Employment Application

If you need help filling out this application form or for any phase of the employment process, please get in touch with the Human Resources office, and every effort will be made to accommodate your needs in a reasonable amount of time.

Jasper County is an equal-opportunity employer. We consider applicants for all positions without regard to age, race, creed, color, sex (including pregnancy), sexual orientation, gender identity, national origin, religion, disability, genetic information, marital or veteran status, or any other legally protected status. 

Contact Information

  1. Education

    High School

  2. College or Trade School

  3. Employment History

    List employment from the past 10 years, starting with your most recent job. Account for any time period that you were unemployed by stating the nature of your activities.

    Employer 1

  4. Add Employer

    Optional: Upload Resume

  5. Additional Information

  6. Chapter 35C of the Code of Iowa provides certain rights including preference in hiring if equally qualified to certain Veterans of United States Military Service. Qualification for these rights is defined in the statute.

  7. Note: A conviction will not automatically disqualify an applicant for a particular job and that the type and seriousness of the crime, the frequency of violoations, the date of conviction, and the applicant's entire work and educational history will be considered.

    Job Description

  8. Driver's License

  9. Applicant's Statement

    I certify that answers given herein are true and complete.

    I authorize investigation of all statements contained in this Application for Employment as may be necessary in arriving at an employment decision.

    I authorize Jasper County to conduct a check of the status of my driver’s license and my driving record and agree to sign an authorization for this specific purpose.

    This Application for Employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Jasper County is “at will” nature, which means that the Employee may resign at any time, and the Employer may discharge the Employee at any time with or without cause. It is further understood that the “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Jasper County.

    I understand that any offer of employment that is extended to me is considered to be a conditional offer and is subject to successful completion of all required background checks. Identifying information such as my social security number and driver’s license number will be requested at the post-offer, pre-employment stage.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge, also, that I am required to abide by all rules and regulations of the Employer.

    I agree to give Jasper County permission to complete appropriate background checks and agree to sign permission/authorization documents so that this can be accomplished.

    Your Signature

  10. Please type your full name to serve as an electronic signature.

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