As required, we comply with government regulations including Affirmative Action obligations where they apply.
In an effort to comply with requirements regarding government record keeping, reporting and other legal obligations, we ask that you complete this applicant survey. Your cooperation is appreciated.
Please be advised that your survey is not part of your official application for employment. It is considered confidential information that will not be used in any hiring decision.
That completing this application does not constitute an offer of employment.
That in connection with the application process, Marion County may conduct a background investigation and
request information from my past employers, education institutions, personal references, and any public or private
agencies that have issued me either a professional or vocational certification or license. I understand that such
investigation may also include, but is not limited to, any criminal records and motor vehicle driving records. I have
read Marion County's Applicant Background Checks and Employee Investigation Policy, which I fully understand
and which indicates that if Marion County utilizes the services of a consumer reporting agency, the Company
follows the provisions of the Fair Credit Reporting Act and will provide a notice to the applicant and request a
separate Release of Information form from the applicant.
That I may be required to complete a medical history form and may be required to be examined by a medical
professional designated by Marion County at the post-offer stage. I agree that Marion County shall be entitled to
receive full and complete reports and records governing any medical or related examinations, and I authorize any
and all such doctors, medical examiners, and clinics/hospitals to give to Marion County full and complete reports
and records covering such examinations.
That use of illegal drugs is prohibited during employment and that I may be required to undergo and successfully
pass a screening for alcohol and/or drugs that is included in a post-offer pre-employment physical examination. I
also understand that, if employed, I may be required to submit to an alcohol or drug screening according to state
law. I agree that Marion County shall be entitled to receive full and complete reports and records governing any
alcohol or drug screening, and I authorize any and all such doctors, medical examiners, and clinics/hospitals to
give to this organization full and complete reports and records covering such examinations.
That if I sustain any injury or illness while in the employment of this organization, I agree that Marion County shall
be entitled to receive full and complete reports and records governing any medical or related examinations, and I
authorize any and all such doctors, medical examiners, and clinics/hospitals to give to Marion County full and
complete reports and records covering such examinations, condition, care and treatment related to or resulting
from the alleged illness or injury.
That if employment is obtained under this application, I will comply with all rules and policies of the organization. I
agree to be responsible for the organization’s property and equipment issued to me by the organization until
returned by me. I agree to pay for property and equipment not returned, and authorize the organization to withhold
an amount equal to the value of the property not returned by me from my final pay.
That this employment application and any other employee related documents are not contracts of employment and
that Marion County follows an “employment at-will” policy that an individual who is hired may voluntarily leave
employment or may be terminated by the employer at any time for any or no reason. I understand that any oral or
written statements to the contrary are hereby expressly disavowed and should not be relied upon by any
prospective or existing employee.
Smoking Ban Notice:
Applicants for employment with Marion County are advised that smoking is banned by state law (Iowa Code
Chapter 142D) on all Company grounds and in all Company facilities which includes motor vehicles and
equipment. Applicants are further advised that their job duties may include entering into areas where smoking is
not regulated and where smoking is occurring. (Iowa Code Section 142d.6(2))
I have provided complete and truthful information to Marion County regarding all sources of information about my past
employment, education, licensure, certification, criminal conviction record, as well as any other information requested in
the employment application, and have been fully informed that any misrepresentations or material omissions concerning
such information will be grounds for denying my application, withdrawing any offer of employment, or immediate
I have carefully read all the statements regarding requests, authorizations, consents and releases and have voluntarily
agreed to assist Marion County in evaluating my qualifications for employment and in meeting the business necessity of
hiring honest, trustworthy, reliable and non-violent employees who do not pose a risk of serious harm in the workplace.
I understand that with the exception of any credit or investigative reports received under the Fair Credit Reporting Act, all
information and documents generated, received or maintained by Marion County during, or as a result of, its investigation
will be maintained as confidential information in Human Resources and Marion County will not release such information or
documents to me.