I affirm that the information provided in this application (and accompanying resume, if any) is true and complete. I understand and
agree that any false information, misrepresentations, or omissions may disqualify me from further consideration for employment or
may result in discipline or dismissal if discovered at a later date.
I authorize Emmet County to investigate all statements contained in this application through all references and resources
concerning me, including, but not limited to, school records, records of licensing or certification agencies, disciplinary records of
any current or former employers, and/or law enforcement records. I authorize all such references and resources, and Emmet
County, to release this information without liability for giving it. I waive any written notice of the release of such records that may be
required by State or federal law.
Should I receive a conditional offer of employment, I agree to submit to a physical medical examination, which may include a drug
test. I authorize any physician or entity conducting such examination or test to release the results of such examination or test to
I understand that, if I have a protected disability that affects my ability to perform the essential functions of the job I seek, I may ask
Emmet County to make a reasonable accommodation for it. I must make my request in writing to the Emmet County Assistant
Controller/Human Resources Director as soon as possible, and under the Michigan Persons with Disabilities Civil Rights Act, as
amended, such notice must be given no later than 182 days after the date I know or reasonably should know that accommodation
I understand and agree that, if I am hired, unless covered by a collective bargaining agreement or other written agreement to the
contrary which is signed by me or on my behalf as a bargaining unit member, my employment is at will and that it may be
terminated, either by me or by Emmet County, at any time, with or without notice or cause. It is with this understanding of Emmet
County’s right to make discharge decisions, that I will accept the employment offered to me.