Form Center

1. Step One This section is complete This section is incomplete
2. Personal Information This section is complete This section is incomplete
3. Position Information This section is complete This section is incomplete
4. Education This section is complete This section is incomplete
5. Employment History This section is complete This section is incomplete
6. References This section is complete This section is incomplete
7. Equal Employment Opportunity Information This section is complete This section is incomplete
8. Disclaimer & Signature This section is complete This section is incomplete

Step One

E911 Consent Form
E911 Consent Form.
If you are applying for a position with the E911 Center, please click this link for the E911 Consent form.
Sheriff's Office Application
SO Application
If you are applying for a position with the Sheriff's Office, Please click this link for their application.
SO Jail Application
ECSO Jail Application
If you are applying for a position with the Sheriff's Office Jail, Please click this link for their application.
First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Have you ever been convicted of a violation of the law other than a minor traffic violation?*
1. Yes
1. No
Are you eligible to work in the United States?*
1. Yes
1. No
Are you a former employee?*
1. Yes
1. No
Are you related to a current employee
1. Yes
1. No
If yes, what is their name?
Upload Your Resume
Continue |Go Back

Please list two professional references.
Full Name*
Relationship*
Company*
Phone Number*
Full Name*
Relationship*
Company*
Phone Number*
Reference Waiver
This release sets forth the entire agreement between Effingham County Board of Commissioners and me, and I acknowledge that I have not relied upon any representation or statement.
To EFFINGHAM COUNTY BOARD OF COMMISSIONERS: I hereby grant permission for the Effingham County Board of Commissioners to make such investigations and/or inquiries of my personal, employment or financial and other related matters as may be necessary in arriving at an employment decision.
I understand and agree to release the Effingham County Board of Commissioners and its trustees, directors, officers, agents, employees, parents, subsidiaries, affiliated concerns, previous employers, schools, or any person or persons from any legal liability, claims, demands, damages, and causes of action of ever kind and nature arising out of, or resulting from or in connection with, submitting to the employment history verification and fingerprint-based criminal history check and any decision concerning employment made by the Effingham County Board of Commissioners, in whole or in part, based upon the results of such checks.
IN ACKNOWLEDGMENT OF THE ABOVE:
Full Name*
Date*
Date
Signature*
Continue |Go Back

The Effingham County Board of Commissioners is required to collect and maintain the information requested below consistent with Federal Equal Employment Opportunity laws. Your voluntary responses are treated in a highly confidential manner. This information is maintained separately from your application and will not be considered in the application evaluation process.
Job you are applying for*
Date of Birth*
Date of Birth
Sex*
1. Male
1. Female
Race: Select one only please
1. Hispanic or Latino
2. White (Not Hispanic or Latino)
3. Black or African American
4. Native Hawaiian or Other Pacific Islander
1. Asian
2. American Indian or Alaska Native
3. Two or More Races
Continue |Go Back

I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

I understand that the COUNTY may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.

Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

Leave This Blank: