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.

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
- No
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 able to type a minimum of 45 WPM after deductions for errors.
- 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 five most recent jobs, starting with your current or most recent employer first. 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 To

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
- No
How did this job end?
- Resigned
- Discharged
- Other
Reason for Leaving?
Would you like to list another job?
- Yes
- No
Company Name (Second Most Recent)
Dates Employed
Job Title From To

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?
Would you like to list another previous job?
- Yes
- No
Company Name (Third Most Recent)
Dates Employed
Job Title From To

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?
Would you like to list a 4th job?
- Yes
- No
Company Name (Fourth Most Recent)
Dates Employed
Job Title From To

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?
Would you like to list a 5th job?
- Yes
- No
Company Name (Fifth Most Recent)
Dates Employed
Job Title From To

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
- No
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
- No
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
- No
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
- No
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*
MM slash DD slash YYYY
Resume Upload (optional)
Accepted file types: doc, docx, pdf, Max. file size: 40 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: 40 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
This field is for validation purposes and should be left unchanged.

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Job Title	From	To

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ECSO Employment Application

Personal

Minimum Qualifications

Education

Employment History

Background

Acknowledgements