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Personal Information

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
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Position Information

Position Applied For*
Posting ID#
Type of employment desired*
1. Full Time
1. Part Time
1. Internship
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Education

Completed Education Level*
Please select your highest level of education.
High School
Address
College
Address
Degree
Other
Address
Degree
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Employment History

Present or Most Recent
Company
Position
Supervisor
Phone Number
May we contact your supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employed From - To (Date)
Salary
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employed From - To (Date)
Salary
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employed From - To (Date)
Salary
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References

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*
Equal Employment Opportunity Form Information
After signing and submitting this form, you will be sent to our Employee Information Form. Please do not close your browser window until you have completed both forms. Thank You!

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