Job Application

Baxter County Sheriff's Office

Application for Employment

[{"type":"header","subtype":"h3","label":"(All questions must be answered in full and all information provided)","className":"d-block"},{"type":"text","required":true,"label":"First Name","name":"First-Name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Middle Name","name":"Middle-Name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Last Name","name":"Last-Name","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"date","required":true,"label":"Today's Date","name":"Todays-Date","className":"col-md-6 col-lg-3"},{"type":"header","subtype":"h4","label":"List any other names or alias' that you use or have used in the past, including but not limited to maiden names, married names, adopted names and etc.","className":"d-block"},{"type":"text","label":"Other Names or Alias'","name":"List-of-other-names-used-in-past","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Address Street and/or PO Box","name":"Current-Address","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"City","name":"City","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"State","name":"State","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Zip Code","name":"Zip","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","subtype":"tel","required":true,"label":"Cell Phone","name":"Cell-Phone","className":"col-lg-4"},{"type":"text","label":"Home Phone","name":"Home-Phone","className":"col-lg-4","subtype":"text"},{"type":"text","subtype":"email","required":true,"label":"Email","name":"Email","className":"col-md-6"},{"type":"header","subtype":"h3","label":"Note: Employees of the Sheriff's Office must generally be citizens and residents of the State of Arkansas.","className":"d-block"},{"type":"date","required":true,"label":"Date of Birth","name":"DOB","className":"col-lg-4"},{"type":"text","required":true,"label":"Social Security Number (Required for a Background Check)","name":"SSN","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h3","label":"Note: Employees in a Law Enforcement position must be at least 21 years of age. Employees in the Detention Center and clerical staff must be at least 18 years of age.","className":"d-block"},{"type":"text","required":true,"label":"Place of Birth State:","name":"Place-of-Birth-state","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Place of Birth City:","name":"Place-of-birth-city","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"Drivers License Number","name":"DL-Number","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"State of Issue:","name":"DL-State-of-Issue","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Have you ever held a drivers license in another state?","inline":true,"name":"DL-in-another-state","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"select","label":"If yes, what state was the drivers license held in?  <div>(To select multiple states, hold down the Control key (Ctrl) on Windows or the Command key (⌘) on Mac, and then click on each state you want to select)</div>","name":"State-lic-held-in","multiple":true,"className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"text","label":"If yes, what name was the drivers license held under?","name":"DL-name-other-state","className":"col-md-6","subtype":"text"},{"type":"header","subtype":"h3","label":"Note: Employees of the Sheriff's Office must generally have a valid drivers license or be able to obtain one immediately upon employment.","className":"d-block"},{"type":"text","required":true,"label":"What position are you applying for:","description":"Deputy, Reserve Deputy, Jailer, Secretary or Other Specific","name":"Position-applying-for","className":"d-block","subtype":"text"},{"type":"radio-group","required":true,"label":"Are you applying for:","name":"Are-you-applying-for","className":"d-block","values":[{"label":"Full Time","value":"option-1","selected":true},{"label":"Part Time","value":"option-2"},{"label":"Temporary","value":"option-3"}]},{"type":"checkbox-group","required":true,"label":"Are you a certified Law Enforcement Officer?","name":"checkbox-group-1776887557759","className":"d-block","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"If yes, where did you attend the academy?","name":"attend-academy","subtype":"textarea","className":"d-block"},{"type":"textarea","label":"What were the dates of attendance?","name":"attendance-dates","subtype":"textarea","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Have you ever worked for the County of Baxter in the past?","name":"Have-you-ever-worked-for-the-County-of-Baxter-in-the-past","className":"d-block","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"If yes, please identify office, position, dates of employment and immediate supervisor:","name":"textarea-1776887885487","subtype":"textarea","className":"d-block"},{"type":"text","required":true,"label":"What rate of pay do you expect for the position?","description":"$_____/per hour","name":"What-rate-of-pay-do-you-expect-for-the-position","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Note: All wages and compensation for each county position are determined by the Baxter County Quorum Court. The Quorum Court has established a wage grade and step scale that provides the minimum and maximum starting wage for each county job position.","className":"d-block"},{"type":"textarea","required":true,"label":"Why do you desire to work for the Sheriff's Office?","name":"Why-do-you-desire-to-work-for-the-Sheriffs-Office","subtype":"textarea","className":"d-block"},{"type":"header","subtype":"h4","label":"The Arkansas Commission on Law Enforcement Standards and Training (CLEST) and the Sheriff's Office have established minimum criteria that must be met before an applicant can be considered for employment. In order to determine whether the applicant meets those minimum qualifications, it is necessary that we ask the following questions:","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Have you ever been arrested for or convicted of any offense that would constitute a Felony crime in the State of Arkansas or any other state, territory or jurisdiction, regardless of whether the offense or case may have been expunged, sealed or otherwise held in abeyance?","name":"Have-you-been-arrested-or-convicted-Felony","className":"col-md-6","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"If yes, please explain in detail the circumstances of the arrest and/or conviction:","name":"-circumstances-of-the-arrest-andor-conviction","subtype":"textarea","className":"col-md-6"},{"type":"header","subtype":"h4","label":"Note: Arkansas law and Sheriff's Office policies prohibit the employment by the Sheriff's Office of any person who has pled guilty or nolo contendere to and/or has been convicted of a Felony crime.","className":"d-block"},{"type":"paragraph","subtype":"p","label":"(Notation: For the purpose of this application, an \"arrest\" is considered to have occurred by either being taken into custody, served with a criminal summons, issued a citation to appear by an Officer, or otherwise given notice to appear in Court to answer any Misdemeanor offense. Do NOT include traffic offenses other than Driving While Intoxicated or Driving Under the Influence of Alcohol, which should be included in your answer.)","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Have you ever been arrested for or convicted of any offense that would constitute a Misdemeanor crime in the State of Arkansas or any other state, territory or jurisdiction, regardless of whether the offense or case may have been expunged, sealed or otherwise held in abeyance?","name":"ever-been-arrested-for-or-convicted-of-any-offense-that-would-constitute-a-Misdemeanor-crime","className":"col-md-6","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"If yes, please explain in detail the circumstances of the arrest and/or conviction:","name":"If-yes-please-explain-in-detai","subtype":"textarea","className":"col-md-6"},{"type":"header","subtype":"h2","label":"EDUCATION:  (Note: A High School diploma or GED is required for employment with the Sheriff's Office.)","className":"d-block"},{"type":"text","required":true,"label":"High School (Name and Location):","name":"High-School-Name-and-Location","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Did you graduate and do you have a diploma?","name":"Did-you-graduate-and-do-you-have-a-diploma","other":true,"className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"checkbox-group","label":"If yes, can a copy be provided upon request?","name":"If-yes-can-a-copy-be-provided-upon-request---diploma","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"checkbox-group","label":"If you are not a High School graduate, do you have a GED?","name":"If-you-are-not-a-High-School-graduate-do-you-have-a-GED","other":true,"className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"checkbox-group","label":"If yes, can a copy be provided upon request?","name":"If-yes-can-a-copy-b","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"textarea","label":"College or University (Name and Location):","name":"College-or-University-Name-and-Location","subtype":"textarea","className":"col-md-6"},{"type":"textarea","label":"What type of degree do you have?","name":"What-type-of-degree-do-you-have","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Have you served in the Armed Forces?","name":"y-or-n-served-in-armed-forces","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"If yes, please give Branch, Dates of Service and Assignments:","name":"Branch-Dates-of-Service-and-Assignments","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"checkbox-group","required":true,"label":"Are you currently serving in the Armed Forces?","name":"currently-serving-in-the-Armed-Forces","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"checkbox-group","label":"Were you honorably Discharged?","name":"honorably-Discharged","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"If you were dishonorably discharged, please explain:","name":"-dishonorably-discharged-please-explain","subtype":"textarea","className":"col-lg-4"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h2","label":"EMPLOYMENT BACKGROUND:  ","className":"d-block"},{"type":"header","subtype":"h4","label":"(Begin with Current position first. At least 7 years of work history must be provided.)","className":"d-block"},{"type":"header","subtype":"h3","label":"Employer 1  (Present Employer or Most Recent)","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"Firm Name:","name":"job-1-firm-name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"Street or P.O. Box","name":"street-or-po","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"City","name":"city-job-1","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"State","name":"State-job-1","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Zip code","name":"zip-job-1","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Dates of Employment:","className":"d-block"},{"type":"text","required":true,"label":"Beginning:","name":"Beginning-job-1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Ending:","name":"ending-job--1","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","required":true,"label":"Phone number of Business:","name":"Phone-number-of-Business-job-1","className":"col-lg-4"},{"type":"text","subtype":"tel","required":true,"label":"Salary:","name":"salary-job-1","className":"col-lg-4"},{"type":"textarea","required":true,"label":"Job Duties/Responsibilities: ","name":"Job-DutiesResponsibilities-job-1","subtype":"textarea","className":"col-md-6"},{"type":"text","required":true,"label":"Immediate Supervisor:","name":"Immediate-Supervisor-job-1","className":"col-md-6","subtype":"text"},{"type":"checkbox-group","label":"May we contact?","name":"May-we-contact-job-1","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"yes"}]},{"type":"textarea","required":true,"label":"Reason for leaving","name":"reason-for-leaving-job-1","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h3","label":"Employer 2","className":"d-block"},{"type":"text","label":"Firm Name:","name":"JOB-2---Firm-zName","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Street or P.O. Box","name":"job-2-street","className":"col-md-6","subtype":"text"},{"type":"text","label":"City","name":"Job-2-Czity","className":"col-lg-4","subtype":"text"},{"type":"text","label":"State","name":"Job-2-State","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Zip code","name":"zip-job-2","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Dates of Employment:","className":"d-block"},{"type":"text","label":"Beginning:","name":"Beginning-job-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Ending:","name":"Ending-job-2","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Phone number of Business:","name":"Phone-number-of-Business-job-2","className":"col-lg-4"},{"type":"text","subtype":"tel","label":"Salary:","name":"Salary-job2","className":"col-lg-4"},{"type":"textarea","label":"Job Duties/Responsibilities: ","name":"Job-DutiesResponsibilities--job-2","subtype":"textarea","className":"col-md-6"},{"type":"text","label":"Immediate Supervisor:","name":"Immediate-Supervisor-job-2","className":"col-md-6","subtype":"text"},{"type":"checkbox-group","label":"May we contact?","name":"May-we-contact-job-2","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"Reason for leaving","name":"Reason-for-leaving-job-2","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h3","label":"Employer 3","className":"d-block"},{"type":"text","label":"Firm Name:","name":"JOB-3---Firm-Name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Street or P.O. Box","name":"Street-or-PO-Box-job-3","className":"col-md-6","subtype":"text"},{"type":"text","label":"City","name":"City-job-3","className":"col-lg-4","subtype":"text"},{"type":"text","label":"State","name":"State-job-3","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Zip code","name":"Zip-code-job-3","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Dates of Employment:","className":"d-block"},{"type":"text","label":"Beginning:","name":"Beginning-job-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Ending:","name":"Ending-job-3","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Phone number of Business:","name":"Phone-number-of-Business-job-3","className":"col-lg-4"},{"type":"text","subtype":"tel","label":"Salary:","name":"Salary-job-3","className":"col-lg-4"},{"type":"textarea","label":"Job Duties/Responsibilities: ","name":"Job-DutiesResponsibilities-job-3","subtype":"textarea","className":"col-md-6"},{"type":"text","label":"Immediate Supervisor:","name":"Immediate-Supervisor-job-3","className":"col-md-6","subtype":"text"},{"type":"checkbox-group","label":"May we contact?","name":"May-we-contact-job-3","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"Reason for leaving","name":"Reason-for-leaving-job-3","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h3","label":"Employer 4","className":"d-block"},{"type":"text","label":"Firm Name:","name":"job-4-firm-name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Street or P.O. Box","name":"Street-or-PO-Box-job-4","className":"col-md-6","subtype":"text"},{"type":"text","label":"Street or P.O. Box","name":"Job-4-street","className":"col-md-6","subtype":"text"},{"type":"text","label":"City","name":"City-job-4","className":"col-lg-4","subtype":"text"},{"type":"text","label":"State","name":"State-job-4","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Zip code","name":"Zip-code-job-4","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Dates of Employment:","className":"d-block"},{"type":"text","label":"Beginning:","name":"Beginning-job-4","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Ending:","name":"Ending-job-4","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Phone number of Business:","name":"Phone-number-of-Business-job-4","className":"col-lg-4"},{"type":"text","subtype":"tel","label":"Salary:","name":"Salary-job-4","className":"col-lg-4"},{"type":"textarea","label":"Job Duties/Responsibilities: ","name":"Job-DutiesResponsibilities--job-4","subtype":"textarea","className":"col-md-6"},{"type":"text","label":"Immediate Supervisor:","name":"Immediate-Supervisor-job-4","className":"col-md-6","subtype":"text"},{"type":"checkbox-group","label":"May we contact?","name":"May-we-contact-job-4","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"Reason for leaving","name":"Reason-for-leaving-job-4","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h3","label":"Employer 5","className":"d-block"},{"type":"text","label":"Firm Name:","name":"Job-5-firm-name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Street or P.O. Box","name":"Job-5-po-box-","className":"col-md-6","subtype":"text"},{"type":"text","label":"City","name":"Job-5-city","className":"col-lg-4","subtype":"text"},{"type":"text","label":"State","name":"Job-5-state","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Zip code","name":"Job-5-zip","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Dates of Employment:","className":"d-block"},{"type":"text","label":"Beginning:","name":"Job-5-beginning","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Ending:","name":"Job-5-ending","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Phone number of Business:","name":"Phone-number-of-Business-job-5","className":"col-lg-4"},{"type":"text","subtype":"tel","label":"Salary:","name":"Salary-job-5","className":"col-lg-4"},{"type":"textarea","label":"Job Duties/Responsibilities: ","name":"Job-5-duties","subtype":"textarea","className":"col-md-6"},{"type":"text","label":"Immediate Supervisor:","name":"job-5-supervisor","className":"col-md-6","subtype":"text"},{"type":"checkbox-group","label":"May we contact?","name":"Job-5-may-we-contact","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"Reason for leaving","name":"Job-5-reason-for-leaving","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h3","label":"Employer 6","className":"d-block"},{"type":"text","label":"Firm Name:","name":"Job-6-firm-name","className":"col-md-6","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","label":"Street or P.O. Box","name":"Job-6-po-box","className":"col-md-6","subtype":"text"},{"type":"text","label":"City","name":"Job-6-city","className":"col-lg-4","subtype":"text"},{"type":"text","label":"State","name":"Job-6-state","className":"col-lg-4","subtype":"text"},{"type":"text","label":"Zip code","name":"Job-6-zip","className":"col-lg-4","subtype":"text"},{"type":"header","subtype":"h4","label":"Dates of Employment:","className":"d-block"},{"type":"text","label":"Beginning:","name":"Job-6-beginning","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Ending:","name":"Job-6-ending","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","subtype":"tel","label":"Phone number of Business:","name":"Job-6-phone","className":"col-lg-4"},{"type":"text","subtype":"tel","label":"Salary:","name":"Salary-job-6","className":"col-lg-4"},{"type":"textarea","label":"Job Duties/Responsibilities: ","name":"Job-6-duties","subtype":"textarea","className":"col-md-6"},{"type":"text","label":"Immediate Supervisor:","name":"Job-6-supervisor","className":"col-md-6","subtype":"text"},{"type":"checkbox-group","label":"May we contact?","name":"Job-6-contact","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"textarea","label":"Reason for leaving","name":"Job-6-reason-for-leaving","subtype":"textarea","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h2","label":"PERSONAL REFERENCES:","className":"d-block"},{"type":"header","subtype":"h4","label":"(You must give the complete and full name, current mailing address and telephone number of each person.)","className":"d-block"},{"type":"header","subtype":"h3","label":"Reference 1","className":"d-block"},{"type":"text","required":true,"label":"First and Last Name","name":"Ref-1-Name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Street or P.O. Box","name":"Ref-1-street","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"City","name":"Ref-1-city","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"State","name":"Ref-1-state","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Zip code","name":"Ref-1--Zip","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h3","label":"Reference 2","className":"d-block"},{"type":"text","required":true,"label":"First and Last Name","name":"Ref-2-name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Street or P.O. Box","name":"ref-2-street","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"City","name":"ref-2-city","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"State","name":"ref-2-state","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Zip code","name":"ref-2-zip","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"header","subtype":"h3","label":"Reference 3","className":"d-block"},{"type":"text","required":true,"label":"First and Last Name","name":"Ref-3-name","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"Street or P.O. Box","name":"-aref-3--street","className":"col-md-6","subtype":"text"},{"type":"text","required":true,"label":"City","name":"ref-3z1-city","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"State","name":"ref-z3-state","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Zip code","name":"rezf-3-zip","className":"col-lg-4","subtype":"text"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"                                          BAXTER COUNTY GOVERNMENT <div>                                                NOTICE TO APPLICANTS </div><div><br></div><div>1.     COUNTY POLICY </div><div><br></div><div>It is the County’s policy to provide equal opportunity for all qualified persons; to prohibit unlawful discrimination in employment practices, compensation practices, personnel procedures and the administration of benefit plans; and to otherwise provide the same or similar treatment and opportunities to all persons similarly situated.  </div><div><br></div><div>2.     200.14 CONSTITUTIONALLY PROTECTED CONDUCT </div><div><br></div><div>(1) It is the policy of the County to comply with the Constitutions and laws of the State of Arkansas and the United States, and the public policy of the State of Arkansas. </div><div><br></div><div>These laws include: </div><div>(i)          laws prohibiting unlawful discrimination based on race, color, national     </div><div>             origin, sex or gender, religion, age, disability, veteran or military status, </div><div>             genetic   information, or any other legally protected status; </div><div>(ii)        laws prohibiting retaliation for exercising a constitutionally protected     </div><div>             liberty  right (e.g., free speech, free association, political patronage, access </div><div>             to   courts, privacy, etc.)  </div><div>(iii)       laws requiring governmental action to be rationally related to a   </div><div>             conceivable legitimate government objective. </div><div><br></div><div>(2) Should any applicant, employee, or person requesting County assistance or services contend that he or she is the victim of unlawful discrimination, unlawful retaliation, or unlawful arbitrary government action, he or she shall request, in the time and manner set forth in this County Personnel Policy, a hearing before the County Grievance Committee to provide the County's final policymaker with notice of the alleged unlawful discrimination or unlawful retaliation or unlawful arbitrary government action, and the opportunity to voluntarily conform the conduct of the County, County officials, and County employees to the requirements of County policy (including conformity with the Constitutions and laws of the State of Arkansas and the United States, and the public policy of the State of Arkansas). </div><div><br></div><div>(3) Each full-time Baxter County Employee shall be permitted the privilege of carrying a firearm on County property, pursuant to Act 1259 of the State of Arkansas, within the guidelines of the plan created by Baxter County, Arkansas, as approved by the Baxter County Quorum Court on Ordinance No. 2016-14. </div><div><br></div><div>• Must possess a Concealed Carry license and provide the Baxter County Judge's Office with a copy of the license. </div><div><br></div><div>• Must successfully achieve qualification through the Civilian Response to Active Shooter (CRASE) class offered by the Baxter County Sheriff's Office. </div><div><br></div><div>3.     700.00 GREIVANCE AND HEARING PROCEDURE </div><div><br></div><div>700.01 Purpose </div><div><br></div><div>(1) The hearing shall be held in public if required by law (such as under the FOIA). The employee may, at any time, decline or end the hearing and accept the intended discipline or termination. </div><div><br></div><div>(2) The hearing shall be transcribed by a court reporter (not merely a tape recorder) upon request by the grieving employee or the employee's supervising elected official at the expense of the    requesting party. At the hearing, on the record, the parties shall suggest any desired hearing procedures and state any complaints regarding: </div><div>   (I)    the notice; </div><div>   (II)   the date, time, or location of the hearing; </div><div>   (III)  the opportunity to refute charges; and </div><div>   (IV)  the impartiality of any decision maker(s). </div><div><br></div><div>(3) Informal rules of procedure and evidence shall be followed at hearings: </div><div>   (I)    witnesses shall testify under oath; </div><div>   (II)   parties shall be allowed to be represented by legal counsel at their own           </div><div>           expense; </div><div>   (III)  parties shall be allowed to examine and cross-examine witnesses; </div><div>   (IV)  parties should be granted a reasonable continuance if requested prior </div><div>           to the   hearing in writing and if reasonably necessary for stated reasons to  </div><div>           prepare adequately for the hearing. </div><div><br></div><div>(4) The Grievance Committee will hear the evidence and argument offered by the parties and vote without public discussion or deliberation. Only the Grievance Committee's decision, expressed as a single word agreement or disagreement with the elected official's underlying employment action, but not the factual or legal reasoning, shall be announced publicly. No notes should be taken by members of the Committee. </div><div><br></div><div>(5) Public access to applicant or employee grievance records is authorized only if approved by the applicant or employee or authorized by the Arkansas FOIA.</div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"                             GENERAL INFORMATION AND NOTICES<div><br></div><div>1.     Any offer of employment for Deputy, Reserve Deputy, or Jailer will be conditional upon the applicant satisfactorily passing physical examination, psychological evaluation, fingerprint and background check and providing proof of U.S. Citizenship. These will be administered after an offer of employment is made. Any person failing to pass any of these requirements will not be eligible for employment or continued employment. </div><div><br></div><div>2.     Baxter County requires urinalysis drug screening before an offer of employment can be made. In addition, screening may be required anytime reasonable suspicion exists to believe an employee may be under the influence of a controlled substance.  Drug screening and breath or blood alcohol testing may also be required whenever any Baxter County employee is involved in a motor vehicle traffic accident or equipment accident while operating any motor vehicle or other equipment owned by the County of Baxter, if probable cause exists to believe the employee was under the influence of alcohol or drugs. </div><div><br></div><div>3.     Knowingly providing false or misleading information on a application for employment will be grounds for discharge from employment at the discretion of the Sheriff. </div><div><br></div><div>4.     The Office of Sheriff has established general orders, operational policies, procedures and guidelines that all employees must follow and abide by.  Failure to comply with those general orders, policies, procedures and guidelines will be grounds for disciplinary action, including discharge from employment at the discretion of the Sheriff. </div><div><br></div><div>                                              ACKNOWLEDGEMENT </div><div><br></div><div>The applicant hereby states and verifies that the information contained in this application for employment is correct and true to his or her knowledge and belief. The applicant understands that the Office of Sheriff may conduct a full and complete background investigation and may use the information provided in this application as a basis for said background, including contacting current and prior employers and personal references. The applicant hereby releases those employers, references, academic institutions, the Office of Sheriff and the Baxter county Government from any and all liability arising from their giving or receiving information about my employment history, academic credentials or qualifications and my suitability for employment with the County.  The applicant also certifies that he is in compliance with the Military Selective Service Act.  </div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"text","required":true,"label":"Signature of Applicant:","name":"Signature-of-Applicant","className":"col-lg-4","subtype":"text"},{"type":"date","required":true,"label":"Date Field","name":"date-end","className":"col-lg-4"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"}]