Job Application

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Directions:

To apply for any job posted, submit a completed job application, resume and cover letter to:
Somerset County Human Resources
Attn: Leanne Dickey
41 Court St.
Skowhegan, ME 04976

Any questions may be sent via email or by calling 207-858-1812.

Notice: Somerset County is an equal opportunity employer.
All Applicants who are offered Employment by Somerset County will be tested for Substance Abuse. For a copy of our Policy and the State of Maine Statute please visit the Employment Page of this website.

Somerset County Applicant Substance Abuse Testing Policy

Substance Abuse Testing Statute!

Skills Overview

Approximate Typing Speed in WPM (Words Per Minute)(*)

Please type your approximate typing speed.

List any computer software in which you are familiar with.(*)

Please type your experience with software.

Please summarize relevant skills and experience that exemplify your qualifications for the position.(*)

Please type your experience that qualifies you for the position.

Employment HIstory

List your last 4 employers, assignments or volunteer activities, starting with the most recent.

Employer #1

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Employed From Date

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Employed To Date

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Job Title

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Salary

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Immediate Supervisor

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Supervisors Title

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May we contact the employer if you are considered the position?

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Phone Number

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Address Line 1

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Address Line 2

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City

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State

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Zip

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List of Job Responsibilities

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Reason for Leaving

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Employer #2

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Employed From Date

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Employed To Date

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Job Title

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Salary

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Immediate Supervisor

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Supervisors Title

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May we contact the employer if you are considered the position?

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Phone Number

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Address Line 1

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Address Line 2

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City

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State

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Zip

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List of Job Responsibilities

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Reason for Leaving

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Employer #3

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Employed From Date

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Employed To Date

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Job Title

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Salary

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Immediate Supervisor

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Supervisors Title

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May we contact the employer if you are considered the position?

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Phone Number

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Address Line 1

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Address Line 2

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City

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State

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Zip

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List of Job Responsibilities

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Reason for Leaving

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Employer #4

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Employed From Date

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Employed To Date

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Job Title

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Salary

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Immediate Supervisor

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Supervisors Title

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May we contact the employer if you are considered the position?

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Phone Number

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Address Line 1

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Address Line 2

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City

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State

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Zip

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List of Job Responsibilities

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Reason for Leaving

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References

Name of Reference #1(*)

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Phone Number(*)

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How many years have you known this person?(*)

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Address Line 1(*)

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Address Line 2

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City(*)

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State(*)

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Zip(*)

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Name of Reference #2(*)

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Phone Number(*)

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How many years have you known this person?(*)

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Address Line 1(*)

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Address Line 2

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City(*)

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State(*)

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Zip(*)

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Name of Reference #3(*)

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Phone Number(*)

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How many years have you known this person?(*)

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Address Line 1(*)

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Address Line 2

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City(*)

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State(*)

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Zip(*)

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Terms & Conditions
It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment, with just cause. I understand that no representative of the employer has the authority to make any assurances to the contrary. I authorize Somerset County to perform a background investigation in connection with my application for employment. This investigation may include information as to my credit, schools attended, police convictions, Division of Motor Vehicle records, personal references, professional references, previous employers, present employers, polygraph results, and any other appropriate sources the Somerset County Commissioners deem necessary. I authorize the release of any information that Somerset County may request from the above sources. A copy of this release shall be as valid as the original document. I also understand that all information received by Somerset County in connection with this application and background investigation is confidential.

Applicant Name(*)

Please type your name

Date

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Resume

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By checking this box you have created an electronic signature as legally binding as your hand-written signature.*(*)

I agreed Invalid Input

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