Online Employment Application

Please be sure to complete the entire application. Also note that, once submitted to a governmental agency, this completed form will be subject to all applicable public records laws.

Ohio Civil Service Application
for State and County Agencies
GEN-4268 (REVISED 10-08)
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The state of Ohio is an Equal Opportunity Employer and provider of ADA services.
POSITION: AGENCY: POSITION NUMBER:
Please submit one application per position or examination to the address indicated on the job posting or examination announcement. Copies are acceptable. Applications lacking sufficient information will not be process. Please ensure your application is received or postmarked by the closing date, as required by the hiring agency. Please be sure to complete the entire application. Also note that, once submitted to a governmental agency, this completed form will be subject to all applicable public records laws.

NAME: (Last, First, Middle)  DATE OF BIRTH: Month  Day
ADDRESS: (Street, City, State, Zip Code) COUNTY:
HOME PHONE: ALTERNATE PHONE: E-MAIL ADDRESS:
DRIVER'S LICENSE NUMBER:

LEGAL RIGHT TO WORK IN THE U.S.:

STATE: CLASS:

PREFERENCES

PREFERRED SALARY: ARE YOU WILLING TO RELOCATE?
WHAT TYPE OF JOB ARE YOU LOOKING FOR? TYPES OF WORK YOU WILL ACCEPT:
    
SHIFTS YOU WILL ACCEPT:

EDUCATION

HIGH SCHOOL NAME: LOCATION: (City, State) DID YOU GRADUATE?
CHECK YEAR COMPLETED:      OBTAINED GED?
SCHOOL NAME (College/University): LOCATION: (City, State)
CHECK YEAR COMPLETED:
DID YOU GRADUATE?
MAJOR:
DEGREE RECEIVED:
NUMBER OF QUARTER/SEMESTER
HOURS COMPLETED:
SCHOOL NAME (College/University): LOCATION: (City, State)
CHECK YEAR COMPLETED:
DID YOU GRADUATE?
MAJOR:
DEGREE RECEIVED:
NUMBER OF QUARTER/SEMESTER
HOURS COMPLETED:
SCHOOL NAME (College/University): LOCATION: (City, State)
CHECK YEAR COMPLETED:
DID YOU GRADUATE?
MAJOR:
DEGREE RECEIVED:
NUMBER OF QUARTER/SEMESTER
HOURS COMPLETED:

EMPLOYMENT HISTORY

Please list your work experience with your most recent employment. Military experience and volunteer work may also be included as employment. NOTE: To be considered for employment, you must fill in the information below, accurately and completely. You may submit a resume in addition to completing this section. If applying for a civil service examination, only the information provided below will be considered. A resume may not be used.

DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:
DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:
DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:
DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:
DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:
DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:
DATES:  From: To: EMPLOYER: POSITION TITLE:
ADDRESS: (Street, City, State, ZIP Code)
COMPANY URL: PHONE NUMBER: SUPERVISOR:
HOURS PER WEEK: SALARY: MAY WE CONTACT THIS EMPLOYER:
DUTIES:
REASON FOR LEAVING:

The purpose of questions 1-9 is to obtain information relevant to employment with the state of Ohio. Responses to these questions are required.

SUMMARY OF QUALIFICATIONS - In the area below, briefly describe the experience, education, training and other factors that qualify you for the position or examination for which you are applying. Refer to the Minimum Qualifications and any position-specific qualifications posted for this position or examination.
Please list below the specific course work areas at the high school level or beyond relevant to the position or examination for which you are applying. Also indicate the number of courses you have successfully completed in each area. NOTE: a transcript may not be substituted for this section, although you may be required to submit a transcript.
Are you a current state of Ohio employee?

If you are a current state of Ohio employee, please provide your employee ID number. If you are not a current state of Ohio employee, please indicate N/A.

If you are not a current state of Ohio employee, have you ever been employed by the state of Ohio? (If you are a current state of Ohio employee, please select N/A.)     

If you were previously employed by the state of Ohio, please choose one of the following:

  • Employment ended prior to 12-01-2004
  • Employment ended on or after 12-01-2004
  • N/A - Not previously employed by the state of Ohio or current state employee

How did you learn about this position or examination opportunity?


    

CERTIFICATION

I certify that the answers that I have made to all of the questions in this application are true and complete to the best of my knowledge. I understand that if this application is not completed in it's entirety, it will not be processed and I will automatically be disqualified. I understand that I am responsible for the correctness of this application. I also understand that a background check may be required prior to employment and that, in accordance with the Drug Free Workplace Program, drug testing may be required. I wave all provisions of law forbidding colleges or universities which I attended, or past employers, from disclosing any information which they acquired relevant to my employment. I consent that they may disclose such information to the Human Resources Division, Ohio Department of Administrative Services, and/or the agency that holds the vacancy for which I am applying and to appropriate officials for recruitment purposes. I understand that any offer of employment is conditional upon proof of legal authorization to work in the United States as required by the Immigration and Reform Control Act.

Signature of Applicant Date

 
MESSAGE BOARD
 

Cash Food & Medical Assistance

Applications and verifications
such as income, expenses and
other needed items may be returned by:

E-mail to:  FMS-Staff@jfs.ohio.gov
Fax to:  937-498-7396,  mail to:
Shelby County Department

of Job & Family Services
227 S. Ohio Avenue,Sidney, OH  45365,
in person, or by drop box outside the
front door of the agency.



Child Support

Children's Services

Unemployment Benefits


Adult Protective Services now
has a 24-Hour online portal available
for reporting non-emergency cases
of suspected adult abuse, neglect, or
exploitation at this link:

https://aps.jfs.ohio.gov/

 

 

HIRING EVENTS & JOB LEADS

Shelby County Ohio Job Family Services Local Job Postings

Visit us on Facebook


June 24 and 25, 2021
9:00 a.m. – 7:00 p.m.

Ryder is conducting open
interviews at the Knights of
Columbus in Minster Ohio.

View Details


Local Job Opportunities

To speak to a staff member
from OhioMeansJobs Shelby
County about your employment
needs call: 937-498-4981, ext. 2816
or contact us by email at:
EFS-Staff@jfs.ohio.gov .

View more information...


Job Opportunities

for week of 6-21-2021

for week of 6-14-2021


 

ADDRESS 227 South Ohio Avenue
Sidney, Ohio 45365
PHONE 937-498-4981
FAX 937-498-7396
HOURS M - F   7:30 am - 4 pm