH BIRTHDAY WHICH WERE ADJUDICATED IN JUVENILE COURT):
Were you ever Court Marshaled or were you the subject of a Summary Court, Deck Court, Captains Mast, Company Punishment or any other disciplinary action while a member of the Armed Forces?

PERSON TO BE NOTIFIED IN THE EVENT OF AN EMERGENCY:

Address

AFFIDAVIT AND RELEASE OF INFORMATION

I certify that the information given by me in this application is true and complete to the best of my knowledge, knowing that any false information, misrepresentation, or concealment of fact is sufficient grounds for my application to be rejected or, if employed, my employment terminated.

I understand and agree that all information in this application may be verified by the APPOINTING AUTHORITY. I further understand that I may be removed from consideration or terminated in the event a medical examination given by DeKalb County Government discloses information about which is considered disqualifying. I hereby authorize all individuals and organizations named or referred to in this application and any law enforcement organization to give the DeKalb County State Court Probation Office all information relative to my employment, education, physical/mental health, and character, and hereby release such individuals, organizations, DeKalb County, DeKalb County State Court Probation Office or its employees from any liability for any claims or damages which may result.

I understand that a pre-employment drug screen may be required, and that random urinalysis may be required as a condition of my employment. I voluntarily and willingly agree to submit to a pre-employment drug screen and random urinalysis as required by the Appointing Authority.

I understand that neither this application nor a commitment of employment by the DeKalb County State Court Probation Office constitutes a contract of employment.

Clear Signature

EMPLOYEES OF THE STATE COURT OF DEKALB COUNTY ARE MERIT-EXEMPT STATUS EMPLOYEES AND ARE NOT SUBJECT TO THE PERSONNEL CODE RULES ADOPTED BY THE BOARD OF COMMISSIONERS OF DEKALB COUNTY. EMPLOYEES OF THE STATE COURT ARE APPOINTED AND SERVE AT THE PLEASURE OF THE APPOINTING EMPLOYER.

APPLICATIONS ARE VALID FOR SIX (6) MONTHS FROM THE DATE RECEIVED.

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