JOB APPLICATION

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or other legally protected status.

IF YOU NEED ASSISTANCE IN COMPLETING THIS APPLICATION, PLEASE CONTACT THE HUMAN RESOURCES DIRECTOR.
Equal opportunity/Affirmative Action Employer.

Lake of the Woods County complies with local, state, and federal equal employment opportunity guidelines which prohibit discrimination based on race, religion, sex, color, national origin, handicap/disability, age and marital status.
Personal
Name*
First Middle Last
Email
Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone*
Cell Phone*
Message Phone*
In case of an emergency notify:*
First Middle Last
Emergency Contact Phone*
Emergency Contact Address*
Street Address City State / Province / Region ZIP / Postal Code
Have you ever been employed by us?*
Yes
No
If yes, list title(s) and date(s) of employment
Position applying for*
Salary expected*
Date you can begin*
MM slash DD slash YYYY
Days and hours available for work*
How did you learn about this position?*
COMPLETE THIS SECTION IF A LICENSE IS REQUIRED FOR THIS POSITION (AS ADVERTISED).
State*
Type*
Exp. Date*
May we contact you at work?*
Yes
No
If yes, when is the best time to contact you at work?
May we contact your present employer?*
Yes
No
Comments
Resume'
Upload Your Resume' Here:
Please submit a .pdf file only. Filename may not contain spaces, hyphens, or special characters.
Accepted file types: pdf, Max. file size: 50 MB.
Education
High School Name and Location*
Years Completed*
If you received a GED, indicate date and issuing authority:*
College Name and Location
Major Subject & Degree
Vocational/Business
College Name and Location
Major Subject & Degree
Other
(Specify)
Certifications
Military
Have you served in the armed forces?
If yes, what branch?
Tours of duty start date
MM slash DD slash YYYY
Tours of duty end date
MM slash DD slash YYYY
Rank at discharge
VETERANS PREFERENCE (Complete this section only if you are claiming Veteran's Preference). .
Have you entered into covered employment by a covered employer after having claimed preference since October 1, 1987?
If yes, give name of employer
If you claim Veteran's Preference, check the type below. Attach copies of the required documents to your application to support your claim. (Documents will not be returned).
Veteran of a WARTIME ERA - Requires (A) DD214 or other document showing dates of service and type of discharge.
Disabled Veteran - Requires (A) and (B) letter of service connected disability from the V.A.
Veteran's Widow - Requires (A) and marriage and death certificates, and statement saying not remarried.
Disabled Veterans' Spouse - Requires (A) and (B), evidence of marriage to the veteran, a statement that the spouse is still married at the time of application, and proof that the disabled veteran cannot qualify for employment because of disability.
Upload Your Veterans Documents Here:
Please submit a .pdf file only. Filename may not contain spaces, hyphens, or special characters.
Accepted file types: pdf, Max. file size: 50 MB.
Veterans Preference documentation must be submitted at the time of initial application. If any preference-eligible applicant claiming Veterans Preference for a vacant position is not selected for the position, they have the right to an investigation by the Dept. of Veterans Affairs if a non-preference eligible applicant is appointed to a position. In order to commence the investigation, the applicant must file a written complaint addressed to the MN Dept. of Veterans Affairs, 2nd Floor - Room 206-C, 20 West 12th St, St. Paul, MN 55155-2006. A complaint shall be filed within 21 days after notice of a hiring decision. If a notice of a hiring decision is not given, it is the responsibility of the veteran to contact the employer within two months of the application to determine if the position has been filled. For further information, contact the Department of Veterans' Affairs.
Employment
THIS SECTION MUST BE COMPLETED REGARDLESS OF WHETHER OR NOT A RESUME IS ATTACHED. Beginning with your PRESENT or most recent employment, list in REVERSE ORDER ALL periods of employment. Each time you changed jobs or your title changed should be listed as a separate period. Be sure to describe your military experience, if any. Describe in detail your specific duties beginning with your primary duties.
1. Company Name
Company Address
Street Address City State / Province / Region ZIP / Postal Code
Job Title and Description of Work Performed
Name of Supervisor & Title
Phone
Start Date of Employment
MM slash DD slash YYYY
End Date of Employment
MM slash DD slash YYYY
If part-time, number of hours per week
If you are still employed with your employer, please comment: Current
Reason For Leaving
Describe your duties in detail:
2. Company Name
Company Address
Street Address City State / Province / Region ZIP / Postal Code
Job Title and Description of Work Performed
Name of Supervisor & Title
Phone
Start Date of Employment
MM slash DD slash YYYY
End Date of Employment
MM slash DD slash YYYY
If part-time, number of hours per week
If you are still employed with your employer, please comment: Current
Reason For Leaving
Describe your duties in detail:
3. Company Name
Company Address
Street Address City State / Province / Region ZIP / Postal Code
Job Title and Description of Work Performed
Name of Supervisor & Title
Phone
Start Date of Employment
MM slash DD slash YYYY
End Date of Employment
MM slash DD slash YYYY
If part-time, number of hours per week
If you are still employed with your employer, please comment: Current
Reason For Leaving
Describe your duties in detail:
4. Company Name
Company Address
Street Address City State / Province / Region ZIP / Postal Code
Job Title and Description of Work Performed
Name of Supervisor & Title
Phone
Start Date of Employment
MM slash DD slash YYYY
End Date of Employment
MM slash DD slash YYYY
If part-time, number of hours per week
If you are still employed with your employer, please comment: Current
Reason For Leaving
Describe your duties in detail:
5. Company Name
Company Address
Street Address City State / Province / Region ZIP / Postal Code
Job Title and Description of Work Performed
Name of Supervisor & Title
Phone
Start Date of Employment
MM slash DD slash YYYY
End Date of Employment
MM slash DD slash YYYY
If part-time, number of hours per week
If you are still employed with your employer, please comment: Current
Reason For Leaving
Describe your duties in detail:
Why do you feel you are qualified for this position?
Applicants Certification and Agreement*
SOCIAL SECURITY NUMBERS: Complete Social Security Numbers will be required to complete Background Checks and upon hiring.
AGREEMENTS: PROBATION PERIOD - It is understood that I shall be considered a probationary employee for no less than six months from date of hire. I may be discharged or laid off before the expiration of that period without recourse, in accordance with Lake of the Woods County Policies and Procedures.
STATEMENT BY APPLICATION - I herby authorize my former employers to furnish their records of any service, my reason for leaving their employment, together with all employment-related information they may have concerning me. I also authorize educational institutions to furnish their records of education-related information they may have concerning me. It is agreed that any misrepresentations by me in this application will be sufficient cause for its cancellation of for dismissal from the County's service if I am employed. I herby certify the facts set forth in the above employment application are true and complete to the best of my knowledge.
Yes, I agree to the terms above
No, I disagree with the terms above
Tennessen Warning
In accordance with the Minnesota Government Data Practices Act, Lake of the Woods County is required to inform you of your rights as they pertain to the private information collected from you. Private data is that information which is available to you, but not to the public. The personal information we collect about you is private.

The information collected for you, or from other agencies or individuals authorized by you, is used to determine your qualifications for Lake of the Woods County job openings.

You are not required to provide this information; however, it is necessary to determine if you qualify for employment. Disclosure of your social security number is voluntary unless you are hired. if hired you must disclose it in order to be in compliance with state and federal tax withholding laws. If you do not supply the required information, Lake of the Woods County will not be able to consider you for employment. The use of the private data we collect is limited to that necessary for the administration and management of the County hiring process. Persons or agencies with whom this information may be shared include:

Human Resources Department employees

Central Administration employees

Department Head where job openings occur

Supervisors in Department where job openings occur
Unless otherwise authorized by State Statute or Federal Law, other government agencies utilizing the reported private data must also treat the information as private.
You may wish to exercise your rights as contained in the Minnesota Government Data Practices Act. These rights include:

The right to see and obtain copies of the data maintained on you

The right to be told the contents and meaning of the data

The right to contest the accuracy and completeness of the data
To exercise these rights, contact: Lake of the Woods County Human Resources Department.
Signature
I have read and understand the above information regarding my rights as a subject of government data:
Date
MM slash DD slash YYYY
List previous names
Signature of applicant
Date
MM slash DD slash YYYY

GOVERNMENT CENTER

206 8th Ave SE Baudette, MN 56623

BOARD MEMBERS

ASSESSOR

Suite #296

AUDITOR/TREASURER

Suite #260

ATTORNEY

Suite #240

COURT OF ADMINISTRATION

Suite #250

EMERGENCY MANAGEMENT

Suite #300

HUMAN RESOURCES

IT/GIS

Suite #210

LAND & WATER

Suite #290

PUBLIC WORKS

306 8th Ave SE, Baudette, MN

RECORDER

Suite #280

SHERIFF'S OFFICE

Suite #300

SOCIAL SERVICES

Suite #200

COMMUNITY

206 8th Ave SE Baudette, MN 56623

AREA LINKS

HOW DO I...

ASSESSOR

AUDITOR

COURT OF ADMINISTRATION

EMERGENCY MANAGEMENT

LAND & WATER

PUBLIC WORKS

RECORDER

GOVERNMENT CENTER

206 8th Ave SE Baudette, MN 56623

BOARD MEMBERS

ASSESSOR

Suite #296

AUDITOR/TREASURER

Suite #260

ATTORNEY

Suite #240

COURT OF ADMINISTRATION

Suite #250

EMERGENCY MANAGEMENT

Suite #300

HUMAN RESOURCES

IT/GIS

Suite #210

LAND & WATER

Suite #290

PUBLIC WORKS

306 8th Ave SE, Baudette, MN

RECORDER

Suite #280

SHERIFF'S OFFICE

Suite #300

SOCIAL SERVICES

Suite #200

COMMUNITY

206 8th Ave SE Baudette, MN 56623

AREA LINKS

HOW DO I...

ASSESSOR

AUDITOR

COURT OF ADMINISTRATION

EMERGENCY MANAGEMENT

LAND & WATER

PUBLIC WORKS

RECORDER

JOB APPLICATION

JOB APPLICATION

Personal

Resume'

Education

Military

206 8th Ave SE
Baudette, MN 56623

206 8th Ave SE
Baudette, MN 56623

206 8th Ave SE
Baudette, MN 56623

206 8th Ave SE
Baudette, MN 56623