Fillable Printable wyoming judicial branch employment application
Fillable Printable wyoming judicial branch employment application
wyoming judicial branch employment application
WSC Rev. 11/2009
Page 1 of 2
WYOMING JUDICIAL BRANCH
EMPLOYMENT APPLICATION
AN EEO/ADA EMPLOYER
Unless otherwise instructed
return to:
Wyoming Supreme Court
Human Resources
2301 Capitol Avenue
Cheyenne, WY 82002
Fax# (307) 777-3447
OFFICE USE ONLY
1. OFFICIAL JOB TITLE APPLIED FOR AS STATED ON ANNOUNCEMENT
2. LAST NAME FIRST NAME MIDDLE INITIAL 3. SOCIAL SECURITY NUMBER
4. MAILING ADDRESS CITY STATE ZIP
HOME PHONE NO. DAY OR MESSAGE PHONE NO. DRIVER’S LICENSE NO. STATE
TYPE
8. COURT LOCATION PREFERENCE: IF YOU ARE WILLING TO WORK ANYWHERE IN THE STATE, PUT IN STATEWIDE; OTHERWISE WRITE IN UP TO FIVE LOCATIONS.
9. CHECK TYPE OF APPOINTMENT YOU WOULD ACCEPT. FULL TIME
o
PART-TIME
o
TEMPORARY
o
10. ARE YOU PRESENTLY EMPLOYED BY THE STATE OF WYOMING? YES
o
NO
o
IF “YES” SPECIFY AGENCY:
11. DO YOU HAVE ANY RELATIVES EMPLOYED BY THE STATE?YES
o
NO
o
IF “YES,” SPECIFY AGENCY AND RELATIONSHIP:
12. IF YOU ARE UNDER 19 YEARS OF AGE, GIVE BIRTHDATE:
13. DATE AVAILABLE FOR WORK:
14. VETERANS’ PREFERENCE: IF YOU ARE A WAR VETERAN AS DEFINED IN SECTION 101, TITLE 38, UNITED STATES CODE OR ARE A WIDOW OF A WAR
VETERAN AND WISH TO CLAIM ANY VETERANS’ PREFERENCE, PLEASE ATTACH THE APPROPRIATE DOCUMENTATION SUBSTANTIATING YOUR
CLAIM.
DATES OF SERVICE: TO
BRANCH OF SERVICE: TYPE OF DISCHARGE:
15. IF PREVIOUSLY EMPLOYED BY THE STATE OF WYOMING, SPECIFY WHICH AGENCY AND DATES OF EMPLOYMENT:
16. IF YOU HAVE BEEN EMPLOYED OR ATTENDED SCHOOL UNDER OTHER NAMES, LIST NAMES AND DATE OF USE:
17. HAVE YOU EVER BEEN CONVICTED OF AN OFFENSE IN A COURT OF LAW?YES
o
NO
o
IF "YES," GIVE DATES, DETAILS AND PENALTIES FOR EACH OCCURRENCE ON AN ATTACHED SHEET OF PAPER. DO NOT INCLUDE MINOR TRAFFIC
VIOLATIONS. AN ANSWER OF "YES" TO THIS QUESTION DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT.
18. DO YOU HAVE A H.S. DIPLOMA OR GED CERTIFICATE: YES
o
NO
o
HIGH SCHOOL / LOCATION:
19. COLLEGE OR VOCATIONAL
SCHOOL AND LOCATION
DATES
FROM TO
SEM. Hours
Qtr.
Hours
MAJOR MINOR
DEGREE
EARNED
DATE OF
DEGREE
Please provide college and/or vocational school transcripts.
20. LIST OTHER JOB-RELATED SPECIAL QUALIFICATIONS AND SKILLS. INCLUDE COMPUTER SKILLS, SKILLS WITH MACHINES, TYPING OR SHORTHAND SPEED, MEMBERSHIPS IN
PROFESSIONAL ASSOCIATIONS, AWARDS, PUBLICATIONS, LICENSES OR REGISTRATIONS (GIVE NUMBERS AND EXPIRATION DATES), ETC.:
***NOTICE: SUCCESSFUL APPLICANTS WILL BE REQUIRED TO SHOW PROOF THAT THEY ARE ELIGIBLE TO WORK IN THE UNITED STATES
UNDER U.S. IMMIGRATION LAW.***
21. I CERTIFY THAT ALL INFORMATION CONTAINED ON THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT ANY
MISREPRESENTATIONS OR FALSIFICATIONS MAY RESULT IN REMOVAL FROM EMPLOYMENT CONSIDERATION OR DISMISSAL. I GIVE THE STATE OF WYOMING AND ITS AUTHORIZED
AGENTS PERMISSION TO VERIFY ANY JOB-RELATED INFORMATION GIVEN IN CONNECTION WITH THIS APPLICATION.
SIGNATURE OF APPLICANT:
DATE:
WSC Rev. 11/2009
Page 2 of 2
WYOMING JUDICIAL BRANCH
EMPLOYMENT APPLICATION
AN EEO/ADA EMPLOYER
Website: http://www.courts.state.wy.us/
Unless otherwise instructed
return to:
Wyoming Supreme Court
Human Resources
2301 Capitol Avenue
Cheyenne, WY 82002
Fax# (307) 777-3447
WORK HISTORY: LIST JOBS IN REVERSE ORDER STARTING WITH YOUR PRESENT OR LAST JOB. THIS SECTION MUST BE ACCURATE AND COMPLETE.
DO NOT SUBSTITUTE A RESUME IN THE PLACE OF THIS APPLICATION OR ANY OF ITS PARTS. IF MORE SPACE IS NEEDED, ATTACH ADDITIONAL
SHEETS IN THE SAME FORMAT INCLUDING YOUR NAME, SOCIAL SECURITY NUMBER AND JOB TITLE APPLIED FOR.
EMPLOYER:
ADDRESS
FROM: MO/YR. TO: MO/YR HOURS PERWEEK: YOUR TITLE:
LAST SALARY: $ PER SUPERVISOR: MAY WE CONTACT? YES
o
NO
o
PHONE:
NO. & TYPE OF EMPLOYEES YOU SUPERVISED:
REASON FOR LEAVING:
DUTIES:
EMPLOYER:
ADDRESS
FROM: MO/YR. TO: MO/YR HOURS PERWEEK: YOUR TITLE:
LAST SALARY: $ PER SUPERVISOR: MAY WE CONTACT? YES
o
NO
o
PHONE:
NO. & TYPE OF EMPLOYEES YOU SUPERVISED:
REASON FOR LEAVING:
DUTIES:
EMPLOYER:
ADDRESS
FROM: MO/YR. TO: MO/YR HOURS PERWEEK: YOUR TITLE:
LAST SALARY: $ PER SUPERVISOR: MAY WE CONTACT? YES
o
NO
o
PHONE:
NO. & TYPE OF EMPLOYEES YOU SUPERVISED:
REASON FOR LEAVING:
DUTIES:
