Employment/civil Service Exam Application - Niagara County Human Resources Department Page 3

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Work History – List your complete post-high school work history. Include dates, all employers, & reason for

leaving. Attach additional sheets if necessary.

Have ever worked for Niagara County?

Yes

No Date: __________ Department:____________________________________

Start Date(M/D/Y) End Date(M/D/Y)

Employer

Reason for Leaving

Work E xperience – Complete t he f ollowing Work E xperience Form on pa ge 4 for a ll experience t hat i s

relevant to the position to which you are applying. Make additional copies of the Work Experience Form

and at tach t o your application as n eeded.

Be s ure t o i nclude your printed na me and s ignature on a ll

attachments. V olunteer ex perience m ust b e d ocumented b y a s tatement o f v erification f rom t he a gency

representative regarding the number of hours volunteered per week and the activities performed.

• Describe your relevant employment, including military experience, beginning with your current or most

recent employment

• Submission of a resume does not relieve you of the responsibility for completing all sections of this

application

• To receive credit for a j ob, basic employment information such as address, name & title of supervisor,

average number of hours worked, final salary, reason for leaving, specific job duties, your job title, etc.

must be completed

• You must provide the percentage of time spent on each duty in order to receive proper credit

Part-time and/or verifiable volunteer experience will be pro-rated according to the following scale:

* 0 to 7 hours per week = no credit

* 8 to 15 hours per week = 1/4 credit

* 16 to 22 hours per week = 1/2 credit

* 23 to 29 hours per week = 3/4 credit

* 30 hours or more per week = full-time work

Niagara County Human Resources Department * 111 Main Street – Suite G2 * Lockport, NY 14094

Phone: (716) 438-4071 * Exam Information: (716) 439-7281 * Web-site:

Niagara County policy prohibits discrimination in employment, program activities, contracting, and procurement against any person due to such person’s age, marital

status, disability, genetic predisposition or carrier status, race, color, creed, sexual orientation or national origin.

An Equal Opportunity Employer

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