If you have been convicted of a crime (excluding minor traffic offenses) as an adult, please type or paste in the text window below; giving dates, type of conviction
(misdemeanor or felony) details and penalties for each occurrence, including dates of any probational periods.
Each conviction will be judged in relation to time, seriousness, circumstances and relationship to the position for which you are considered. For law enforcement
positions or positions of fiduciary trust you will be subject to a thorough background check.
By making this application, I hereby authorize any previous employers or references to give and release to the
Summit County Personnel Department any and all information of whatever kind in either written or verbal form
which relates to my ability to perform the duties of the position for which I am applying. Any or all previous
employers may be contacted. I release Summit County from any liability for the use of this information in
considering and reviewing my application for the available position.
If I am applying for a position in law enforcement or for a position in which fiduciary trust is involved, I hereby
authorize Summit County to conduct a thorough background investigation, to include identifying criminal offenses
of which I may have been convicted. I hereby release Summit County or any other agency involved in releasing this
information from any civil or criminal liability arising under law.
I affirm that this application for employment and any additional documentation contain no misrepresentations or
falsifications and that the information is true and complete to the best of my knowledge and belief. I am aware, that
should an investigation at any time disclose any such misrepresentation or falsification I will be disqualified from
further consideration or, if employed by Summit County, I may be terminated from employment.
I understand that Summit County is a drug free workplace conducting pre-employment, reasonable suspicion, post
accident and follow-up drug testing for the illegal use of controlled substances. If the position for which I am
applying is considered safety sensitive, I understand that I am subject to random drug testing.
Pressing the submit button constitutes your electronic signature and signifies the foregoing information is true and correct.