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APPLICATION FOR CONTRACTUAL EMPLOYMENT

Woodford County Health Department

229 N. Main Street  Versailles, KY  40383

859-873-4541

INFORMATION SHEET

We appreciate your interest in employment with the Woodford County Health Department.  In order to receive full consideration for employment opportunities, an "Application for Contractual Employment" must be completed and received by the advertised date for proper consideration. 

Application may be submitted electronically to Christine Mattingly at christined.mattingly@ky.gov or manually be completing this application, printing and delivering to

Attention:  Personnel, Woodford County Health Department

229 N. Main Street

Versailles, KY  40383

General Instructions for completing the application for employment: 

  • Type or print this application clearly in dark ink in its entirety.

  • Job Announcements may contain special instructions and requirements.

  • A resume or other application form for this application is not a substitute for this applicaton but may be attached if desired. 

  • Write the exact job title as specified on the job announcement.

  • If a closing date for filing is shown in the job announcement, your application and any required information, such as a copy of transcripts and any other supporting documentation, must be submitted by the date indicated.

  • Applications that are received unsigned, incomplete, or after the closing date, shall be eliminated from consideration.

"*" indicates required fields

POSITION(S) APPLIED FOR

PERSONAL INFORMATION

If under 18 years of age, please provide proof of eligibility to work:

Have you ever applied for a position wth a Kentucky local health department before?
Are you currently employed with a Kentucky local health department ?
Have you ever been employed with a Kentucky local health department before?
Do you have a relative employed with a Kentucky local health department before?

LACK OF REQUESTED INFORMATION IS BASIS FOR REJECTING AN APPLICATION

Criminal Convictions / Traffic Violations.  Have you every been convicted of:

1) A misdemeanor?

If yes, you must provide the following information for each offense:

2) A felony?

If yes, you must provide the following information for each offense:

3) A moving traffic violation within the last 5 years?

AVAILABILITY

You will be asked, if offered employment, to verify that you are a ciitizen of the United States or provide proof that your immigration status permits you to work.

Do you have a valid driver's license?
Select an option
Are you available for travel?

Some positions may require you to be on call on a rotating basis to provide service after normal weekday hours & on weekends.

Are you available to work on call after normal work hours? On Saturdays and Sundays?
Are you available to work overtim during the week?
Are you available to work overtime o weekends?
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