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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:
(Excludes tours of active duty for training in Reserve or National Guard.)
City, State, Zip
Ward County is asking all applicants to voluntarily complete this form in order to comply with federal Equal Employment
Opportunity law requirements. Your cooperation in providing this information is essential to the success of the research and
evaluation program. This information is solicited on a VOLUNTARY basis and will NOT be used to make any decision about your
eligibility, selection, or employment. This information will be detached from the application and will only be available to authorized
personnel, and only for research and statistical purposes. It will NOT have any effect upon your application.
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.
This field is not part of the form submission.
* indicates a required field