☎ 859-873-4541

Directions

☎ 859-873-4541

Directions

☎ 859-873-4541

Employment Opportunities

APPLICATION FOR CONTRACTUAL EMPLOYMENT

Woodford County Health Department

229 N Main St., Versailles, KY 40383

Phone number (859) 873-4541

INFORMATION SHEET

We appreciate your interest in employment with the Woodford County Health Department. In order to receive full consideration for employment opportunities, an “Application for Contractual Employment” must be completed and received by the advertised date for proper consideration.

Application may be submitted electronically to Christine Mattingly at christined.mattingly@ky.gov or manually by completing this application, printing and delivering to Attention: Personnel, Woodford County Health Department, 229 N Main St., Versailles, KY 40383

General Instructions for completing the application for employment:

  • Type or print this application clearly in dark ink in its entirety.
  • Job Announcements may contain special instructions and requirements.
  • A resume or other application form for this application is not a substitute for this application but may be attached if desired.
  • Write the exact job title as specified on the job announcement.
  • If a closing date for filing is shown in the job announcement, your application and any required information, such as a copy of transcript(s) and any other supporting documentation, must be submitted by the date indicated.
  • Applications that are received unsigned, incomplete, or after the closing date, shall be eliminated from consideration.

"*" indicates required fields

Step 1 of 4

WOODFORD COUNTY HEALTH DEPARTMENT

APPLICATION FOR CONTRACTUAL EMPLOYMENT

Equal Opportunity Employer. No question on this form is asked for the purpose of limiting or excluding any applicant’s consideration because of race, color, sex, national origin, age, marital status, religion, or status with regard to public assistance, or disability. Thank you for your interest in employment with us.

Date*
Name*
Present Address*
POSITION (S) APPLIED FOR
List*
Local Health Department
Title of Position
Counties of Interest
Minimum Acceptable Salary
 
PERSONAL INFORMATION
If under 18 years of age please provide proof of eligibility to work.
Have you ever applied for a position with a Kentucky local health department before?*
Have you ever been employed with a Kentucky local health department before?*
Are you currently employed with a Kentucky local health department?*
Do you have a relative employed with a Kentucky local health department?*
May we contact your present employer?
May we contact your previous employer(s)?

LACK OF REQUESTED INFORMATION IS BASIS FOR REJECTING AN APPLICATION.

Criminal Conviction/Traffic Violations: Have you ever been convicted of;

(1) A misdemeanor?*
If yes, you must provide the following for EACH conviction:
Date
(use space below for additional convictions)
(2) A felony?*
If yes, you must provide the following for EACH conviction:
Date
(use space below for additional convictions)
(3) A moving traffic violation within the last 5 years?*
(Use space below to explain)
AVAILABILITY:
You will be asked, if offered employment, to verify that you are a citizen of the United States or provide proof that your immigration status permits you to work.
On what date will you be available for work?*
Employment type*
Do you have a valid drivers’ license?*
Are you available for travel?*
Are you available to work on call (after normal work hours? Saturdays, Sundays)?*
*Some positions may require that you be on call on a rotating basis to provide service after normal working hours or on the weekends.
Are you available to work overtime during the week?*
Are you available to work overtime on weekends?*
Download Application form
ISOLATION SURVEY