Online Employment Application

Brantley County Government

33 Allen Road Nahunta, Georgia 31553 0398 (912) 462-5256

All information provided on this application MUST BE COMPLETE so that all applications can be given equitable consideration. All qualified applicants will receive consideration for employment regardless of race, color, religion, sex, age, national origin or disability. Brantley County will hire only authorized workers, regardless of national origin. This application must be typed or printed. Please complete one application for each position for which you are applying. YOU MUST SIGN AND DATE YOUR APPLICATION IN INK. RESUMES ARE NOT ACCEPTED IN LIEU OF A COMPLETED APPLICATION.

INCOMPLETE APPLICATIONS MAY BE REJECTED

First Name
Last Name
Middle Name

Telephone

(Check all that apply)

NOTE: If offered employment you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligible for employment in the United States.

DRIVER’S HISTORY INFORMATION:

CRIMINAL HISTORY INFORMATION:

(Omit non-moving traffic violations/parking tickets and any offense which was finally adjudicated in a Juvenile Court or under a Youth Offender Law).

NOTE: An applicant convicted of a criminal offense involving the manufacture, distribution, trafficking, or sale of a controlled substance, dangerous drugs or marijuana, or convicted of any felony involving a violent crime such as assault with a deadly weapon, aggravated assault or murder are ineligible for employment with Brantley County Government. Such applicants shall be automatically rejected. Applicants convicted of any other felony will be considered on a case-by-case basis. An applicant who has been convicted of any felony or misdemeanor and has received a pardon from the appropriate State Pardons Parole Board shall be eligible for employment with Brantley County Government.

EDUCATION:

High School

(name of the high school or state authority issuing the diploma or certificate)

Colleges/Universities

Degree Earned

REFERENCES

Give names, addresses, and telephone numbers of three (3) references that ARE NOT related to you and ARE NOT previous employers.

Work History

Describe your work history beginning with your current or most recent job. Include military and volunteer

experience and periods of unemployment. Failure to give complete information regarding each job held may result in

your disqualification. Complete addresses with zip codes and telephone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of

completing this section.

Authorization to Release Information Conditions of Employment

I have made application for employment with Brantley County. I authorize any persons or organizations to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, whether or not it is in their records, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damage whatsoever for issuing same. Furthermore, if I am employed by Brantley County, I agree to conform to the policies, rules, orders and regulations of the government set forth in the Brantley County Government’s Personnel System, employee handbook, policies, and ordinances; and acknowledge that these policies, rules, and regulations may be changed, interpreted, withdrawn, or added to by the employer at any time, at the employer’s sole option. I further acknowledge that if I become employed with Brantley County, my employment will be at-will and may be terminated with or without cause at any time by me or by the employer until such time that I am no longer on my initial trial period, and become a regular status employee. If required by Brantley County Government for the position which I am applying, I consent to undergo a physical examination and/or psychological examination after I have received a conditional offer of employment, as deemed necessary. THIS APPLICATION WILL REMAIN ACTIVE FOR NINETY (90) DAYS ONLY UNLESS RENEWED PERSONALLY, BY ME IN WRITING.

Before an applicant can be employed with Brantley County, they must successfully pass a drug test. Should you become an employee with Brantley County, your position may require random drug testing.

You must sign the “Authorization to Release Information” form to enable us to contact prior employers, even

though we may not contact your present employer.

Clear

Alcohol and Controlled Substance Testing

As a condition of employment with Brantley County, you will be required to submit to an alcohol and controlled substance test.

Employees must, as a condition of employment, abide by our policies regarding the effects of drug use and the unlawful

possession of controlled substances. Employees are expected to report for work without the effects of illegal drugs and alcohol in

their bodily systems. Employees must report any conviction under a criminal drug statue for such violations. A report of the

conviction must be made within five (5) days after the conviction. (This requirement is mandated by the Drug-Free Workplace Act

of 1988). In order to be employed by Brantley County, you must successfully pass the aforementioned testing.

Clear

Applicant’s Certification and Agreement

Clear

ALL OFFICIAL APPLICATIONS MUST CONTAIN ORIGINAL SIGNATURES.

33 Allen road Nahunta, GA 31553

PHONE: 912.462.5256

© 2023 Brantley County

POWERED BY: Brantley County