Road Maintenance Dept. Application

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

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Department(s) Applied For(Required)

Section 2: Personal Information

Full Name(Required)
Address(Required)
Email(Required)

Section 3: Work Eligibility & Availability

Are you legally authorized to work in the U.S.?(Required)
Do you have a valid Ohio driver’s license?(Required)
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Available Days of the Week(Required)
Preferred Work Hours(Required)

Section 4: Education

Section 5: Employment History

Employer Name(Required)
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May we contact this employer?(Required)

Section 6: Skills & Qualifications

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)
Reference #2
Reference Name(Required)
Reference #3
Reference Name

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)
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