Official Arkansas Employment Application Template in PDF Customize Form

Official Arkansas Employment Application Template in PDF

The Arkansas Employment Application form serves as a vital tool for individuals seeking employment within the State of Arkansas or any of its subdivisions, emphasizing an inclusive approach by accepting applications regardless of sex, race, color, national origin, disability, age, religion, or political affiliation. It outlines that a conviction does not automatically disqualify applicants and mentions the potential for applications to become public records under the Arkansas Freedom of Information Act. For those ready to embark on a new career path with the State of Arkansas, clicking the button below will guide you through the process of completing and submitting your employment application.

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Table of Contents

Embarking on a job search within the State of Arkansas introduces applicants to a standardized process involving the Arkansas Employment Application form. This vital document is part of a systematic approach designed to ensure fairness and equal opportunity in state employment, irrespective of sex, race, national origin, disability, age, religion, or political affiliation. Significantly, the form respects applicants' privacy while adhering to the Arkansas Freedom of Information Act, making clear that while applications are public records, this does not equate to an employment contract. Importantly, it highlights that employment, if offered, is at-will, emphasizing flexibility yet no guarantee of long-term engagement. To support inclusivity, the application process is accessible to qualified applicants with disabilities, showcasing the state's commitment to accommodating diverse needs. Additionally, the form gathers critical equal employment data and military history to support various state and federal reporting requirements, and to consider veterans for preference, underlining the state's respect and value for military service. Applicants are guided to provide comprehensive personal details, employment preferences, education, and work history, ensuring a holistic view of their background is captured. This meticulous compilation of information is crucial for the recruitment process, aiming to match skills and experience with suitable job opportunities.

Arkansas Employment Application Preview

State of Arkansas

Employment Application

Applications for employment with the State of Arkansas, or any subdivision thereof, are accepted without regard to sex, race or color, national origin, handicap/disabiIity, age, religion, or politi- cal affiliation. Conviction of a crime does not automatically bar any applicant from employment or other opportunities with the State of Arkansas.

Applications, once filed, may be subject to disclosure as a public record under the Arkansas Freedom of Information Act.

Applications filed do not create a contract of employment with the State of Arkansas or any of its subdivisions. If any individual is hired, employment is not for any definite period of time. Individuals hired will also be required to provide proof of eligibil- ity to work in the United States pursuant to the Immigration Reform and Control Act of 1986.

Qualified applicants with disabilities, as defined in the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, may request any needed accommodations to par- ticipate in the application process.

Rev. 11/92 PDF 2/99

EQUAL EMPLOYMENT DATA This section is designed to collect information which will be

used in the completion of various state and federal reports and will not be used in the processing of, or remain part of, your application. The completion of this section is voluntary.

Applicant's Name ______________________________________________________

Social Security Number________________________

Date of Birth___________________

Male

Female

Check one of the four (4) listed which you consider yourself to be:

White (Descendant of the original peoples of Europe, North Africa, or the Middle East)

Black (Descendant of the black racial groups in Africa)

American Indian or Alaskan Native (Descendant of any of the original peoples of North

America, and who maintains cultural identification through tribal affiliation or community recognition)

Asian or Pacific Islander (Descendant of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands)

Do you consider yourself to be- Hispanic (A person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish Culture origin, regardless of race)? Yes No

Military History

If you believe you may be eligible for veterans preference consideration, complete this section. The Arkansas Veterans Preference Act states specific requirements which must be met in order to be eligible for veterans preference. Under certain conditions spouses, widows, or widowers of qualified veterans may also be eligible for veterans preference. For considera- tion of veterans preference, proof such as a DD-214, current letter from the Veterans Administration, or other official documentation may be required. Specific questions regarding veterans preference should be addressed to individual state agency personnel offices.

Have you served on active duty in the United States military, excluding Active Duty for Training (AcDuTra) and Reserve Military Annual Training (AT)?Yes No

Branch of service________________________________________________________

Date of entry ___________________________________________________________

Date of discharge _______________________________________________________

Type of discharge _______________________________________________________

How did you learn of this job opening?

Newspaper

Employment Security Department

Agency announcement

Educational Institution. Name of Institution:_________________________________

Other Explain: _______________________________________________________

APPLICATION FOR EMPLOYMENT

Please answer all questions which apply to you. If they do not apply, mark them N/A. Please print, type or write legibly.

LASTNAME

FIRSTNAME

 

 

MIDDLE NAME

 

 

 

 

 

 

COMPLETE MAILINGADDRESS

CITY

STATE

ZIPCODE

 

COUNTY

 

 

 

 

 

 

HOMEPHONENUMBER

WORKPHONENUMBER

MESSAGEOROTHERPHONENUMBER

Position(s) for which you are applying (give title(s) and position number(s) if known):

1._______________________________________________________________________

2._______________________________________________________________________

3._______________________________________________________________________

4._______________________________________________________________________

EMPLOYMENT STATUS SECTION

Will you accept employment anywhere in the State? . . . . . . . . . . . . . ❑ Yes❑ No

If no, where would you accept employment?____________________________________________________

Will you accept any type of employment?

❑ Yes

❑ No

If no, check which type(s) of employment you will accept. ❑ Full Employment

❑ Part Time ❑ Temporary

 

 

Have you ever filed an application for employment with this agency? . ❑ Yes

❑ No

If yes, what was your name at that time? ______________________________________________________

Have you ever been employed by Arkansas State Government? . . . . ❑ Yes❑ No

List professional license(s) relevant to position(s) for which you are applying. Give type of license, license number, date of expiration, and state. _________________________________________________________

_______________________________________________________________________________________

May we contact your current employer?

❑ Yes

❑ No

May we contact your former employer(s)?

❑ Yes

❑ No

EDUCATIONAL HISTORY

HIGH

 

 

 

Received:

SCHOOL

 

❑ Diploma ❑ GED ❑ Certificate: Type Awarded:________________

 

 

 

If None, Highest Grade Completed _____

List below post secondary schools, colleges, universities, trade/vocational, or other attended:

NOTE: For hours completed indicate whether semester hours, quarter hours, clock hours, etc.

Name and Location

From

To

Mo.

Yr.

Mo.

Yr.

 

 

 

 

 

 

 

 

Major/Minor

Hours

Completed

(see note below)

Degree/

Diploma

Awarded

Date

Graduated

WORK HISTORY

List all prior work experience, including military service, beginning with your most recent employment (include all work experience even if you do not believe that experience to be related to the position or positions for which you are applying). You may include vol- unteer or unpaid work as part of your history; however, you should include the number of hours per week which you performed these duties. If you do not have enough space to list all your work experience, use a separate sheet for continuation. If you wish to include a resume instead of completing the work history section, make sure all the requested information is included.

1.

Current or most recent employer

 

Business Phone number

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

Business Phone number

 

2.

Employer

 

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

Business Phone number

 

3.

Employer

 

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

4.

Employer

 

Business Phone number

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

5.

Employer

 

Business Phone number

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

 

 

 

 

 

 

 

Business Phone number

 

6.

Employer

 

Employment dates

 

 

 

 

 

From _____________

 

Complete mailing address

City

State

Zip Code

 

month

year

 

 

 

 

 

 

 

 

 

 

To _______________

 

Type of business

 

 

 

 

 

 

 

 

month

year

 

 

 

 

 

 

 

 

Supervisor’s name

 

 

 

Average hours worked

 

 

 

 

 

 

 

 

 

 

per week __________

 

Name under which employed

 

 

 

 

 

 

 

 

 

 

 

Your job duties (be specific)

 

 

 

Salary

 

 

 

 

 

 

 

 

 

 

 

 

$________ $_______

 

 

 

 

 

 

 

 

 

 

lowest

highest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving

SPECIAL SKILLS

Typing Speed (corrected words per minute):

Stenographic Speed (words per minute):

Can you transcribe machine dictation? ❑ Yes ❑ No

List the business machines, computers and word processors you can operate:

List any other skills relative to the job(s) for which you are applying:

REFERENCES

Please list three (3) persons not related to you, who have knowledge of your work qualifications, are not previous or current employer(s), and can serve as a reference for you.

Name

Address

Telephone

1.____________________________________________________________________________

2.____________________________________________________________________________

3.____________________________________________________________________________

NEPOTISM

Do you have any relatives employed by the state agency to which you are submitting this application for employ- ment?❑ Yes ❑ No If yes, complete the remainder of this section. (This question is being asked for the sole purpose of ensuring compliance with any applicable law or policy concerning nepotism.)

Name

Relation

Agency employed by:

 

 

 

 

 

 

 

 

 

Before you sign this application

Check over your answers to make sure that all questions have been completed properly. If the job you are applying for requires a college degree or certification, a copy of your transcript, certificate, or license may be required as a condition of employment.

I, the below signed individual, hereby declare that, to the best of knowledge and my ability, the information on this application is true and factual.

I understand that if I am hired, that my employment is not for any definite period of time, and I may be terminated at any time.

I understand that if I state I have a college degree, and do not have one, that my application will be rejected or, if hired, I will be terminated in accordance with Arkansas Code 21-12-102.

I understand that my application may be subject to disclosure as a public record under the Arkansas Freedom of Information Act. I understand that certain jobs may require an acceptable driver’s safety record, and that if my current or future driver’s record is unacceptable under the State Driver’s Risk Program, my application may be rejected and, if hired, I may be subject to termination. I understand that I will be required to provide proof of eligibility to work in the United States pursuant to the immigration Reform

and Control Act of 1986 as a condition of my employment.

I understand that false, misleading, or incomplete statements could lead to my dismissal as an employee or rejection as an appli- cant.

I also understand that some jobs require background checks, security clearance, or compliance with other specific agency hir- ing policies prior to my employment, or as a condition of employment; and that failure to meet those requirements may lead to my rejection as an applicant for, or termination from, that job.

I affirm that it is my genuine intent to seek, and if offered, employment in Arkansas State Government, and this application is sub- mitted solely for that purpose and for no other purposes.

___________________________________________________________

____________________________________

Signature of applicant

Date of signature

State of Arkansas

Statement of Selective Service Status

I understand that to be eligible for employment with the State of Arkansas I must register, or be exempt from registration, with the Selective Service System in accordance with the Military Selective Act, 50 USC Appx §452 et seq., as specified in Act 228 of the 1997 Acts of the Arkansas General Assembly.

OI swear or affirm under penalty of perjury that I have registered with the Selective Service System.

OI swear or affirm under penalty of perjury that I am exempt from registration because of the following provision(s) of the Military Selective Service Act or Act 228 of the 1997 Acts of the Arkansas General Assembly:

OI am female.

OI am under 18 years of age.

OI am 26 years of age or over.

OI am currently a member of the armed forces on active duty.

OI am an exempted resident alien.

OOther: Specify:

Name (Please Print):

Signature:Date:

Social Security Number:

(Member Name)

STATE OF ARKANSAS

Department of Finance and Administration

EMPLOYEE DISCLOSURE/CERTIFICATION AND EMPLOYMENT OF FAMILY MEMBERS FORM

Answer the following questions regarding your current, former* and future employment with the State of Arkansas:

1.

Are you a current state employee?

Yes

2.

Are you a former state employee?

Yes

3.Are you a current member of the Arkansas General Assembly (House or Senate)

or a current Constitutional Officer**?

Yes

4.Are you the spouse of a current member of the Arkansas General Assembly or spouse of a current

Constitutional Officer? _________________________________(Member/Officer Name)

Yes

► If “Yes”, is your expected salary above the pay grade 13, level IV?

Yes

5.Are you a former member or the spouse of a former member ________________ (Member Name)

of the Arkansas General Assembly (House or Senate)?

Yes

► If “Yes,” did you serve or did your spouse serve within the last 24 months?

Yes

►If “Yes,” during the previous 24 months prior to your leaving office or your spouse leaving

 

office, was the position for which you are being considered created by legislative action, or if

 

the maximum salary level increased by more than 15%, was it authorized by legislative action?

YES

6.Are you an immediate family member*** (other than the spouse) of a member of the Arkansas General

Assembly or a Constitutional Officer?

YES

If “Yes”, ______________________________________________________(Member/Officer Name)

F-3

No

No

No

No

No

No

No

NO

NO

7.Are you an immediate family member of a state employee, state board, or Commission member?

► IF “YES”, ___________________________________________________________

8.Are you a relative of the supervisor or hiring official, or will this position have supervisory responsibility over a relative disclosed above?

a)If “Yes”, are you a spouse of a member of the Arkansas General Assembly or a Constitutional

Officer? _____________________________________________________(Member/Officer Name)

OR

b)If “Yes”, are you an immediate family member (other than the spouse) of a member of the Arkansas General Assembly, a Constitutional Officer, a state employee, or board or commission member?

If “Yes”, what is the relationship and name?_______________________________________

Yes

Yes

Yes

Yes

No

No

No

No

*Former is defined as within the last 24 months.

**Constitutional Officer: Governor, Lt. Governor, Secretary of State, Attorney General, Auditor, Treasurer, Land Commissioner.

***Immediate family member includes: spouse, mother, father, sister, brother, child, mother-in-law, father-in-law, sister-in-law, brother-in-law, daughter-in law, and son-in-law.

I understand that to be eligible for employment with the State of Arkansas, I must be in compliance with Governor’s Executive Order 98-04, Governor’s Policy Directive No. 8 and Arkansas Code Annotated §21-8-304, which state, in part, that, while employed as a state employee, I cannot enter into any Professional Services Contract or Consultant Service Contract with any state agency unless I am providing Nursing Services and contracting with the Department of Human Services. I assert that I have answered the above questions to the best of my knowledge, and I understand that failure to disclose this information may result in disciplinary action, if I am hired by this agency.

_______________________________________

_______________________________

_________________________

Signature of Applicant

Social Security Number

Date

INSTRUCTIONS FOR HIRING OFFICIAL:

A.Regardless of the answer in #1 or #2, complete this form. Submit this form with the hire packet.

B.If applicant marked #3 “Yes”, this person cannot be hired.

C.If applicant marked all items in #4 “Yes”, complete this form and submit to Chief Fiscal Officer (CFO) and Joint Budget Committee (JBC) / Legislative Council (LC) for approval. Submit approved form with hire packet.

D.If applicant marked all items in #5 “Yes”, this person cannot be hired.

E.If applicant marked #6, #7 or #8b “Yes”, complete this form and submit to agency director. Submit approved form with hire packet.

F.If applicant marked #8a “Yes”, complete this form and submit to CFO and JBC/LC for approval. Submit approved form with hire packet.

G.If applicant marked any item in #3, #4, #5, #6, #7, #8a or #8b “No”, no further action is needed. Submit this form with the hire packet.

Agency/Institution

Cossatot Community College-UA

 

Hiring Official

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Applied for

 

 

Position #

Pay Grade

Salary

 

 

 

 

 

 

 

 

 

 

I certify that the applicant meets the education and experience qualifications required to perform the duties of the position for which they are being considered.

_____________________________________________________

870-584-4471

 

 

Signature of Agency/Institution Hiring Official

Phone Number

 

 

Approved

 

 

677

 

 

 

 

 

 

 

 

Disapproved

Agency/Institution Director or Designee

Agency Number

Date

 

 

 

 

 

 

F-5

STATE OF ARKANSAS

Department of Finance and Administration

Employee Disclosure Requirements Notice

Employees must report any benefit obtained from a state contract by a business in which the employee has a financial interest. Ark. Code Ann. § 19-11-706. The employee must report this benefit to the Director of the Department of Finance and Administration.

A state employee has a “financial interest” in a business if he/she:

has received within the past year, or is presently or in the future entitled to receive, more than one thousand dollars ($1000) per year, as a result of ownership of any part of the business or any involvement in the business; or

owns more than a five percent (5%) interest in the business; or

holds a position in the business such as an officer, director, trustee, partner, employee, or the like, or holds any position of management.

Any employee who knows or should have known of such benefit and fails to report the benefit to the director is in breach of the ethical standards of Ark. Code Ann. § 19-11-706.

Employee Disclosure Restriction Notice

State employees are restricted from employment under certain conditions, both during the time they are employed by the state and after they leave state employment. Ark. Code Ann. § 19-11-709. These restrictions include:

employment of a current state employee involved in procurement by any party contracting with the state;

former employees from representing anyone other than the state under certain conditions in matters which the employee participated personally and substantially or which were within the former employee’s official responsibility;

partners of a current or former state employee from representing anyone other than the state under certain conditions; and

selling to the state after termination of employment under certain conditions.

Any current or former state employee who violates any of these employment restrictions is in breach of the ethical standards of Ark. Code Ann. § 19-11-709.

Penalties for Non-Compliance with Ark. Code Ann. § 19-11-706 or § 19-11-709

In addition to civil and administrative remedies, Ark. Code Ann. § 19-11-712 allows the Director of the Department of Finance and Administration to impose, against any employee who fails to comply with Ark. Code Ann. § 19-11-706 or § 19-11-709, after notice and an opportunity for a hearing, any one or more of the following:

oral or written warnings or reprimands;

forfeiture of pay without suspension;

suspension with or without pay for specified periods of time; and

termination of employment.

Pursuant to Arkansas Code Annotated § 19-11-702, any employee who shall knowingly violate either of these restrictions shall be guilty of a felony and upon conviction shall be fined in any sum not to exceed ten thousand dollars ($10,000) or shall be imprisoned not less than one (1) nor more than five (5) years, or shall be punished by both.

I certify that I have read this Notice and the Ark. Code Ann. §§ 19-11-706, 19-11-702, 19-11-709 and 19-11-712 on the reverse side. The Regulations promulgated to enforce Executive Order 98-04 contain additional information regarding this reporting requirement at Section 13 & 14, posted by the agency in a conspicuous place. I understand that it is my responsibility to comply with the requirement to report as explained in Ark. Code Ann §§ 19-11-706 & 19-11-709, this Notice and the regulation.

Cossatot Community College of the University of Arkansas

Agency Name

Name of Employee (Please Print)Social Security Number

Signature of Employee

Date

See back for Arkansas Code Annotated §§ 19-11-702, 19-11-706, 19-11-709 and 19-11-712

EXCERPTS FROM ARKANSAS CODE ANNOTATED §19-11

SUBCHAPTER 7

19-11-702. Penalties.

Any employee or nonemployee who shall knowingly violate any of the provisions of this subchapter shall be guilty of a felony and upon conviction shall be fined in any sum not to exceed ten thousand dollars ($10,000) or shall be imprisoned not less than one (1) nor more than five (5) years, or shall be punished by both.

19-11-706. Employee disclosure requirements.

(a)Disclosure of Benefit Received from Contract. Any employee who has or obtains any benefit from any state contract with a

business in which the employee has a financial interest shall report such benefit to the Director of the Department of Finance and Administration. However, this section shall not apply to a contract with a business where the employee's interest in the business has been placed in a disclosed blind trust.

(b)Failure to Disclose Benefit Received. Any employee who knows or should have known of such benefit and fails to report the

benefit to the director is in breach of the ethical standards of this section.

19-11-709. Restrictions on employment of present and former employees.

(a)Contemporaneous Employment Prohibited. It shall be a breach of ethical standards for any employee who is involved in procurement to become or be, while such an employee, the employee of any party contracting with the state agency by which the employee is employed.

(b)Restrictions on Former Employees in Matters Connected with Their Former Duties.

(1)Permanent Disqualification of Former Employee Personally Involved in a Particular Matter. It shall be a breach of ethical standards for any former employee knowingly to act as a principal or as an agent for anyone other than the state in connection with any:

(A)Judicial or other proceeding, application, request for a ruling, or other determination;

(B)Contract;

(C)Claim; or

(D)Charge or controversy

in which the employee participated personally and substantially through decision, approval, disapproval, recommendation, rendering of advice, investigation, or otherwise while an employee, where the state is a party or has a direct and substantial interest.

(2)One-Year Representation Restriction Regarding Matters for Which a Former Employee Was Officially Responsible. It shall be a breach of ethical standards for any former employee, within one (1) year after cessation of the former employee's official responsibility in connection with any:

(A)Judicial or other proceeding, application, request for a ruling, or other determination;

(B)Contract;

(C)Claim; or

(D)Charge or controversy knowingly to act as a principal or as an agent for anyone other than the state in matters which were within the former employee'sofficial responsibility, where the state is a

party or has a direct or substantial interest.

(c)Disqualification of Partners.

(1)When Partner Is a State Employee. It shall be a breach of ethical standards for a person who is a partner of an employee

knowingly to act as a principal or as an agent for anyone other than the state in connection with any:

(A)Judicial or other proceeding, application, request for a ruling, or other determination; Contract;

(B)Claim; or

(C)Charge or controversy in which the employee either participates personally and substantially through decision, approval, disapproval, recommendation, the rendering of advice, investigation, or otherwise, or which is the subject of the employee's official responsibility, here the state is a party or has a direct and substantial interest.

(2)When a Partner Is a Former State Employee. It shall be a

breach of ethical standards for a partner of a former employee knowingly to act as a principal or as an agent for anyone other than the state where such former employee is barred under subsection (b) of this section.

(d)(1) Selling to State After Termination of Employment Is Prohibited. It shall be a breach of ethical standards for any former employee, unless the former employee's last annual salary did not exceed ten thousand five hundred dollars ($10,500), to engage in selling or attempting to sell commodities or services to the state for one (1) year following the date employment ceased.

(2) The term "sell", as used in this subsection, means signing a bid, proposal, or contract; negotiating a contract; contacting any employee for the purpose of obtaining, negotiating, or discussing changes in specifications, price, cost allowances, or other terms of a contract; settling disputes concerning performance of a contract; or any other liaison activity with a view toward the ultimate consummation of a sale although the actual contract therefor is subsequently negotiated by another person.

(e)(1) This section is not intended to preclude a former employee from accepting employment with private industry solely because his employer is a contractor with this state.

(2)This section is not intended to preclude an employee, a former employee, or a partner of an employee or former employee from filing an action as a taxpayer for alleged violations of this subchapter.

19-11-712. Civil and administrative remedies against employees who breach ethical standards.

(a)Existing Remedies Not Impaired. Civil and administrative remedies against employees which are in existence on July 1,1979, shall not be impaired.

(b)Supplemental Remedies. In addition to existing remedies for breach of the ethical standards of this subchapter, or regulations promulgated thereunder, the Director of the Department of Finance and Administration may impose any one (1) or more of the following:

(1)Oral or written warnings or reprimands;

(2)Forfeiture of pay without suspension;

(3)Suspension with or without pay for specified periods of time; &

(4)Termination of employment.

(c)Right to Recover from Employee Value Received in Breach of Ethical Standards. The value of anything received by an employee in breach of the ethical standards of this subchapter, or regulations promulgated thereunder, shall be recoverable by the state as provided in § 19-11-714, which refers to recovery of value transferred or received in breach of ethical standards.

(d)Due Process. Notice and an opportunity for a hearing shall be provided prior to imposition of any of the remedies set forth in subsection (b) of this section.

File Information

Fact Name Fact Detail
Equal Opportunity Statement The State of Arkansas Employment Application states that applications are accepted without regard to sex, race or color, national origin, handicap/disability, age, religion, or political affiliation.
Public Record Disclosure Applications may become public records under the Arkansas Freedom of Information Act, possibly subjecting them to disclosure.
At-will Employment Clause The application notes that submitting an application does not create an employment contract with the State of Arkansas, emphasizing the at-will nature of any employment.
Proof of Eligibility Requirement New hires will be required to provide proof of eligibility to work in the United States in accordance with the Immigration Reform and Control Act of 1986.
Accommodations for Disabilities Qualified applicants with disabilities may request necessary accommodations, in compliance with the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

Detailed Instructions for Using Arkansas Employment Application

Filling out the Arkansas Employment Application form is a crucial step for those seeking employment within the State of Arkansas or its subdivisions. This process requires attention to detail and accurate information regarding personal data, employment history, educational background, and other relevant details to ensure a comprehensive application. By following the steps outlined below, applicants can navigate the application process more efficiently.

  1. Begin by reading the introductory statements carefully to understand the application's scope, including the nondiscrimination policy, information disclosure under the Freedom of Information Act, employment contract specifics, and details regarding applicants with disabilities.
  2. Fill in the EQUAL EMPLOYMENT DATA section by providing your name, social security number, date of birth, gender, and selecting your racial/ethnic identity and if you consider yourself Hispanic or not. Remember, completion of this section is voluntary.
  3. Complete the Military History section if applicable. Indicate if you have served active duty, specify the branch, dates of service, type of discharge, and check if you are eligible for veterans preference. Attach or be prepared to provide proof for veterans preference claims.
  4. Answer how you learned about the job opening, choosing from options like newspapers, employment security departments, educational institutions, or other sources. If "other," provide a brief explanation.
  5. In the APPLICATION FOR EMPLOYMENT section, provide your personal information including full name, address, contact numbers, and the position(s) you are applying for along with the position numbers if known.
  6. In the EMPLOYMENT STATUS SECTION, indicate your willingness to work anywhere in the state, the type of employment you're seeking (Full Time, Part Time, or Temporary), any previous state employment, professional licenses, and whether your current or former employers may be contacted.
  7. Detail your EDUCATIONAL HISTORY, including high school, diploma or GED status, post-secondary schools, colleges, or universities attended, including attendance dates, major/minor fields, hours completed, and degrees or diplomas awarded.
  8. Under WORK HISTORY, list all prior work experience starting with the most recent. Include the employer's name, business phone number, employment dates, complete mailing address, type of business, supervisor’s name, your role, average hours worked per week, salary range, and reason for leaving. Attach additional sheets if necessary or include a comprehensive resume that covers all requested details.
  9. After completing all sections, review the application for accuracy. Make sure all applicable sections are filled out and any additional documents or proof, especially regarding veterans preference, are attached or available upon request.
  10. Submit the application to the appropriate office or through the provided submission method found in the job posting or application instructions.

After submitting the application, it's important for applicants to wait for a response from the hiring department. The review process can vary in length depending on the position and the number of applications received. It's advisable to keep a copy of the application and any correspondence for personal records. Applicants might also consider following up with the hiring department if a significant amount of time has passed without receiving any form of communication regarding their application status.

Essential Queries on Arkansas Employment Application

Is it required to fill out every section of the Arkansas Employment Application form?

Yes, all applicable sections of the form should be filled out. If certain sections do not apply to you, you should mark them N/A (Not Applicable). It's important to provide complete, legible, and accurate information about your background and qualifications.

What kind of employment does the State of Arkansas offer through this application?

The State of Arkansas offers various types of employment opportunities including full-time, part-time, and temporary positions across state government agencies. Applicants indicate their openness to different employment types and locations on their application.

Are applications subject to public disclosure?

Yes, applications filed with the State of Arkansas may be subject to disclosure as a public record under the Arkansas Freedom of Information Act. This means that personal information provided in the application could be accessible to the public upon request.

Does filling out the application guarantee employment?

No, submitting an application does not create a contract or guarantee employment with the State of Arkansas or any of its subdivisions. Hiring decisions are based on evaluating the qualifications and requirements of applicants against the needs of the state.

How does the State of Arkansas address equality in its hiring process?

The State of Arkansas accepts applications for employment without regard to sex, race or color, national origin, handicap/disability, age, religion, or political affiliation. Additionally, conviction of a crime does not automatically bar applicants from employment.

What provisions are available for applicants with disabilities?

Qualified applicants with disabilities may request accommodations to participate in the application process. This is in line with the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, ensuring equal employment opportunities.

How can I indicate my veteran status on the application?

The application provides a section for military history where you can indicate if you have served in the United States military. Qualifying for veterans' preference may require submitting additional documentation like a DD-214 or a letter from the Veterans Administration.

If I am hired, will I be required to prove my eligibility to work in the United States?

Yes, individuals hired will be required to provide proof of eligibility to work in the United States in compliance with the Immigration Reform and Control Act of 1986. This typically involves submitting documents like a passport or a combination of a driver's license and Social Security card.

Common mistakes

Filling out the State of Arkansas Employment Application is a crucial step towards securing employment within the state. However, applicants often make mistakes that can hinder their chances. Here are nine common errors to avoid:

  1. Not specifying the position applied for: Applicants should clearly list the title and position number, if known, to avoid any confusion about the role they are interested in.
  2. Leaving blank sections: If a question does not apply, it's better to mark it as N/A (not applicable) rather than leave it blank. This shows attention to detail.
  3. Incorrect contact information: Ensuring the mailing address, phone numbers, and email addresses are current and accurate is crucial for communication purposes.
  4. Failing to provide detailed work history: Applicants should include all relevant work experience, including volunteer and unpaid work, specifying the number of hours per week for each.
  5. Omitting educational history: It's important to list all educational achievements, including high school and any higher education, along with diplomas, degrees, or certificates earned.
  6. Not requesting reasonable accommodations: Qualified applicants with disabilities should specify any needed accommodations for the application process.
  7. Overlooking the proof of eligibility to work: Applicants must be prepared to provide proof of eligibility to work in the United States as per the Immigration Reform and Control Act of 1986.
  8. Incomplete military history: Veterans or their eligible dependents should provide complete information and necessary documentation for veterans preference consideration.
  9. Not allowing contacts with former employers: Unless there are specific reasons not to, allowing the prospective employer to contact previous employers can provide valuable references.

By avoiding these common mistakes, applicants can improve their chances of being considered for employment with the State of Arkansas. Attention to detail and providing complete and accurate information is key throughout the application process.

Documents used along the form

When submitting an employment application for a position with the State of Arkansas, it is common for applicants to include additional documentation that supports their application. These additional forms and documents not only provide a fuller picture of the applicant's qualifications and background but also comply with legal and procedural requirements. Below is a list of documents often used alongside the Arkansas Employment Application form.

  • Resume/Curriculum Vitae (CV): Summarizes the applicant's work experience, education, skills, and accomplishments.
  • Cover Letter: Allows the applicant to introduce themselves and highlight their qualifications specific to the job they're applying for.
  • Proof of Eligibility to Work: As mentioned in the Arkansas Employment Application form, this could be a U.S. Passport, birth certificate, or other documents as required by the Immigration Reform and Control Act of 1986.
  • Educational Transcripts: Official documents from educational institutions verifying the degrees or certifications earned, often required for positions with specific educational requirements.
  • Professional Licenses or Certifications: Documents proving the applicant holds any mandatory licenses or certifications for the position applied for, including the license number and expiration date.
  • References List: Contact information for professional references who can vouch for the applicant's work ethic, experience, and qualifications.
  • Veterans' Preference Documentation: For applicants claiming veterans' preference, including forms like the DD-214, current letter from the Veterans Administration, or other official documentation as proof of military service.
  • Background Check Authorization: A form that permits the employer to conduct a background check. In many cases, this is a prerequisite for employment.

Together with the Arkansas Employment Application form, these documents create a comprehensive package that helps prospective employers evaluate an applicant's suitability for a job. Remember, while some of these documents might be optional or vary based on the specific role or department, it's crucial to ensure you're providing all necessary information to facilitate a smooth and effective application process.

Similar forms

The Arkansas Employment Application form shares similarities with a college application form. Both require detailed personal information, including previous experiences that showcase the applicant's qualifications. A college application often asks for educational history, extracurricular activities, and sometimes work experience, mirroring the employment application's section on educational background and work history. Additionally, both forms may include an optional section for demographic information to support diversity and inclusion efforts. The structure of these applications aims to provide a comprehensive view of the applicant to the evaluators, whether for a job or educational opportunity.

Another document akin to the Arkansas Employment Application form is a loan application form. Loan applications demand thorough personal and financial background information to assess the applicant's ability to repay the loan. Similarly, the employment application requires detailed employment history and educational background to evaluate the applicant's qualifications for the position. Both forms serve a gatekeeping function, determining the eligibility of the applicant for the desired outcome, be it a job placement or financial loan approval.

A resume is also similar to the Arkansas Employment Bank Application form, though it is more flexible in format. Resumes provide a summary of an individual's career history, educational background, and skills - much like the employment application form. However, while resumes allow applicants to creatively highlight their strengths, the employment application form standardizes the information provided to employers, enabling a uniform evaluation process. Both documents are pivotal in job seeking, laying the groundwork for presenting one's qualifications to potential employers.

Lastly, a professional certification or licensure application closely resembles the employment application form in its requirement for detailed professional background. These forms often request education, prior work experience, and sometimes details on specific projects or roles pertinent to the certification being sought. The linkage here is in the necessity to prove competence and capability, whether for obtaining professional credentials or a new employment opportunity. Each document serves as a means to verify the applicant's qualifications and readiness for the next step in their professional journey.

Dos and Don'ts

When completing the Arkansas Employment Application form, there are several important practices to follow and to avoid ensuring your application is considered properly. Below is a guide to assist applicants in navigating the application process effectively:

  • Do provide accurate and complete information for every section that applies to you. If a section does not apply, mark it as N/A (Not Applicable).
  • Don't overlook the instructions for attaching additional documents such as resumes, certificates, or licenses that are relevant to the position for which you are applying.
  • Do review the application for spelling and grammatical errors before submission. A well-presented application can make a positive impression.
  • Don't provide false information or omit critical details about your employment history, educational background, or qualifications.
  • Do sign and date the application if such a section is provided, as this often serves as a confirmation that all information provided is true and accurate to the best of your knowledge.
  • Don't forget to indicate your preferences regarding job location and type of employment clearly, as this helps the employer assess if your requirements match the available positions.
  • Do request any needed accommodations for the application process if you have a disability, as provided for under the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.
  • Don't leave out relevant work experience, including volunteer or unpaid work, as this can provide a more comprehensive view of your skills and abilities.
  • Do check and adhere to the deadline for submission of the application to ensure your application is considered.

Following these guidelines can enhance your application's chances of success and demonstrate your professionalism and attention to detail to potential employers.

Misconceptions

When it comes to applying for a job with the State of Arkansas, there are several misconceptions that may lead applicants astray. Let's clear up some of the most common misunderstandings about the Arkansas Employment Application form:

  • All personal information is compulsory: While the application form asks for a range of personal information, not all fields are required for every applicant. For instance, filling out the 'EQUAL EMPLOYMENT DATA' section is voluntary and is used solely for the completion of state and federal reports. This information is not used in the application process.
  • Conviction of a crime will automatically disqualify an applicant: Contrary to what some may believe, having a criminal record does not automatically bar someone from employment opportunities with the State of Arkansas. Each application is considered on a case-by-case basis, factoring in the nature of the conviction and its relevance to the job.
  • Filing an application creates a contract of employment: Simply submitting an application does not create any employment contract with the State of Arkansas or any of its subdivisions. Employment arrangements are made under specific terms agreed upon after the hiring process.
  • Your application is private: Once filed, applications may be subject to disclosure under the Arkansas Freedom of Information Act. This means that your application could be made available to the public upon request, something applicants might not initially realize.
  • Qualifications regarding disabilities aren't taken seriously: The State of Arkansas takes its commitment to equal employment opportunities seriously, especially concerning applicants with disabilities. Qualified individuals with disabilities can request accommodations to participate in the application process, as outlined by the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

Understanding these aspects of the Arkansas Employment Application form can help potential applicants navigate the process more efficiently and with confidence. It's important to read through the entire form carefully and ask for clarification if any sections or requirements are unclear.

Key takeaways

Filling out the Arkansas Employment Application form is a crucial step towards seeking employment within the state's agencies or any subdivisions thereof. Here’s a breakdown of five key takeaways to ensure your application process is as smooth and effective as possible:

  • Equal Opportunity Employment: The State of Arkansas accepts applications without regard to sex, race, color, national origin, disability, age, religion, or political affiliation. Importantly, a conviction of a crime does not automatically disqualify an applicant from employment opportunities within the state.
  • Public Record Disclosure: It's important for applicants to be aware that once filed, their employment application may become subject to disclosure as a public record under the Arkansas Freedom of Information Act. This underscores the importance of providing accurate and honest information.
  • Employment Conditions: Submitting an application does not create an employment contract with the State of Arkansas or any of its subdivisions. Furthermore, if hired, employment is not guaranteed for any specific period. All hired individuals will be required to provide proof of eligibility to work in the United States in compliance with the Immigration Reform and Control Act of 1986.
  • Accommodations for Disabilities: Qualified applicants with disabilities, as outlined in the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, are entitled to request necessary accommodations to participate in the application process. This ensures a fair opportunity for all applicants, regardless of physical limitations or disabilities.
  • Importance of Complete and Accurate Information: The application form requires detailed information, including employment status, desired locations for employment, and comprehensive employment history. Providing complete and accurate information is crucial, as it allows hiring personnel to evaluate each candidate's qualifications and fit for the position accurately. Additionally, for those seeking veterans' preference, proper documentation such as a DD-214, current letter from the Veterans Administration, or other official papers must be provided.

Properly completing the Arkansas Employment Application form is your first step towards potential employment with the state. Taking the time to carefully review and provide accurate information can significantly impact the success of your application. Remember, the details you provide not only demonstrate your qualifications but also reflect your attention to detail and seriousness about the position you're applying for.

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