Road Maintenance Department Application – Jefferson Township, Fayette County, Ohio

Jefferson Township
Road Maintenance Department Application for Employment

We are an Equal Opportunity Employer. Applicants are considered for all positions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, marital or veteran status, or any other legally protected status in accordance with applicable federal, state, and local laws.

Section 1: Position Details

Application Date(Required)

Department(s) Applied For(Required)

Road Maintenance

Cemetery

General Hand

Mowing

Snow Removal

Section 2: Personal Information

Full Name(Required)

Prefix First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Section 3: Work Eligibility & Availability

Are you legally authorized to work in the U.S.?(Required)

Yes

Do you have a valid Ohio driver’s license?(Required)

Yes

Available Start Date(Required)

Available Days of the Week(Required)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred Work Hours(Required)

Mornings

Afternoon

Full Day

Section 4: Education

Highest Level of Education Completed(Required)

School Name

School Location

Section 5: Employment History

Employer Name(Required)

First Last

Start Date of Employment(Required)

End Date of Employment

Job Title(Required)

Job Description(Required)

Reason For Leaving

May we contact this employer?(Required)

Yes

Section 6: Skills & Qualifications

Describe any equipment, tools, or machinery you're familiar with (e.g., mower, trimmer, shovel, small engine tools)(Required)

List any physical work or outdoor labor experience(Required)

Briefly describe why you’re interested in seasonal work with Jefferson Township(Required)

Section 7: Ohio BCI Background Check Requirement

You are required to obtain a State of Ohio BCI Background Check from Fayette County Sheriff’s Office.

Contact: Fayette County Sheriff’s Office

Address: 1500 Robinson Road SE, Washington Court House, OH 43160

Phone: 740-335-6170 (call to schedule an appointment)

Important: Fees are the applicant's responsibility. Online background checks are not accepted.

Please allow 10–20 days for background check processing.

Section 8: References

Reference #1

Reference Name(Required)

First Last

Reference Phone(Required)

Relationship (Not a relative or previous employer)(Required)

Reference #2

Reference Name(Required)

First Last

Reference Phone(Required)

Relationship (Not a relative or previous employer)(Required)

Reference #3

Reference Name

First Last

Reference Phone

Relationship (Not a relative or previous employer)

Section 9: Applicant Declaration

I certify that all information is true and complete.
I authorize investigation of all statements.
I understand false information may disqualify me or result in termination.
I agree to abide by all rules and regulations if employed.
I understand physical and drug testing may be required.
I understand this application is valid for 1 year.

Applicant Signature(Required)

Prefix First Last

Date

Road Maintenance Dept. Application

Section 1: Position Details

Section 2: Personal Information

Section 3: Work Eligibility & Availability

Section 4: Education

Section 5: Employment History

Section 6: Skills & Qualifications

Section 7: Ohio BCI Background Check Requirement

Section 8: References

Section 9: Applicant Declaration