Job Application - Emergency Communications of Southern Oregon

ECSO Employment Application

ECSO is an equal opportunity employer. All applicants will be considered without regard to age, race, color, national origin, religion, sex, sexual orientation, gender identity, mental or physical disability or other protected status in accordance with applicable federal and state equal opportunity laws.

"*" indicates required fields

Personal

Full Name (First + Middle + Last)*

Email*

Phone*

Physical Address*

Street Address Address Line 2 City State ZIP Code

Do you have a separate mailing address?

Yes

Mailing Address

Street Address Address Line 2 City State ZIP Code

When would you be available for employment?*

Minimum Qualifications

Mark each box to affirm the statement is TRUE.*

ALL boxes must be checked for your application to be considered.

I am 18 years of age or older.

I graduated high school or have a General Education Degree.

I am a U.S.A. citizen or can prove eligibility to work in the U.S.A.

I am capable of typing a minimum of 40 WPM net on a standard computer keyboard

I understand that ECSO does not accommodate the use of marijuana in any form since marijuana is still illegal under federal law, despite it being legal in the State of Oregon.

I am willing to undergo a thorough personal history background check, a criminal history check, a psychological exam, a pre-employment drug screen, and a physical examination declaring my ability to perform the job duties.

Education

List any educational degrees or courses of study beyond high school.

Use the plus button to add rows.

List any other relevant certifications, skills, military experience, or volunteer activities.

Employment History

List your three most recent jobs, starting with your current or most recent employer. Include self-employed periods, part-time, or summer work and indicate dates. Do not skip over any jobs.

Company Name (Most Recent)

Dates Employed

Job Title

From

If you held more than one position with this same company, use the plus button above to add rows.

Description of duties

What did you like most about this job?

What did you like least about this job?

Are you currently employed at this job?

Yes

How did this job end?

Resigned

Discharged

Other

Reason for Leaving?

Job History (second entry):

Select this to enter your second most recent job

Select this if you have no more job history to enter

Company Name (Second Most Recent)

Dates Employed

Job Title

From

If you held more than one position with this same company, use the plus button above to add rows.

Description of duties

What did you like most about this job?

What did you like least about this job?

How did this job end?

Resigned

Discharged

Other

Reason for Leaving?

Job History (third entry):

Select this to enter your third most recent job

Select this if you have no more job history to enter

Company Name (Third Most Recent)

Dates Employed

Job Title

From

If you held more than one position with this same company, use the plus button above to add rows.

Description of duties

What did you like most about this job?

What did you like least about this job?

How did this job end?

Resigned

Discharged

Other

Reason for Leaving?

Background

Have you ever been convicted of (or pled guilty/no-contest to) a crime other than minor traffic violations?*

Yes

If yes, list the date, location, and charge of each offense, plus any explanation you would like considered.

Are you currently out on bail or awaiting trial on a pending criminal matter?*

Yes

If yes, list the date, location and charge.

Are you now, or have you ever been, a person or member of any organization, association, movement or group that advocates the overthrow of our constitutional form of government, or that has adopted a policy of advocating or approving the commission of acts of force of violence to deny other rights under the constitution of the United States of America, or that seeks to alter the form of government of the United States of America by unconstitutional means?*

Yes

If yes, explain:

Do you know of anything that might disqualify you for this position or prevent your full discharge of the official duties of the position?*

Yes

If yes, explain:

Acknowledgements

Please read the following statements carefully. Checkmark each box to affirm the statement is true.*

ALL boxes must be checked for your application to be considered.

I affirm that all answers and statements I have made on this application (and any supplementary materials) are true and complete without omissions. I understand that any false, misleading or incomplete information will be grounds for refusal to hire or for immediate discharge if I am employed.

I understand that I must have a passing score on the skill tests administered by ECSO before I will be offered an interview.

I understand that a complete character and personal history investigation will be conducted on all candidates who are selected to continue after the interview.

I understand that, if I am offered employment, a condition of being hired is my passing all five of the following: the character and personal history investigation; a criminal history check; a psychological exam; a pre-employment drug screen; and a physical examination declaring my ability to perform the job duties.

I understand that if I am hired I will be responsible for complying with all policies and rules of ECSO as they presently exist or are later modified.

I understand there is an 18-month probationary period, during which time an employee must demonstrate fitness for the position to continue employment.

Digital Signature:*

Printing your First Name + Middle Initial + Last Name will act as your digital signature. Only applications that are fully completed and signed are considered valid.

Date*

Resume Upload (optional)

Accepted file types: doc, docx, pdf, Max. file size: 128 MB.

If you have a resume you'd like to attach, please do so here. This is not required.

Cover Letter (optional)

Accepted file types: doc, docx, pdf, Max. file size: 128 MB.

If you have a cover letter you would like to attach, please do so here. You may also copy and paste the contents of your cover letter in the space below. This is not required.

CAPTCHA

Name

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