APPLICATION FOR EMPLOYMENT

Equal access to programs, services and employment is available to all persons. Applicants requiring accommodations to the application and/or interview process should notify a representative of the Personnel Office.

CARBON COUNTY (referred to as “the COUNTY”) only employs those individuals authorized to work in the United States.

Applicants selected for employment with the COUNTY will be required to pass a physical examination and pre-employment drug screen. Applicants will also be required to satisfactorily pass a criminal background check. Additional background checks may be required depending on the position.

Information Regarding Social Security Number Disclosure

*Privacy Act Notice: As an applicant, disclosure of your social security number is voluntary and will not disqualify you from applying for a position. If you are hired, Section 6109 of the Internal Revenue Code requires you to give your valid social security number to persons who must file information returns with the IRS to report certain information such as earnings and payroll taxes. The COUNTY confidentially maintains your social security number for identification purposes and appropriate uses related to document matching and administering benefits. THE COUNTY will provide information to the IRS, to any third party who provides this information to the IRS on behalf of THE COUNTY and may provide this information to other agencies only if required to comply with federal or state laws.

THE COUNTY is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, national or ethnic origin, disability, marital status, veteran status, or any other classification prohibited by federal, state, or local law. THE COUNTY adheres to and upholds the mandate set by the Utah Right to Work Law in that the right of persons to work for the COUNTY “shall not be denied or abridged on account of membership or non-membership in any labor union, labor organization or any other type of association.” The exercise of this right to work is “protected and maintained free from undue restraints and coercion.” (Utah Code Ann. §§ 34-34-1 to -17)

THE COUNTY is a smoke-free environment and, as such, prohibits smoking in all facilities and vehicles.

THE COUNTY is a drug-free workplace.

This application is merely an application for employment and not an employment agreement and should not be construed as such. Additionally, the statements in the applications should not be construed to impose any contractual obligation on THE COUNTY.

This information is voluntary; however, disclosure of this information is required if you wish to be given preference:

I certify that the information I provided in this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of facts in this application disqualifies me from further consideration.

I authorize CARBON COUNTY to investigate all statements contained in this application and understand that I may be required to provide verification (diploma, license, transcripts, etc.) of information contained in this application.

I understand that the COUNTY may perform a criminal history background check as necessary for the sole purpose of assisting the qualified person to make employment or promotion decisions about me. I understand that to be considered as a formal applicant, the position for which I am applying must be specifically identified as open, and recruitment for the position going on at the time this application is received by the Human Resources Department. Further, I understand that I have the right to review and respond to any information obtained by the COUNTY pursuant to this release and that I must make a written request to review and/or respond to this information.

I understand that any employment offer is contingent upon the following:

• (1) producing documents establishing my eligibility to work in the United States;
• (2) satisfactorily passing criminal background and reference checks, and
• (3) complying with the COUNTY’S pre-employment application procedures. I hereby release THE COUNTY, County Commission, and any other agents or agencies representing THE COUNTY from any damages of, or resulting from furnishing the information described above.

By signing my name and submitting this application to THE COUNTY, I acknowledge that I have read the certification and release for information and agree to abide by its terms.