Online Application

We consider applications for all positions without regard to race, color, sex, age, religion, national origin, marital status, a person's political affiliation, sexual orientation or gender identity, height, weight, disability, citizenship status, genetic information or any other legally protected status

First Name

Last Name

Middle Initial

Street

Apartment/Unit #

City

State

Zip

Phone

Type Mobile Home Work

Email

Date available to start position

Rate of Pay Expected

$

Do you have any employment records under a name other than listed above? Yes No

If yes, please list additional names

Are you authorized to work in the United States? Yes No

Are you 18 years old or older? Yes No

Have you ever worked for Kalamazoo County Government? Yes No

If Yes, when?

The following should be completed only if you are applying for positions within the Circuit Court, District Court, Prosecutor's Office, Sheriff's Office, Treasurer's Office, Buildings & Grounds or Information Technology

Have you every been convicted of a felony (list only convictions, not arrests, and do not list citations - like traffic tickets)? Yes No

If yes, explain

How did you hear about this job opening?

If County Employee, please specify

If Other, please specify

Education

High School

Name

Address

Attended From

Attended To

Did you graduate? Yes No

GED Yes No

College

Name

Address

Attended From

Attended To

Degree Received

Did you graduate? Yes No

Graduate School

Name/Location

Address

Attended From

Attended To

Degree Received

Did you graduate? Yes No

Other School

Name/Location

Address

Attended From

Attended To

Degree Received

Did you graduate? Yes No

Other formal education or experience, which you feel is relevant to the position for which you are applying

Licensure (CDL, CSW, LLP, etc.)

References

Please list at least three (3) professional references.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Previous Employment

Please list all jobs you have held and periods of unemployment in the past ten (10) years. Put your present or most recent job first. If additional space is required, please attach sheets as necessary.

Company

Phone

Address

Supervisor

Job Title

Duties of this position

From

To

Reason for Leaving

Company

Phone

Address

Supervisor

Job Title

Duties of this position

From

To

Reason for Leaving

Company

Phone

Address

Supervisor

Job Title

Duties of this position

From

To

Reason for Leaving

Have you ever been suspended or discharged from a former employer? Yes No

If Yes, please explain?

Please list any skills, abilities, interests, etc. which you feel could be an asset to this position

Resume Upload

If you have a resume you would like to include with your application submission, click the button below to select the file. Microsoft Word or Adobe Acrobat files are the only types accepted. Any other file types will cause your submission to fail and your resume will not be received.

Resume

Optional Cover Letter Upload

If you have a cover letter you would like to include with your application submission, click the button below to select the file. Microsoft Word or Adobe Acrobat files are the only types accepted. Any other file types will cause your submission to fail and your cover letter will not be received.

Cover Letter

Optional Document

If you have an additional document you would like to include with your application submission, click the button below to select the file. Microsoft Word or Adobe Acrobat files are the only types accepted. Any other file types will cause your submission to fail and your cover letter will not be received.

Additional Document

Voluntary Self-Identification Form

NOTE: Submission of this form is voluntary. The refusal to respond will not subject you to any adverse treatment by Kalamazoo County. The information disclosed will not be utilized as a basis for any employment decision and is being collected by and held within only the Kalamazoo County Human Resources Department for tracking and understanding applicant flow data. Any information you voluntarily disclose below will be kept confidential.

Veteran Friendly Employer

The County of Kalamazoo is committed to ensuring honorably discharged members of the armed forces of the United States are provided preference in public employment consistent with Michigan Public Act 205 of 1897, as amended. If you meet the definition of a “veteran” provided by MCL 35.61, please indicate below:

I am an individual who served in the United States Armed Forces, including the reserve components and was discharged or released under conditions other than dishonorable. Yes No

Are you a guard or reserve member? Yes No

Self-Identification of Disability

To help us measure how well we are recruiting and hiring individuals with disabilities, we ask you to tell us if you have a disability or if you ever had a disability.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity or has a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

Blindness
Deafness
Cancer
Diabetes
Epilepsy
Autism
Cerebral palsy
HIV/AIDS
Schizophrenia
Muscular dystrophy
Bipolar disorder
Major depression
Multiple sclerosis (MS)
Missing limbs or partially missing limbs
Post-traumatic stress disorder (PTSD)
Obsessive-compulsive disorder
Impairments requiring the use of a wheelchair
Intellectual disability

Do you have (or previously had) a disability? Yes No I don't wish to answer

DISCLAIMER AND SIGNATURE:

I certify that my answers are accurate and complete to the best of my knowledge.

I authorize the investigation of all statements, including references, in this application for employment as necessary for arriving at an employment decision. I also specifically waive any written notice requirements of Section 67 of 1978 PA 397 pertaining to disciplinary reports, letters of reprimand, or other disciplinary actions. I also waive any claim against KALAMAZOO COUNTY GOVERNMENT and all current or former employers arising from such investigation or disclosure, including, but not limited to, slander and libel that may result from furnishing any information to KALAMAZOO COUNTY GOVERNMENT.

This employment application shall be considered active for a period not to exceed 90 days. Any applicant wishing to be considered for employment beyond this period should inquire whether applications are being accepted at that time. I hereby understand and acknowledge that in the absence of an express written contract or agreement to the contrary; any employment relationship with KALAMAZOO COUNTY GOVERNMENT of an “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.

In the event of employment, I understand that false or misleading information given in my application or interview(s) would be grounds for discharge. I understand, also, that I am required to abide by all rules and regulations of KALAMAZOO COUNTY GOVERNMENT.

I further understand that if I am offered employment, a physical, which may include drug testing (at KALAMAZOO COUNTY GOVERNMENT’s expense) may be required, proof of educational and licensing attainment must be submitted. If any driving is done for KALAMAZOO COUNTY GOVERNMENT purposes, I must be both eligible to drive and be qualified for insurance coverage. Employment by KALAMAZOO COUNTY GOVERNMENT is conditioned upon such results being satisfactory to KALAMAZOO COUNTY GOVERNMENT.

I agree that any action or suit against KALAMAZOO COUNTY GOVERNMENT or its board elected or appointed officials, officers, and/or employees arising out of my application for employment, employment, or termination of employment, including but not limited to claims arising under State or Federal civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred. I waive any limitation periods to the contrary.

Signature

Human Resources Department

Education

High School

College

Graduate School

Other School

References

Previous Employment

Resume Upload

Optional Cover Letter Upload

Optional Document

Voluntary Self-Identification Form

Ethnicity, Race and Gender Identity

Veteran Friendly Employer

Self-Identification of Disability

How do I know if I have a disability?

DISCLAIMER AND SIGNATURE:

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