FCMC Employment Application

Clerk Employment Application

Instructions

The Employment Application must be completed in one session, do not close your browser or navigate away from this page or your information will be lost.
Before beginning the Employment Application, review all of the questions to make sure you have all necessary information ready.
The Employment Application may take 20-60 minutes to complete. Make sure you reserve enough time to finish.
While completing the Employment Application, all required fields are marked with a red asterisk (*). If a field is required, but does not apply to you; type N/A into the field to indicate it is not applicable.
Once you have answered all of the questions on the Employment Application, you will have a chance to review your answers. If you missed a required piece of information, you will be alerted at this time.
After you have reviewed the Employment Application, you will be prompted to download a copy of your completed Employment Application as a PDF.
Once you have downloaded the completed Employment Application, email the completed Employment Application PDF, as well as your resume, cover letter, and other required materials to the Clerk's Human Resources department: ClerkHR@fcmcclerk.com
After submitting your application, you should print a copy to retain for your own records.

Position Information

Date (MM/DD/YYYY, ex. 04/25/2024)

Position for which you are applying

Personal Information

First Name

Middle Initial

Last Name

Current Address (Street Number and Street Name)

Current City, State, Zip

Previous Address (If you have lived at your current address for 6 months or less)

Previous City, State, Zip

Primary Phone Number with Area Code (ex. 614-555-5555)

Email Address

Education

High School

High School Name

High School Location

Did you graduate High School?

Higher Education 1 of 3

College or University Name (1)

Major (1)

Minor (1)

Degree Earned (1)

Did you graduate? (1)

Higher Education 2 of 3

College or University Name (2)

Major (2)

Minor (2)

Degree Earned (2)

Did you graduate? (2)

Higher Education 3 of 3

College or University Name (3)

Major (3)

Minor (3)

Degree Earned (3)

Did you graduate? (3)

Additional Higher Education

Technical or Professional School Name

Area of Study

Degree Earned

Did you graduate?

Work Experience

Identify your employment history, starting with your most recent position. You may attach an additional sheet to your email if necessary; however, a resume may not be substituted for completing this section.

Employment History 1 of 3

Employer Name (1)

Start Date - MM/DD/YYYY (1)

End Date - MM/DD/YYYY (1)

Position Title (1)

Employer Address - Street Number and Street Name (1)

Employer City, State, Zip (1)

Employer Website (1)

Employer Phone Number with Area Code (1)

Supervisor Name (1)

Hours Worked Per Week (1)

Job Duties (1)

Reason for Leaving (1)

May we contact this employer? (1)

Employment History 2 of 3

Employer Name (2)

Start Date - MM/DD/YYYY (2)

End Date - MM/DD/YYYY (2)

Position Title (2)

Employer Address - Street Number and Street Name (2)

Employer City, State, Zip (2)

Employer Website (2)

Employer Phone Number with Area Code (2)

Supervisor Name (2)

Hours Worked Per Week (2)

Job Duties (2)

Reason for Leaving (2)

May we contact this employer? (2)

Employment History 3 of 3

Employer Name (3)

Start Date - MM/DD/YYYY (3)

End Date - MM/DD/YYYY (3)

Position Title (3)

Employer Address - Street Number and Street Name (3)

Employer City, State, Zip (3)

Employer Website (3)

Employer Phone Number with Area Code (3)

Supervisor Name (3)

Hours Worked Per Week (3)

Job Duties (3)

Reason for Leaving (3)

May we contact this employer? (3)

Training, Certificates, and Licenses

Other than the education you have already listed above, list any certificates, and/or licenses relevant to the position for which you are applying. Include the type, subjects covered, the length of training or study, and the organization that provided the training, certificate, or license.

Training

Certificates

Licenses

Work Skills

List any additional information, experience, or special qualifications you have for the position that you want to be considered.

Office Skills

Computer Skills

Other Skills

General Questions

The following information will be used only if it is directly related to the position for which you are applying. A "Yes" or "No" answer to any of the questions below will not automatically disqualify you from employment with this court.

Do you have a valid drivers license?

If yes, please provide drivers license number; otherwise type "N/A".

If necessary, can you supply your own transportation for work use?

If you cannot provide your own transportation, please explain; otherwise type "N/A".

Can you perform all of the required tasks/duties as described in the job description?

If you cannot perform all of the required tasks/duties, please explain; otherwise type "N/A".

We operate 24 hours a day, seven days a week. Are there any hours, shifts or days you cannot or will not work?

If there are any hours, shifts or days you cannot or will not work, please explain; otherwise type "N/A".

Are you able to work during the hours required for the position for which you are applying?

If you cannot work during the hours required for the position, please explain; otherwise type "N/A".

Are you proficient in any language other than English?

If you are proficient in a language other than English, please explain; otherwise type "N/A".

Have you ever been employed by a court system?

If you have been employed by a court system, please explain; otherwise type "N/A".

Do you have any commitments to another employer or personal activity that might affect or cause a conflict of interest with employment with the Clerk's Office?

If you have a commitment to another employer or conflict of interest with the Clerk's Office, please explain; otherwise type "N/A".

Are you related by blood or marriage, up to and including second cousin, to an employee of the Clerk's Office?

If you answered "yes", please explain; otherwise type "N/A".

Are you currently involved in any litigation in the Franklin County Municipal Court, Franklin County Common Pleas Court, or within the Jurisdiction of Franklin County?

If you answered "Yes" to the question above, please explain; otherwise type "N/A".

Professional References

Reference 1 of 3

Name (1)

Occupation (1)

Company Name (1)

Company Address (1)

Company City, State, Zip (1)

Phone Number (1)

Reference 2 of 3

Name (2)

Occupation (2)

Company Name (2)

Company Address (2)

Company City, State, Zip (2)

Phone Number (2)

Reference 3 of 3

Name (3)

Occupation (3)

Company Name (3)

Company Address (3)

Company City, State, Zip (3)

Phone Number (3)

Certification

CHECK YOUR APPLICATION AND READ THE FOLLOWING STATEMENTS CAREFULLY.

By signing below, I affirm that the statements made in this application are complete and accurate. I understand that if I am hired, any false or misleading statement on this application may result in my dismissal, criminal prosecution, or both.

I authorize the Franklin County Municipal Court Clerk to verify the information in this application, including conducting an investigation of my personal or employment history (including contacting former employers and supervisors), education, criminal and traffic records, or credit history through any investigative agencies of its choice. I hereby waive all provisions of law forbidding schools or colleges that I attended, or any past employers from disclosing any knowledge or information relevant to my employment and hereby consent that they may disclose such knowledge or information.

Please enter your full name

Date of Signature (MM/DD/YYYY)