Employment Form

Are you ready to start your brand new career with Eagle Solutions Services? Fill out our application for employment below today.

EMPLOYMENT ELIGIBILITY:

To be employed by the State of Georgia, you must meet certain State and Federal employment eligibility requirements. These include (but are not limited to) United States citizenship or authorization to work in this country, positive rehire status if previously employed by the State, and no felony convictions (for some jobs). Please answer the following questions.

Are you a United States citizen?
YesNo

Are you an alien authorized to work in the United States?
YesNoN/A

Have you ever been dismissed from any State of Georgia government position? YesNo

Have you ever been convicted of a felony? YesNo

EDUCATION:

High School Graduate or Equivalent (GED)?
YesNoN/A

College

City/State

Major Degree type

Date Degree completed

GEORGIA LICENSES AND CERTIFICATIONS:

Do you have a Valid Driver's License
YesNo

License Number

Expiration

What state is your license or certificate registered in?

Any endorsements Class

Have you ever been convicted of a crime, misdemeanor or felony?YesNo

If yes, explain the nature of the conviction:

WORK HISTORY:

Describe your work history below beginning with your current or most recent job. Include military and volunteer experience. If you worked for the same employer but held different jobs describe each separately. Describe in detail the specific duties beginning with your primary duties. Failure to give complete and detailed information regarding each job held may result in your disqualification from employment consideration.

Current or Last Employer

Your Job Title

Address

From

Details of Job Duties

Employer

Your Job Title

Address

From

Details of Job Duties

Employer

Your Job Title

Address

From

Details of Job Duties

VETERAN’S PREFERENCE:

The laws of the State of Georgia require that points be added to passing examination scores for certain veterans and combat troops of the Armed Forces of the United States. The following types of preference are currently granted. If you want to apply for Veteran’s Preference, check the type below and attach copies of the appropriate document(s) to your application. Copies cannot be returned. (SPB 16.102)

VETERAN: DD214 showing dates of service and type of dischargeDISABLED VETERAN: DD214; certificate of service-connected disability (at least 10%) from the V.A. dated within the last 6 monthsDECEASED VETERAN’S SPOUSE: DD214; marriage certificate; veteran’s death certificate or casualty reportDISABLED VETERAN’S SPOUSE: DD214; marriage certificate; disabled veteran’s documents dated within last 6 months (veteran must have 100% disability)

Upload copies of the appropriate document(s) along with this application. Copies cannot be returned. (SPB 16.102)

HOW DID YOU HEAR ABOUT OUR COMPANY:

How did you. hear about this job? Select the ones that apply.
Walk-inCollege/UniversityTechnical SchoolEmployee Referralthejobsite.orgNewspaperState Agency Web SiteOther Internet SourceDOL Career CenterOther

EQUAL EMPLOYMENT OPPORTUNITY INFORMATION:

The information you give in this section is optional. It is used by the Georgia Merit System and other state agencies to comply with Federal guidelines for monitoring the equal employment opportunity efforts of the State of Georgia.

Ethnic Background (Check One):
Native AmericanWhite, not of Hispanic originHispanicBlack, not of Hispanic originAsian/Pacific IslanderMulti-racialOther

Gender
MaleFemale

Birth Date

ACKNOWLEDGEMENT:

Please type your full name below as an electronic signature. By typing your name in the box below, you agree to submit this form as an application for employment with Eagle Solution Services INC.

Signature

*Disclaimer- Name entered constitutes an Electronic Signature

Today's Date:

By checking this box, I agree to a background check. I understand that Eagle Solution Services INC. will be pulling a background check prior to employment.

Read carefully before submitting. Incomplete applications will not be processed.

I certify that all information on this application is correct. I authorize any agent or employee of the State to verify this information and to release it to anyone who may consider me for appointment. I understand that intentionally providing false information on this form or attachments is a violation of statelaw. I also understand that applications submitted electronically, via e-mail or similar media, are not valid unless I enter my name in the signature field below and such action shall constitute an electronic signature. I further certify that either: 1) I have not been convicted of a drug related criminal offense; or 2) if I have been convicted of a drug-related criminal offense, it has been more than three (3) months since my first conviction, or more than five (5) years since a second or subsequent conviction (O.C.G.A. 45-23 et. Seq.).