EDUCATION
U.S. MILITARY RECORD
If yes, please give the dates of service:
CRIMINAL RECORD
EMPLOYMENT BACKGROUND
Start with present or most recent job and work backwards. Omit Military Service. Please list each employer for the past 10 years.
Upload File
Optional – Attach additional work history if necessary - PDF submissions only (max file size 2mb)
Job 1
Job 2
Job 3
Job 4
PLEASE READ CAREFULLY BEFORE SIGNING THIS APPLICATION
I authorize the county to investigate all statements in this application and to secure any necessary information from all my employers, references, and academic institutions. I hereby release all of those employers, references, academic institutions. I hereby release all of those employers, references, academic institutions, and the county from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with the county. I understand that any false or misleading statements will be sufficient cause for rejection of my application if the county has not employed me and for immediate dismissal if the county has employed me. In the event of my employment with the county, I will comply with all official policies of the county set forth in any county policy manual or other communications distributed by the county.
RELEASE AND WAIVER
Mississippi County Sheriff's Department
Having received a conditional offer of employment from the above listed law enforcement agency, I hereby authorize any law enforcement officer or other authorized representative of the above agency bearing this release or a copy or facsimile of it, within one (1) year of its date, to obtain copies of any information in your files, pertaining to my employment, including but not limited to documents concerning my credit history or education, academic achievement, attendance, athletics, person history, work performance, background investigation, polygraph examinations, and any and all internal affairs investigations and discipline, including any files which are deemed to be confidential, and/or sealed.
I hereby direct you to release this information upon request of the bearer. This release is executed with full knowledge and understanding that the information is for the official use of the law enforcement agency.
Consent is granted to the above listed law enforcement agency to furnish the information described above third parties in the course of fulfilling its official responsibilities. I further understand that I waive any right or opportunity to read or review and information provided in the background investigation report prepared by the above listed law enforcement agency.
I hereby release you, as my employer, former employer or representative of either of them, any school, college university or other educational institution, credit bureau, lending institution, consumer reporting agency, or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, or my assigns because of compliance with this authorization and request to release information, or any attempt to comply with it.
If you have any questions as to the validity of this release, you may contact me as indicated below.
I understand that I have the right to receive a copy of this authorization and acknowledge that I have received a copy.
MISSISSIPPI COUNTY
NOTICE TO APPLICANTS
1. County Policy
It is the County's policy to provide equal opportunity for all qualified persons; to prohibit unlawful discrimination in employment practices, compensation practices, personnel procedures, and the administration of benefit plans; and to otherwise provide the same or similar treatment and opportunities, to all persons similarly situated.
2. Constitutionally Protected Conduct
A. It is the policy of this county not to violate the Constitution or the laws of Arkansas or the United States.
B. Should any applicant contend that he or she has been unlawfully discriminated against because of the race, color, religion, gender, national origin, or disability or that he or she has been unlawfully punished for the exercise of a constitutionally protected liberty right (e.g., free speech, free association, political patronage, access to courts, privacy, etc.) or treated in any other unlawful or unconstitutional manner, the applicant shall request, in the time and manner set forth in this county employment policy, a "liberty right" hearing before the county grievance committee to provide the county's final policymaker with authority an opportunity to learn of the alleged unlawful discrimination or unlawful punishment and to thereby have an opportunity to voluntarily conform the conduct of county officials and county employees to the requirements of county policy.
3. Grievance Hearing Procedure
Caveat: The purpose of this Grievance Hearing Procedure is to establish a required procedure to resolve applicant grievances, and to thereby enable the county to voluntarily conform the conduct of county officials and county employees to the requirements of county policy. If the applicant does not follow this affirmatively required county grievance procedure, the county will raise waiver and estoppel as affirmative defense to any claims against the county filed by the applicant via any administrative or judicial procedures otherwise available to redress grievances.
A. Timely Requests for Grievance Hearing:
1. The applicant's grievance hearing request shall be delivered to the County Grievance Committee in care of the County Judge no later than four-thirty o'clock (4:30) p.m. on the third full business day (weekends and holidays excluded) after any claimed deprivation for which a grievance hearing is requested.
2. The Grievance Committee shall respond in writing to all timely submitted Grievance Hearing Requests stating:
a. the time and place of the hearing, if the hearing request is granted, and
b. the reason for denial, if the hearing request is denied.
G. Hearing Issues and Burdens of Proof:
1. Claims of discrimination due to race, color, religion, gender, or national origin.
a. The grieving applicant has the burden of proving by a preponderance of the evidence that he or she is being treated or affected differently than another person who, other than for race, color, religion, gender, or national origin, is similarly situated with the applicant or the employee.
b. Where the applicant meets his or her burden of proof, the supervisory official has the burden of proving by a preponderance of the evidence that the proven inequality of treatment is necessary to effectuate a compelling county objective.
2. Claims of Discrimination Due to a Disability
a. The grieving applicant has the burden of proving by a preponderance of the evidence that he or she is a qualified individual with a disability who, because of the disability, is being treated or effected differently than another person in regard to job application, procedures, advancement, dismissal, compensation, training, or other terms, conditions, or privileges of employment.
b. Where the applicant meets his or her burden of proof, the supervisory official has the burden of proving by a preponderance of the evidence that the proven difference in treatment or effect is job-related and necessary to effectuate a legitimate county objective, that performance of the job cannot be accomplished by reasonable accommodation, or that the needed accommodation would result in undue hardship on the county.
4. The following definitions apply to claims of discrimination due to a disability.
A. "Disabled" or "disability": A physical or mental impairment that substantially limits one or more of the major life activities of an individual; hearing a record of such an impairment; or being regarded as having such an impairment.
B. "Regarded as having such an Impairment": Includes those with conditions such as obesity or cosmetic disfigurement, and individuals perceived to be at high risk of incurring a work-related Injury.
C. "Discrimination" includes:
1. Limiting, segregating, or classifying a job applicant or employee in a manner that adversely affects his or her opportunities or status;
2. Participating in contractual or other arrangements that have the effect of subjecting individuals with disabilities to discrimination;
3. Using standards, criteria, or methods of administration in such a manner that results in or perpetuates discrimination;
4. Imposing or applying tests and other selection criteria that screen out or tend to screen out an individual with a disability or a class of individuals with disabilities unless the test or selection criteria are job-related and consistent with business necessity;
5. Failing to make reasonable accommodations to the known limitations of a qualified individual with a disability unless the covered entity can demonstrate that an accommodation would impose an undue hardship on the operation of the business; or
6. Denying employment opportunities because a qualified individual with a disability needs reasonable accommodations.
D. "Reasonable accommodation" examples include:
1. Making existing facilities used by employees readily accessible to the disabled;
2. Job restructuring;
3. Flexible or modified work schedules;
4. Reassignments to other positions; and
5. The acquisition or modifications of equipment or devices.
E. "Undue hardship": an action requiring "significant difficulty or expense," considering:
1. The overall size of the county with respect to the number of employees, number and type of facilities, and size of the budget;
2. The type of operation maintained by the county including the composition and structure of the work force of that entity; and
3. The nature and cost of the accommodation needed.
F. "Qualified individual with a disability": an individual with a disability who, with or without reasonable accommodation, can perform the "essential functions" of the employment position held or desired.
G. “Essential functions": job tasks that are fundamental but not marginal (not every job task is to be included in determining the essential functions).
