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Employment Application

If you need help to fill out this application form or for any phase of the employment process, please notify the Human Resources department at (319) 318-0807, and every effort will be made to accommodate your needs in a reasonable amount of time.

All qualified applications will receive consideration without unlawful discrimination because of race, creed, religion, color, sex, sexual orientation, gender identity, age, national origin, or disability.

Contact Information



  1. Full-Time
    Part-Time
    Temporary
  2. Veterans Preference

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

  3. Any person who may wish to claim a Veterans Preference must submit a copy of a certified form DD214 by the deadline set for the receipt of applications for the position for which the person is applying.

    Qualifications

  4. Education

  5. Location 1

  6. Location 2

  7. Employment Experience

    Start with your present or last job. Include any job-related military service assignments and volunteer activities.

    Employer 1

  8. Add Employer

    References

    Reference 1

  9. Reference 2

  10. Reference 3

  11. Additional Information

    Other qualifications or specialized skills

  12. 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.

    Applicant's Statement

    I certify that answers given herein are true and complete to the best of my knowledge.

    I authorize investigations of all statments contained in this Application for Employment as may be necessary in arriving at an employment decision. In connection with my application with the County, I expressly authorize the release to the County of any records or information which may refer or relate to my application for employment, including, but not limited to, records of schools, law enforcement or criminal justice agencies, social media accounts and previous employers. I hereby release and discharge the County and any other person, firm, agency or corporation from any and all claims and liability which I may have or ever claim to have relating to information provided to the county as part of my application for employment.

    I authorize Benton County to conduct a check of the status of my driver's license and my driving record.

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Benton County is "at will," 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 Benton 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-employement stage, unless identifying information must be requested earlier in the hiring process for positions such as law enforcement positions.

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


  13. Signature of Applicant

  14. Please type your full name to serve as an electronic signature.
  15. Benton County is an equal opportunity employer.


    Benton County Authorization for Release of Personal Information

    I do hereby authorize a review of, and full disclosure of, all records concerning myself to a duly authorized agent of Benton County, Iowa or the Benton County Sheriff's Office, whether the said records are of a public, private or confidential nature. The intent of this authorization is to give my consent for full and complete disclosure of records of educational institutions, financial or credit institutions, including records of loans, records of commercial or retail credit agencies (including credit reports and/or ratings) and other financial statements of records whenever filed; medical and psychiatric treatment and/or consultation, including hospitals, clinics, private practitioners, and U.S. Veterans Administration; employement and pre-employment records, including background reports, efficiency ratings, complaints or grievances filed by or against me; and the recollections of attorneys at law, or of other counsel whether representing me or another person in any case, either criminal, or civil, in which I have personally have, or have had an interest.

    I understand that any information obtained by a personal history background investigation which is developed directly or indirectly, in whole or in part, upon which this release authorization will be considered in determining my suitability for employment by Benton County, Iowa and the Benton County Sheriff's Office. I also certify that any person(s) who may furnish such information in good faith concerning me shall not be held accountable for giving this information; and I do hereby release said person(s) from any and all liability which may be incurred as a result of furnishing such information. I further release Benton County, Iowa and the Benton County Sheriff's Office from any and all liability which may be incurred as a result of collection of such information.

    I HEREBY SWEAR AND AFFIRM THAT EACH STATEMENT AND ALL INFORMATION IN OR SUPPLEMENTING THIS APPLICATION ARE COMPLETE, TRUE AND ACCURATELY RECORDED TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT PROVIDING FALSE, MISLEADING AND/OR INCOMPLETE INFORMATION ON THIS APPLICATION IS GROUNDS FOR EXCLUSION FROM THE SELECTION PROCESS OR DISCHARGE IF DISCOVERED SUBSEQUENT TO EMPLOYMENT.

    A photocopy of this release form will be valid as an original thereof, even though the said photocopy does not contain an original writing of my signature.

    I have read and fully understand the contents of the "Authorization of Personal Information."

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