ADDITIONAL SKILLS
Have you had any computer or word processing experience or training?
Have you had any computer or word processing experience or training?
No
If yes, please describe
What languages do you speak fluently?
REFERENCES
List three references, not relatives or former employers, who have known you for at least two years.



AFFIDAVIT

I certify that my answers on this application are true and correct. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge. I hereby authorize Canadian County to contact any company or individual it deems appropriate to investigate my employment and criminal history, character and qualifications. I give my full and complete consent to any person or agency contacted by CCCJC to reveal any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements. I hereby agree to allow CCCJC to perform a drug test and consent to participate in said test as part of the application process. I agree that, if I am employed, I will abide by all the rules and regulations of the agency. I understand that the taking of drug and alcohol tests, when given pursuant to county policy, are a condition of continued employment and refusal to take such tests when asked will be grounds for my immediate termination. I further understand that nobody in the agency is authorized to enter to any written or verbal employment contracts with me for any definite period of time without the express written consent of the director of the agency. I also understand that my employment is at-will and may be terminated by me or by the county any time for any reason or no reason at all, with or without prior notice.

Signature
Date