Mississippi Job Application Form PDF Details

The Mississippi Job Application form is a comprehensive document designed for job seekers looking to join the workforce of the state of Mississippi. Managed by the Mississippi State Personnel Board located at 210 East Capitol Street, Suite 800, in Jackson, MS, this form acts as the first step for candidates to be considered for state employment. Prospective applicants are instructed to fill out the form with detailed personal information, educational background, and employment history, ensuring accuracy and completeness. It's noteworthy to mention the importance of attaching a "Supplemental Questions" page available on the MSPB website for certain positions, a step pivotal for the application's validity. Education sections demand information on high school, college, or university education levels, along with any degrees or credits earned, while the work history sections seek detailed descriptions of past employment. Additionally, the application inquires about any certificates and licenses held by the applicant, further tailoring the job search to match the applicant's qualifications. Potential employees are also asked about previous state employment, reduction in force, veteran status, and demographic information for federal reporting purposes - though this last part is optional and not used in employment decisions. Finally, with a declaration and signature, applicants certify the truthfulness of their application, consent to verification checks, and acknowledge the requirements to verify identity and employment eligibility under federal law. This structured approach ensures that the Mississippi State Personnel Board gathers pertinent information to match the right candidate with the right job opportunity efficiently.

QuestionAnswer
Form NameMississippi Job Application Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesms job application form, mississippi employment application get, ms job application get, ms state personnel board paper application

Form Preview Example

STATE OF M I SSI SSI PPI APPLI CATI ON

Re t u r n Com ple t e d Applica t ion t o: M ississippi St a t e Pe r son n e l Boa r d

210East Capit ol St reet , Suit e 800 Jackson, MS 39201

w w w . m spb. m s. gov

For St a ff/ Off icia l U se On ly

Re ce iv e d: __________________

I m por t a n t ! Ple a se Re a d Be for e y ou be gin t h e a pplica t ion pr oce ss:

Applica n t s m u st com ple t e a n d a t t a ch t h e “Su pple m e n t a l Qu e st ion s” pa g e w h e n a pp lica b le . This page is locat ed on t he MSPB

w ebsit e Job Openings scr een .

Scr oll dow n t o t he bot t om of t he scr een and click t he pr efer r ed j ob; w hen t he descr ipt ion is display ed,

click “ Pr int Job I nfor m at ion . ”

Applicat ions failing t o include t his page or lack ing sufficient infor m at ion w ill be r et ur ned t o t he applicant

as inv alid. Please ensur e y our applicat ion is r eceiv ed by t he closing dat e as indicat ed on t he j ob post ing.

 

 

 

 

 

 

 

- TYPE OR PRI N T I N BLACK I N K-

 

 

 

 

 

 

 

 

 

JOB I N FORM ATI ON

 

 

 

 

 

 

 

 

 

POSI TI ON # :

 

 

 

 

 

 

POSI TI ON TI TLE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSON AL I N FORM ATI ON

 

 

 

 

 

 

 

 

FI RST NAME

 

 

MI DDLE I NI TI AL

 

 

 

 

 

 

 

 

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CI TY

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

ZI P

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME PHONE

 

 

 

 

 

 

ALTERNATE PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTH AND DATE OF BI RTH

 

 

 

 

 

 

WHI CH METHOD DO YOU PREFER TO BE NOTI FI ED ABOUT YOUR

 

 

 

 

 

 

 

APPLI CATI ON STATUS?

 

EMAI L OR

PAPER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMAI L ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ED UCATI ON

 

 

 

 

 

 

 

 

 

WHAT I S YOUR HI GHEST LEVEL OF EDUCATI ON:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Som e High School

Som e College

 

 

 

 

 

Associat e’s Degree

 

 

 

 

Mast er ’s Degree

Doct or at e Degr ee

High School

Technical College

 

 

 

 

 

Bachelor ’s Degr ee

 

 

 

 

Specialist ’s

Degree

 

 

 

 

H I GH SCH OOL ED U CATI ON

 

 

 

 

 

 

 

 

DI D YOU GRADUATE FROM HI GH SCHOOL/ RECEI VE A G. E. D. ?

YES

NO

 

 

 

 

 

 

 

 

 

 

I F NO, WHAT WAS THE HI GHEST GRADE LEVEL COMPLETED?

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE/ UN I V ERSI TY ED UCATI ON

 

 

 

 

 

SCHOOL NAME

 

 

 

 

 

 

 

 

 

 

 

DEGREE RECEI VED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

 

DI D YOU GRADUATE?

 

 

 

 

SEMESTER

QUARTER

 

 

 

 

 

 

 

 

# OF UNI TS COMPLETED:

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL LOCATI ON ( CI TY/ STATE)

 

 

 

 

 

 

 

 

MAJOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL NAME

 

 

 

 

 

 

 

 

 

 

 

DEGREE RECEI VED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

 

DI D YOU GRADUATE?

 

 

 

 

SEMESTER

QUARTER

 

 

 

 

 

 

 

 

# OF UNI TS COMPLETED:

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL LOCATI ON ( CI TY/ STATE)

 

 

 

 

 

 

 

 

MAJOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

DEGREE RECEI VED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

DI D YOU GRADUATE?

 

 

 

 

 

 

 

 

 

SEMESTER

QUARTER

 

 

 

 

 

 

 

 

 

 

 

# OF UNI TS COMPLETED:

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL LOCATI ON ( CI TY/ STATE)

 

 

 

 

 

 

 

 

MAJOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REV 2/2012

CERTI FI CATES & LI CEN SES

TYPE

DATE I SSUED ( MONTH/ YEAR)

EXPI RATI ON DATE ( MONTH/ YEAR)

 

 

 

LI CENSE NUMBER

I SSUI NG AGENCY

SPECI ALI ZATI ON

 

 

 

 

 

 

TYPE

DATE I SSUED ( MONTH/ YEAR)

EXPI RATI ON DATE ( MONTH/ YEAR)

 

 

 

LI CENSE NUMBER

I SSUI NG AGENCY

SPECI ALI ZATI ON

 

 

 

 

 

 

TYPE

DATE I SSUED ( MONTH/ YEAR)

EXPI RATI ON DATE ( MONTH/ YEAR)

 

 

 

LI CENSE NUMBER

I SSUI NG AGENCY

SPECI ALI ZATI ON

 

 

 

W ORK H I STORY

DATES

 

EMPLOYER

POSI TI ON TI TLE

From

To

 

 

 

 

 

 

 

 

ADDRESS, CI TY, STATE

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

SUPERVI SOR ( NAME & TI TLE)

 

 

 

 

 

 

 

HOURS PER WEEK

 

SALARY

MAY WE CONTACT THI S EMPLOYER?

 

 

 

YES

NO

 

 

 

 

 

DUTI ES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES

 

EMPLOYER

POSI TI ON TI TLE

From

To

 

 

 

 

 

 

 

 

ADDRESS, CI TY, STATE

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

SUPERVI SOR ( NAME & TI TLE)

 

 

 

 

 

 

HOURS PER WEEK

 

SALARY

MAY WE CONTACT THI S EMPLOYER?

 

 

 

YES

NO

 

 

 

 

 

DUTI ES

2

REV 3/2012

W ORK H I STORY

DATES

 

EMPLOYER

POSI TI ON TI TLE

From

To

 

 

 

 

 

 

 

 

ADDRESS, CI TY, STATE

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

SUPERVI SOR ( NAME & TI TLE)

 

 

 

 

 

 

 

HOURS PER WEEK

 

SALARY

MAY WE CONTACT THI S EMPLOYER?

 

 

 

YES

NO

 

 

 

 

 

DUTI ES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATES

 

EMPLOYER

POSI TI ON TI TLE

From

To

 

 

 

 

 

 

 

 

ADDRESS, CI TY, STATE

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

SUPERVI SOR ( NAME & TI TLE)

 

 

 

 

 

 

HOURS PER WEEK

 

SALARY

MAY WE CONTACT THI S EMPLOYER?

 

 

 

YES

NO

 

 

 

 

 

DUTI ES

3

REV 3/2012

AGEN CY W I D E QU ESTI ON S

1 . ARE YOU CURRENTLY EMPLOYED WI TH THE STATE OF MS? YES

NO

2 . I F YOU ANSWERED “ YES” TO THE PREVI OUS QUESTI ON, I NDI CATE WHI CH AGENCY AND YOUR CURRENT JOB TI TLE. ( I F YOU PREVI OUSLY I NDI CATED “ NO” , PROCEED TO THE NEXT QUESTI ON. )

___________________________________________________________ _____________________________________________________________

 

 

( AGENCY NAME)

( CURRENT JOB TI TLE)

 

3

. HAVE YOU BEEN SEPRATED WI THI N THE LAST 12 MONTHS FROM THE STATE OF MS DUE TO A REDUCTI ON I N FORCE ( RI F) ? YES

NO

4

. I F YOU ANSWERED “ YES” TO THE PREVI OUS QUESTI ON, I NDI CATE WHI CH AGENCY, YOUR PREVI OUS JOB TI TLE, AND THE DATE OF YOUR RI F

 

SEPARATI ON. ( I F YOU PREVI OUSLY I NDI CATED “ NO” , PROCEED TO THE NEXT QUESTI ON. )

 

 

_______________________________________________

______________________________________

___________________________________

 

 

( AGENCY NAME)

( PREVI OUS JOB TI TLE)

( DATE OF RI F)

 

5

. ARE YOU A VETERAN OF THE ARMED FORCES? YES

NO

 

 

 

( I F YOU I NDI CATED “ YES” , YOU MUST ATTACH A COPY OF YOUR DD214 OR OTHER PROOF OF SERVI CES. )

 

 

6

. I F YOU ARE A VETERAN, WERE YOU DECLARED DI SABLED? YES NO

 

 

7 . ARE YOU AN ADULT MALE BORN ON OR AFTER JANUARY 1, 1960 WHO REGI STERED FOR SELECTI VE SERVI CE BETWEEN THE AGES OF 18 AND 25?

 

YES

NO

 

 

 

TO M EET TH E REQUI REM EN TS OF FED ERAL REGULATI ON S, M SPB N EED S TO COLLECT I N FORM ATI ON ON TH E QUESTI ON S BELOW FOR REPORTI N G PURPOSES ON LY. TH I S I N FORM ATI ON W I LL N OT BE USED FOR M AKI N G EM PLOYM EN T D ECI SI ON S. ( OPTI ON AL)

8 . I NDI CATE YOUR RACE

9 . I NDI CATE YOUR GENDER

10 . AGE GROUP:

AMERI CAN I NDI AN

MALE

UNDER 18

FEMALE

18 - 25

WHI TE

 

26 - 39

HI SPANI C

 

 

40 - 54

BLACK

 

 

55 - 69

ASI AN

 

 

70+

 

 

Ot her

 

 

 

 

 

AD D I TI ON AL I N FORM ATI ON

Addit ional I nfor m at ion ( ot her schools or t r aining; special qualificat ions; honors and aw ar ds; et c. ) :

APPLI CAN T D ECLARATI ON S

By signing t his applicat ion, I cer t ify t hat all st at em ent s m ade herein and on any at t ached docum ent s ar e t r ue and com plet e t o t he best of m y knowledge. I

aut horize t he ver ificat ion of t his infor m at ion by t he Mississippi St at e Per sonnel Boar d and any agency considering m e for em ploym ent . I

know t hat any

m isr epr esent at ion her ein m ay lead t o r ej ect ion of m y applicat ion, r em oval of m y nam e fr om t he list of eligibles, and/ or dism issal fr om

st at e ser vice. I

underst and t hat , as a condit ion of em ploym ent , I will be r equir ed t o pr esent docum ent at ion w hich verifies bot h m y ident it y and m y em ploym ent eligibilit y pur suant t o federal im m igr at ion law .

X _________________________________________________________________

_________________________________________________

SI GNATURE OF APPLI CANT

DATE

4

REV 3/2012

SU PPLEM EN TAL QU ESTI ON S

Applica n t s m u st com ple t e a n d a t t a ch t h e “Su pple m e n t a l Qu e st ion s” pa g e w h e n a pp lica b le . This page is locat ed on t he MSPB w ebsit e Job Openings scr een . Scr oll dow n t o t he bot t om of t he scr een and click t he pr efer r ed j ob; w hen t he descr ipt ion is display ed, click “ Pr int Job I nfor m at ion . ” Applicat ions failing t o include t his page or lack ing sufficient infor m at ion w ill be r et ur ned t o t he applicant as inv alid. Please ensur e y our applicat ion is r eceived by t he closing dat e as indicat ed on t he j ob post ing.

 

 

AD D I TI ON AL W ORK H I STORY

 

 

 

 

 

 

 

 

JOB I N FORM ATI ON

 

 

JOB NUMBER:

 

POSI TI ON TI TLE:

 

 

 

 

 

 

COLLEGE/ UN I V ERSI TY ED UCATI ON

SCHOOL NAME

 

 

 

 

 

 

DEGREE RECEI VED

 

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

DI D YOU GRADUATE?

 

SEMESTER

QUARTER

 

 

 

 

YES

NO

 

# OF UNI TS COMPLETED:

 

 

 

 

 

 

 

 

 

 

SCHOOL LOCATI ON ( CI TY/ STATE)

 

 

 

MAJOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL NAME

 

 

 

 

 

 

DEGREE RECEI VED

 

 

 

 

 

 

 

 

 

 

 

DATES ATTENDED

 

 

 

DI D YOU GRADUATE?

 

DATES ATTENDED

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHOOL LOCATI ON ( CI TY/ STATE)

 

 

 

MAJOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTI FI CATES & LI CEN SES

 

 

 

 

 

TYPE

 

 

 

DATE I SSUED ( MONTH/ YEAR)

 

 

EXPI RATI ON DATE ( MONTH/ YEAR)

 

 

 

 

 

 

 

 

 

LI CENSE NUMBER

 

 

 

I SSUI NG AGENCY

 

 

SPECI ALI ZATI ON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE

 

 

 

DATE I SSUED ( MONTH/ YEAR)

 

 

EXPI RATI ON DATE ( MONTH/ YEAR)

 

 

 

 

 

 

 

 

 

LI CENSE NUMBER

 

 

 

I SSUI NG AGENCY

 

 

SPECI ALI ZATI ON

 

 

 

 

 

 

 

 

 

 

 

 

 

W ORK H I STORY

 

 

 

 

 

DATES

 

EMPLOYER

 

 

POSI TI ON TI TLE

 

From

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

CI TY

 

 

 

 

 

STATE

 

 

 

 

 

 

 

COMPANY WEBSI TE

 

PHONE NUMBER

 

 

SUPERVI SOR ( NAME & TI TLE)

 

 

 

 

 

HOURS WORKED PER WEEK

MONTHLY SALARY

 

 

MAY WE CONTACT THI S EMPLOYER?

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

DUTI ES

5

REV 3/2012

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