Thank you for your interest in employment with our agency. Any offer of employment is contingent upon a negative drug test, a qualifying criminal background check, a qualifying motor vehicle report, and being eligible to participate in any federal contract program.
Please Select One No Yes
I am 18 years or older
Please Select One No Yes
I have graduated from high school or have a GED
Please Select One No Yes
I am eligible to be employed on a federal contract program, since I have never been debarred, suspended, or excluded from a federal program or government contract.
Please Select One No Yes NA
My professional license is current and valid.
(It hasn't been revoked or suspended.)
If not applicable to you, put N.A.
Please Select One No Yes
My driver's license is currently revoked or suspended.
Please Select One No Yes
I have a DUI conviction (Driving Under the Influence) that is 3 years old or less.
Please Select One No Yes
I have had a conviction of reckless driving that is 3 years old or less.
Please Select One No Yes
I have multiple moving vehicle violations that are 3 years old or less (2 or 3 motor vehicle violations and/or accidents; eligibility for our insurance is dependent on severity, circumstances, etc.).
Please Select One No Yes
I've had a felony conviction related to controlled substances (since 1996).
Please Select One No Yes
I've had a conviction of other felony crimes within the past 5 years.
Please Select One No Yes
I've been convicted of abuse, neglect, assault within the last 5 years.
Please Select One No Yes
I have been convicted of a misdemeanor crime in the last 3 years.