State Of Georgia Application Ms27 1 PDF Details

The State of Georgia Application MS27-1 form serves a crucial role for individuals aspiring to join the workforce of the State of Georgia, embodying an initiative towards inclusive and equal opportunity employment. As a detailed document, it meticulously gathers personal details, employment eligibility, educational background, language skills, Georgia licenses and certifications, as well as extensive work history—underscoring the state's commitment to thorough evaluation and selection processes. Prospective employees are encouraged to use the online portal, Careers.ga.gov, as the preferred method for submission, highlighting the state's push towards digital efficiency and accessibility. The form also addresses employment eligibility under U.S. and state law, requiring declarations about citizenship, work authorization, previous state employment status, and felony convictions, with a view to uphold legal working conditions. Moreover, it delves into educational qualifications and specific job-related skills, alongside a provision for identifying the geographical preferences for employment, thus ensuring a match between applicant abilities and job requirements across various regions of Georgia. Notably, the application process incorporates fairness and legal compliance, evident in the inclusion of evaluation procedures, accommodations for applicants with disabilities, and points for veteran's preference, thereby reinforcing the state's dedication to diversity, equity, and respect for individual circumstances in its hiring practices.

QuestionAnswer
Form NameState Of Georgia Application Ms27 1
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesapplication georgia state, state georgia application form, of state georgia application, employment georgia application

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STATE OF GEORGIA

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 on the Internet at Careers.ga.gov. Using Careers.ga.gov is the preferred method of applying for these State jobs.

Daytime Telephone Number

E-mail Address

 

-

-

 

 

Last Name

First Name

Middle Init.

Street or Mailing Address

 

 

Apartment No.

City

State

Zip Code

County

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 felony convictions (for some jobs). Please answer the following questions.

1. Are you a United States citizen?

2. Are you an alien authorized to work in

3. Have you ever been dismissed from any

 

 

the United States?

 

State of Georgia government position?

YES

NO

YES

NO

N/A

YES

NO

 

 

 

 

 

If YES, attach an explanation.

4. Have you ever been convicted of a felony?

YES NO

If YES, attach an explanation.

TYPE OF WORK: JOB TITLE AND JOB CODE REQUIRED. If you do not know the correct job titles, information is available at the various State of Georgia agency personnel offices, the Georgia Department of Labor Career Centers, or on Careers.ga.gov.

Specific Job Title Sought

Job Code

Specific Job Title Sought

Job Code

1.

 

 

 

2.

 

 

 

 

EDUCATION:

 

 

 

 

 

 

 

High School Graduate or Vocational/Business School:

 

No. of

Field of Study:

 

 

Equivalent (GED)?

 

 

Months:

 

 

 

Yes

No

 

 

 

 

 

 

 

 

PLEASE LIST EXACT COLLEGE HOURS :

CREDIT

 

 

 

 

 

RECEIVED

FIELD/AREA OF CONCENTRATION

 

COLLEGES/UNIVERSITIES

CITY and STATE

Qtr

Sem

 

 

 

 

Hrs

Hrs

Major

Hrs

Minor

Hrs

 

 

 

LANGUAGE SKILLS:

Check any which apply to you.

Multilingual (Specify languages)

 

GEORGIA LICENSES AND CERTIFICATIONS:

 

 

 

 

Type of License/Certificate

 

License/Certificate

Expiration

 

 

 

 

Number

(Mo./Yr.)

Current Valid Driver’s License

Yes

No

 

 

 

Current Valid Commercial Driver’s License (CDL): Class (Check One):

A B C

 

Teacher Certified in Georgia: Type of Certificate Held:

 

 

 

Georgia Peace Officer Standards and Training Certificate (POST)

Other Professional License/Certificate:

Completed: Yes No

Date:

(Mo/Yr)

TYPE OF

DATE

DEGREE

DEGREE

 

COMPLETED

(BA/BS/

 

MA/PhD)

(Mo./Yr.)

Sign Language

Specialization/

Endorsements

CERTIFICATION: Read carefully before signing and dating. Unsigned applications will not be processed.

I certify that all information on this application is correct. I authorize any agent or employee of the State to verify this information and to release it to anyone who may consider me for appointment. I understand that intentionally providing false information on this form or attachments is a violation of state law. I also understand that applications submitted electronically, via e-mail or similar media, are not valid unless I enter my name in the signature field below and such action shall constitute an electronic signature. I further certify that either: 1) I have not been convicted of a drug- related criminal offense; or 2) if I have been convicted of a drug-related criminal offense, it has been more than three (3) months since my first conviction,

or more than five (5) years since a second or subsequent conviction (O.C.G.A. 45-23 et. Seq.).

Signature:

Date:

 

(MS27-1) Rev. 07/08

WORK HISTORY: Describe your work history below beginning with your current or most recent job. Include military and volunteer experience. If you worked for the same employer but held different jobs describe each separately. Describe in detail the specific duties beginning with your primary duties. If you need more space, print out the supplemental work history page and attach to the application. Failure to give complete and detailed information regarding each job held may result in your disqualification from employment consideration. You may submit a resume to document your work background. However, if the resume does not contain all the information requested in the Work History section, please fill in that information on the application.

Current or Last Employer:

 

 

Your Job Title:

 

 

 

 

Address

 

 

From (mo/yr)

To (mo/yr)

 

Hours per Week:

City

State

Zip Code

Check all that apply:

 

 

 

Annual Salary

 

 

 

Volunteer

Intern

Paid

 

 

Your Supervisor’s Name and Title

 

 

May We Contact Employer?

 

Your Supervisor’s Phone Number

 

 

 

YES

NO

 

(

)

Reason for Leaving

 

 

# and types of employees you supervised:

 

 

Describe in detail your job duties.

Related Computer Skills:

 

 

 

 

 

 

 

Employer:

 

 

Your Job Title:

 

 

 

 

Address

 

 

From (mo/yr)

To (mo/yr)

 

Hours per Week:

City

State

Zip Code

Check all that apply:

 

 

 

Annual Salary

 

 

 

Volunteer

Intern

Paid

 

 

Your Supervisor’s Name and Title

 

 

May We Contact Employer?

 

Your Supervisor’s Phone Number

 

 

 

YES

NO

 

(

)

Reason for Leaving

 

 

# and types of employees you supervised:

 

 

Describe in detail your job duties.

Related Computer Skills :

 

 

 

 

 

Employer:

 

 

Your Job Title:

 

 

Address

 

 

From (mo/yr)

To (mo/yr)

City

State

Zip Code

Check all that apply:

 

 

 

 

 

Volunteer

Intern

Paid

Your Supervisor’s Name and Title

 

 

May We Contact Employer?

 

 

 

 

YES

NO

 

Reason for Leaving

 

 

# and types of employees you supervised:

Describe in detail your job duties.

Hours per Week:

Annual Salary

Your Supervisor’s Phone Number

( )

Related Computer Skills :

2

(MS27-1) Rev. 07/08

STATE OF GEORGIA EMPLOYMENT AVAILABILITY CODES

For the job(s) listed on page 1, please select the county or counties in which you are willing to work. You may choose up to ten (10) counties. For your convenience, the counties have been sorted alphabetically by geographical region.

Where do you want to work? List up to ten (10) counties in the blanks below. Use the three digit number codes listed next to each County.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Metro Atlanta Regions

 

 

N Metro Atlanta (E)

S Metro Atlanta (H)

033 Cobb

031 Clayton

044 Dekalb

056 Fayette

048 Douglas

060 Fulton

060 Fulton

075 Henry

067 Gwinnett

126

Spalding

122 Rockdale

 

 

North Georgia Regions

 

 

Rome Area (A)

NE GA (C)

008 Bartow

006 Banks

023 Catoosa

059 Franklin

027 Chattooga

068 Habersham

041 Dade

069 Hall

057 Floyd

119 Rabun

064 Gordon

127 Stephens

105 Murray

139 Towns

146 Walker

154 White

155 Whitfield

W GA (D)

N Central GA (B)

022 Carroll

028 Cherokee

071 Haralson

042 Dawson

110 Paulding

055 Fannin

115 Polk

058 Forsyth

Athens Area (F)

061 Gilmer

007 Barrow

093 Lumpkin

029 Clarke

112 Pickens

052 Elbert

144 Union

073 Hart

 

078

Jackson

 

095

Madison

 

108 Oconee

 

109

Oglethorpe

 

147 Walton

Central Georgia Regions

 

 

LaGrange Area (G)

Middle GA (L)

038 Coweta

005 Baldwin

074 Heard

011 Bibb

099 Meriwether

039 Crawford

141 Troup

076 Houston

Covington Area (I)

084 Jones

018 Butts

085 Lamar

066 Greene

102 Monroe

070 Hancock

111 Peach

079 Jasper

114 Pike

104 Morgan

143 Twiggs

107 Newton

145 Upson

117 Putnam

158 Wilkinson

Columbus Area (K)

Augusta Area (J)

026 Chattahoochee

017 Burke

072 Harris

036 Columbia

094 Macon

062 Glascock

096 Marion

081 Jefferson

106 Muscogee

090 Lincoln

123 Schley

097 McDuffie

130 Talbot

121 Richmond

133 Taylor

131 Taliaferro

 

149 Warren

 

157 Wilkes

 

Dublin Area (M)

 

053

Emanuel

 

083

Johnson

 

087

Laurens

 

140 Treutlen

 

150 Washington

South Georgia Regions

 

 

Savannah Area (N)

Reidsville Area (R)

015 Bryan

021 Candler

016 Bulloch

054 Evans

025 Chatham

089 Liberty

051 Effingham

091 Long

082 Jenkins

098 McIntosh

124

Screven

132

Tattnall

Albany Area (O)

SW GA (S)

019 Calhoun

004 Baker

030 Clay

014 Brooks

047

Dougherty

035

Colquitt

088 Lee

043 Decatur

118 Quitman

049 Early

120 Randolph

065 Grady

128

Stewart

100

Miller

129

Sumter

101

Mitchell

135

Terrell

125

Seminole

152 Webster

136 Thomas

Tifton Area (P)

Valdosta Area (T)

009

Ben Hill

002

Atkinson

012

Bleckley

010

Berrien

040

Crisp

032

Clinch

045 Dodge

037 Cook

046 Dooly

050 Echols

077

Irwin

086

Lanier

116 Pulaski

092 Lowndes

137

Tift

SE GA (U)

142

Turner

013

Brantley

156 Wilcox

020 Camden

159 Worth

024 Charlton

Baxley Area (Q)

063 Glynn

001

Appling

113

Pierce

003 Bacon

148 Ware

034 Coffee

151

Wayne

080

Jeff Davis

 

 

103

Montgomery

 

 

134

Telfair

 

 

138

Toombs

 

 

153 Wheeler

3

(MS27-1) Rev. 07/08

EVALUATION PROCEDURES

Written Tests: To obtain a job in certain fields, such as criminal justice and secretarial, you must pass a written and/or performance test. The tests are offered on the following basis. Proper identification with your picture and signature, such as a driver’s license, is required for admission to all examinations.

Scheduled or Reserved Seating Examinations: Written tests are offered on certain Saturdays in selected cities. If you request a scheduled examination and your application is approved, you will receive an admission slip by mail for the next available test session showing the address of the testing center you have chosen and the date and time of your appointment. This may take a month or longer due to limited seating.

Select ONE city where you wish to take a written test on Saturday:

Albany [U]

Augusta - [S]

Columbus - [Y]

Gainesville - [F]

Macon- [M]

Statesboro - [H]

Valdosta - [L]

 

Retest Policy: Your score will normally remain on the list of available applicants for six months from the date of your examination (and, in many cases, you may also extend your score for an additional six months). Generally, you can apply to be evaluated or to take a written test for the same job only three times in one year, with a minimum 30 day waiting period between examinations. Upon re-examination, the higher of your scores will generally be kept. The lower score will not be accessible to employing agencies.

ACCOMMODATIONS FOR APPLICANTS WITH DISABILITIES

For Scheduled testing purposes only, do you require special examination accommodations because of a disability? If so, attach a note to this application asking us to call. PRIOR ARRANGEMENTS ARE NECESSARY. Note that in order to receive accommodations for testing, you must (1) at least one (1) day PRIOR to the test; (2) have the accommodation authorized BEFORE being tested; and (3) provide documentation to show the need for the accommodation (if requested). If you have questions about the examination procedure for applicants with disabilities, you may call the Georgia Relay Service at 7-1-1.

Training and Experience Ratings: If you apply for a job that does not require a written test, your evaluation will be based on the experience, education, and training

you describe on your application. You will also be evaluated on any supplemental information you may be asked to provide.

VETERAN’S PREFERENCE: The laws of the State of Georgia require that points be added to passing examination scores for certain veterans and combat troops of the Armed Forces of the United States. The following types of preference are currently granted. If you want to apply for Veteran’s Preference, check the type below and attach copies of the appropriate document(s) to your application. Copies cannot be returned. (SPB 16.102)

VETERAN: DD214 showing dates of service and type of discharge

DISABLED VETERAN: DD214; certificate of service-connected disability (at least 10%) from the V.A. dated within the last 6 months

DECEASED VETERAN’S SPOUSE: DD214; marriage certificate; veteran’s death certificate or casualty report

DISABLED VETERAN’S SPOUSE: DD214; marriage certificate; disabled veteran’s documents dated within last 6 months (veteran must have 100% disability)

How You Heard About The Job:

Walk-in

College/University

Technical School

Employee Referral

Careers.ga.gov

 

Newspaper

State Agency Web Site

Other Internet Source

DOL Career Center

Other

 

 

 

 

Date:

Requisition Number (for announced jobs only):

 

 

EQUAL EMPLOYMENT OPPORTUNITY INFORMATION

The information you give in this section is optional. It is used by state agencies to comply with Federal guidelines for monitoring the equal employment opportunity efforts of the State of Georgia.

Last Name

First Name

MI

 

Ethnic Background (Check One):

Gender

Birth Date

1.

Native American

2.

White, not of Hispanic origin

(Check One):

MO DAY YR

3.

Hispanic

4.

Black, not of Hispanic origin

Male

 

5.

Asian/Pacific Islander

6.

Multi-racial

Female

Birth Date - Required for

 

 

 

 

 

some law enforcement

7.

Other

 

 

 

jobs.

 

 

 

 

For Agency Use

 

 

 

 

4

 

 

 

(MS27-1) Rev. 07/0

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employment application georgia COLLEGESUNIVERSITIES, CITY and STATE, Qtr Hrs, Sem Hrs, Major, Hrs, Minor, Hrs MAPhD, MoYr, LANGUAGE SKILLS Check any which, Multilingual Specify languages, Sign Language, GEORGIA LICENSES AND CERTIFICATIONS, Type of LicenseCertificate, and LicenseCertificate Number blanks to insert

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