Form Center

Personal Information

First Name*
Middle*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Are you now or have you ever been an employee of the County?*
1. Yes
1. No
If yes, what department(s):
What position(s):
Are you related by blood or marriage to a person currently employed with the County?*
If yes, list name, department and relationship:
Do you have a valid ND Driver's License?:*
Class?:
Can you, after offer of employment, submit verification of your legal right to work in the U.S.:*
Upload Your Cover Letter*
Upload Your Resume*
Other Documentation
Continue

Other computer programs, experience, skills:
Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge and note your level of proficiency (basic, intermediate or expert).
Continue |Go Back

You must be a North Dakota Resident and have served in the active military forces during a period of war or received the armed forces expeditionary or other campaign service medal during an emergency condition, and must have been released there from under honorable conditions. See ND Century Code 37-19.1.
Do you claim preference as a:
Veteran*
1. No
2. Yes - Attach DD-214, Report of separation
(Excludes tours of active duty for training in Reserve or National Guard.)
Disabled Veteran*
1. No
2. Yes - Attach DD-214 & letter less than 1 yr. old from veteran's administration indicating disability
Spouse of 100% Disabled Veteran*
1. No
2. Yes - Attach copy of marriage certificate, DD-214, & letter less than 1 yr. old from veterans' administration indicating disability
Spouse of Deceased Veteran*
1. No
2. Yes - Attach copy of marriage certificate, DD-214, & veteran's death certificate
Upload DD-214
Upload any other supporting documentation for Veterans Preference
Upload any other supporting documentation for Veteran's Preference
Continue |Go Back

Ward County EEOQ
Ward County EEOQ
Ward County is asking all applicants to voluntarily complete this form in order to comply with federal Equal EmploymentOpportunity law requirements. Your cooperation in providing this information is essential to the success of the researchand evaluation program. This information is solicited on a VOLUNTARY basis and will NOT be used to make anydecision about your eligibility, selection, or employment. This information will be detached from the application and willonly be available to authorized personnel, and only for research and statistical purposes. It will NOT have any effect uponyour application.
Upload Equal Employment Opportunity Questionnaire
Continue |Go Back

I HEREBY CERTIFY that under penalty of perjury all statements made in connection with this application and attachments are complete and true to the best of my knowledge. I understand that supplying false or misleading information is grounds for disqualification from further consideration for employment with the County of Ward, or for dismissal if discovered at a later date. I authorize investigation of all statements contained herein. I further authorize the references and employers listed above or on any of the attached documents to give you any and all pertinent information concerning my previous employment, personal or otherwise. I release all parties from liability for any damage that may result from furnishing the same to you. I further agree to be fingerprinted, to submit to a medical examination by a County physician if required for the position for which I am applying, and to an investigation of matters contained in this application.
Applicant Signature*
Date of Signature
Date of Signature

Leave This Blank: