Arkansas Employment Application Form PDF Details

In navigating the complexities of job applications within the state's public sector, the Arkansas Employment Application form serves as a pivotal document for aspirants seeking employment opportunities with the State of Arkansas and its subdivisions. This comprehensive form operates under a commitment to nondiscrimination, asserting a welcoming stance towards applicants irrespective of sex, race, color, national origin, disability, age, religion, political affiliation, or past convictions that do not unequivocally bar employment. It underscores the state's adherence to public transparency by highlighting the applicability of the Arkansas Freedom of Information Act to filed applications. Furthermore, the document clarifies the absence of any employment contract through application submission, underscoring the at-will nature of potential employment and the necessity for proof of eligibility to work in the U.S. as per the Immigration Reform and Control Act of 1986. Accommodations for qualified applicants with disabilities, as per the Rehabilitation Act of 1973 and Americans with Disabilities Act of 1990, are assured. An EQUAL EMPLOYMENT DATA section is designed to aid in fulfilling state and federal reporting requirements, albeit its completion is volunteered, ensuring applicants' discretion in providing sensitive information. The addition of a segment on military history caters to potential eligibility for veterans' preference, inclusive of the spouses and widows/widowers of qualified veterans, with a requirement for supporting documentation. This introduction to the job application process within the Arkansas State Government encapsulates the form's structure, from personal data, employment preferences, educational and work history, to specific instructions on application submission, providing a roadmap for prospective employees in navigating their application journey effectively.

QuestionAnswer
Form NameArkansas Employment Application Form
Form Length11 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 45 sec
Other namesark unemployment claims, ar employment application, arkansas employment application, arkansas unemployment application

Form Preview Example

State of Arkansas

Employment Application

■Applications for employment with the State of Arkansas, or any subdivision thereof, are accepted without regard to sex, race or color, national origin, handicap/disabiIity, age, religion, or politi- cal affiliation. Conviction of a crime does not automatically bar any applicant from employment or other opportunities with the State of Arkansas.

■Applications, once filed, may be subject to disclosure as a public record under the Arkansas Freedom of Information Act.

■Applications filed do not create a contract of employment with the State of Arkansas or any of its subdivisions. If any individual is hired, employment is not for any definite period of time. Individuals hired will also be required to provide proof of eligibil- ity to work in the United States pursuant to the Immigration Reform and Control Act of 1986.

■Qualified applicants with disabilities, as defined in the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, may request any needed accommodations to par- ticipate in the application process.

Rev. 11/92 PDF 2/99

EQUAL EMPLOYMENT DATA This section is designed to collect information which will be

used in the completion of various state and federal reports and will not be used in the processing of, or remain part of, your application. The completion of this section is voluntary.

Applicant's Name ______________________________________________________

Social Security Number________________________

Date of Birth___________________

❑ Male

❑ Female

■Check one of the four (4) listed which you consider yourself to be:

❑White (Descendant of the original peoples of Europe, North Africa, or the Middle East)

❑Black (Descendant of the black racial groups in Africa)

❑American Indian or Alaskan Native (Descendant of any of the original peoples of North

America, and who maintains cultural identification through tribal affiliation or community recognition)

❑Asian or Pacific Islander (Descendant of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands)

Do you consider yourself to be- Hispanic (A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish Culture origin, regardless of race)? ❑ Yes ❑ No

■Military History

If you believe you may be eligible for veterans preference consideration, complete this section. The Arkansas Veterans Preference Act states specific requirements which must be met in order to be eligible for veterans preference. Under certain conditions spouses, widows, or widowers of qualified veterans may also be eligible for veterans preference. For considera- tion of veterans preference, proof such as a DD-214, current letter from the Veterans Administration, or other official documentation may be required. Specific questions regarding veterans preference should be addressed to individual state agency personnel offices.

Have you served on active duty in the United States military, excluding Active Duty for Training (AcDuTra) and Reserve Military Annual Training (AT)?❑ Yes ❑ No

Branch of service________________________________________________________

Date of entry ___________________________________________________________

Date of discharge _______________________________________________________

Type of discharge _______________________________________________________

■How did you learn of this job opening?

❑Newspaper

❑Employment Security Department

❑Agency announcement

❑Educational Institution. Name of Institution:_________________________________

❑Other Explain: _______________________________________________________

APPLICATION FOR EMPLOYMENT

Please answer all questions which apply to you. If they do not apply, mark them N/A. Please print, type or write legibly.

LASTNAME

FIRSTNAME

 

 

MIDDLE NAME

 

 

 

 

 

 

COMPLETE MAILINGADDRESS

CITY

STATE

ZIPCODE

 

COUNTY

 

 

 

 

 

 

HOMEPHONENUMBER

WORKPHONENUMBER

MESSAGEOROTHERPHONENUMBER

Position(s) for which you are applying (give title(s) and position number(s) if known):

1._______________________________________________________________________

2._______________________________________________________________________

3._______________________________________________________________________

4._______________________________________________________________________

EMPLOYMENT STATUS SECTION

Will you accept employment anywhere in the State? . . . . . . . . . . . . . ❑ Yes❑ No

If no, where would you accept employment?____________________________________________________

Will you accept any type of employment?

❑ Yes

❑ No

If no, check which type(s) of employment you will accept. ❑ Full Employment

❑ Part Time ❑ Temporary

 

 

Have you ever filed an application for employment with this agency? . ❑ Yes

❑ No

If yes, what was your name at that time? ______________________________________________________

Have you ever been employed by Arkansas State Government? . . . . ❑ Yes❑ No

List professional license(s) relevant to position(s) for which you are applying. Give type of license, license number, date of expiration, and state. _________________________________________________________

_______________________________________________________________________________________

May we contact your current employer?

❑ Yes

❑ No

May we contact your former employer(s)?

❑ Yes

❑ No

EDUCATIONAL HISTORY

HIGH SCHOOL

Received:

❑ Diploma ❑ GED ❑ Certificate: Type Awarded:________________

If None, Highest Grade Completed _____

■List below post secondary schools, colleges, universities, trade/vocational, or other attended:

NOTE: For hours completed indicate whether semester hours, quarter hours, clock hours, etc.

Name and Location

From

To

Mo.

Yr.

Mo.

Yr.

 

 

 

 

 

 

 

 

Major/Minor

Hours

Completed

(see note below)

Degree/

Diploma

Awarded

Date

Graduated

WORK HISTORY

List all prior work experience, including military service, beginning with your most recent employment (include all work experience even if you do not believe that experience to be related to the position or positions for which you are applying). You may include vol- unteer or unpaid work as part of your history; however, you should include the number of hours per week which you performed these duties. If you do not have enough space to list all your work experience, use a separate sheet for continuation. If you wish to include a resume instead of completing the work history section, make sure all the requested information is included.

1.

Current or most recent employer

 

Business Phone number

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

Business Phone number

 

2.

Employer

 

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

Business Phone number

 

3.

Employer

 

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

4.

Employer

 

Business Phone number

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

5.

Employer

 

Business Phone number

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

Business Phone number

 

6.

Employer

 

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

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Completing segment 2 in arkansas employment application form

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WORKPHONENUMBER, ZIPCODE, and CITY in arkansas employment application form

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Completed , No, and Received Diploma GED inside arkansas employment application form

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A way to prepare arkansas employment application form portion 5

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