STATE OF GEORGIA
STANDARD APPLICATION FOR EMPLOYMENT
An Equal Opportunity Employer
Complete information on searching for jobs with the State of Georgia and an on-line application procedure may be found at
http://team.georgia.gov/careers.
Utilizing the Team Georgia Careers website is the preferred method for applying for State of Georgia jobs.
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First Name |
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Middle |
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Street or Mailing Address |
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Apartment No. |
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EMPLOYMENT ELIGIBILITY:
To be employed by the State of Georgia, you must meet certain State and Federal employment eligibility requirements.
These include (but are not limited to) United States citizenship or authorization to work in this country, positive rehire status if previously employed by the State, and no disqualifying criminal convictions (for some jobs).
Please answer the following questions.
1.Are you 18 years of age or older?
2.Are you a current State of Georgia employee?
3.Have you been dismissed from a State of Georgia government position?
TYPE OF WORK:
Specific Job Title Sought |
Requisition ID |
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SOURCE:
Please indicate how you heard about this job:
☐ Agency Website |
☐ Other |
☐ Broadcast |
☐ Professional Associations |
☐ Career Fair |
☐ Referral |
☐ Direct Mail |
☐ Social Network Service |
☐ Job Board |
☐ Talent Exchange |
☐ Magazines & Trade Publications |
☐ Team Georgia Careers |
☐ Newspapers |
☐ University/Campus Recruiting |
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☐ Unsolicited |
(DOAS 27-1) Rev. 02-2015 |
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STATE OF GEORGIA
STANDARD APPLICATION FOR EMPLOYMENT
An Equal Opportunity Employer
EDUCATION:
High School Graduate or Equivalent (GED)?
☐Yes |
☐No |
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College/Technical School |
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Program |
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Institution |
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City/State |
Education Level |
Major |
Hours |
Minor |
Hours |
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(Achieved) |
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LICENSES AND CERTIFICATIONS:
Type of License/Certificate |
License/Certificate Number |
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Specialization/ Endorsements
WORK HISTORY:
Describe your work history below beginning with your current or most recent job.
If you need more space, print out the supplemental work history page and attach to the application.
You may attach a resume to supplement your work history information.
Current or Last |
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Employer |
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Start Date |
End Date |
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Supervisor’s Name |
Supervisor’s Title |
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Supervisor’s |
May We Contact the Supervisor? |
Phone |
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Number |
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Achievements
(DOAS 27-1) Rev. 02-2015 |
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STATE OF GEORGIA |
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STANDARD APPLICATION FOR EMPLOYMENT |
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An Equal Opportunity Employer |
Employer |
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Start Date |
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End Date |
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Supervisor’s Name |
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Supervisor’s Title |
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Supervisor’s |
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May We Contact the Supervisor? |
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Achievements
Employer |
Function |
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Start Date |
End Date |
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Supervisor’s Name |
Supervisor’s Title |
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Supervisor’s |
May We Contact the Supervisor? |
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Number |
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Achievements
CERTIFICATION: Read carefully before signing and dating. Unsigned applications will not be processed.
By signing below, I certify/confirm that my application, resume, and any document enclosed as part of submission for the job is accurate and complete to the best of my knowledge. I understand that state employers will verify the information provided. I further understand that omitting or providing false information on this form, or any other subsequent application materials, will be sufficient reason to disqualify me from consideration for employment, or immediate dismissal if I am employed
Signature:Date:
(DOAS 27-1) Rev. 02-2015 |
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STATE OF GEORGIA
STANDARD APPLICATION FOR EMPLOYMENT
An Equal Opportunity Employer
EQUAL EMPLOYMENT OPPORTUNITY
SELF IDENTIFICATION FORM
The State of Georgia provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the State of Georgia complies with applicable state and laws governing nondiscrimination in employment in every location in which the State of Georgia has facilities. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer leaves of absence, compensation, and training.
The information you provide in this section is optional. The information will be used by state agencies to comply with Federal guidelines for monitoring the equal employment opportunity efforts of the State of Georgia and for no other reason. Your answers will be will not be used against you in any way.
Race/Ethnicity
☐American Indian or Alaska Native
☐Asian
☐Black or African American
☐Hispanic or Latino
☐Native Hawaiian or Other Pacific Islander
☐Two or More Races
☐White
☐I do not wish to provide this information
Gender
☐Female
☐Male
☐I do not wish to provide this information
Veteran
The laws of the State of Georgia afford some degree of preference to veterans in certain initial employment decisions. If you believe you belong to any of the categories of veterans listed below and have not been dishonorably discharged, please indicate by checking the appropriate box below. DD214 and/or other supporting documents will be required.
☐ US Armed Forces Veteran |
☐ Disabled Veteran (at least 10% disability) |
☐ Disabled Veteran’s Spouse |
☐ Deceased Veteran’s Widow/Widower |
For Agency Use:
(DOAS 27-1) Rev. 02-2015 |
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