Fill in a Valid Arkansas Employment Application Form Fill Out My Document

Fill in a Valid Arkansas Employment Application Form

The Arkansas Employment Application form is a standardized document designed for individuals seeking employment with the State of Arkansas or its subdivisions. It emphasizes the state's commitment to equal opportunity employment, stating that applications are accepted without regard to sex, race, national origin, disability, age, religion, or political affiliation, and outlines the process and requirements for potential applicants. Interested candidates are encouraged to carefully fill out the form to ensure consideration for employment. Click the button below to initiate your application process.

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In the world of job hunting, the Arkansas Employment Application form plays a crucial role for those seeking employment within the state's government or its subdivisions. Recognizing the importance of inclusivity, the form emphasizes a nondiscriminatory approach, welcoming applications without regard to sex, race, color, national origin, disability, age, religion, or political affiliation, and clearly states that a conviction does not automatically disqualify an applicant. Transparency is also a key feature, as applications become public records under the Arkansas Freedom of Information Act, underscoring the state's commitment to open processes. Additionally, it sets expectations by clarifying that submitting an application does not create an employment contract, and highlights the necessity for selected candidates to prove eligibility to work in the U.S. as per the Immigration Reform and Control Act of 1986. The form is thoughtfully designed to accommodate individuals with disabilities, ensuring they can request necessary accommodations throughout the application process. With sections dedicated to personal information, equal employment data including voluntary self-identification details, military history to identify those eligible for veterans' preference, and comprehensive employment and educational history, the form aims to gather detailed information to assess candidates’ qualifications thoroughly. This approach reflects a structured effort to streamline the hiring process, making it efficient while remaining inclusive and transparent.

Preview - Arkansas Employment Application Form

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.

Document Data

Fact Detail
Non-Discrimination Policy Arkansas Employment Applications are accepted without regard to sex, race or color, national origin, handicap/disability, age, religion, or political affiliation.
Conviction Consideration A conviction of a crime does not automatically bar applicants from employment opportunities with the State of Arkansas.
Public Record Disclosure Applications may be subject to disclosure as a public record under the Arkansas Freedom of Information Act.
Employment Relationship Filing an application does not create an employment contract with the State of Arkansas or any of its subdivisions. Employment is not for a definite period of time.
Accommodations Qualified applicants with disabilities may request necessary accommodations to participate in the application process, as supported by the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

Steps to Writing Arkansas Employment Application

Filling out the Arkansas Employment Application form is a critical step towards seeking employment with the State of Arkansas or any of its subdivisions. This process is designed to be inclusive and fair, ensuring that applicants are evaluated on their qualifications without regard to sex, race, color, national origin, disability, age, religion, or political affiliation. Importantly, conviction of a crime does not automatically disqualify an applicant. Applications become public record under the Arkansas Freedom of Information Act and do not constitute an employment contract. Those hired must demonstrate eligibility to work in the U.S. as per the Immigration Reform and Control Act of 1986. Accommodations are available for qualified applicants with disabilities. The following instructions are intended to guide you through completing the application accurately.

  1. Equal Employment Data: Start by providing your personal information, such as name, social security number, and date of birth. Indicate your gender and select the racial or ethnic group(s) you identify with. If comfortable, disclose whether you consider yourself to be Hispanic. This section is voluntary and used for compliance with state and federal reporting requirements only.
  2. Military History: If you have a history of military service, indicate so by answering yes or no. Provide details about your branch of service, dates of entry and discharge, and type of discharge. This information is crucial for veterans preference consideration.
  3. Job Opening Information: Mention how you learned about the job opening. Whether it was through a newspaper, employment agency, educational institution, or any other means, please specify.
  4. Application for Employment: Accurately fill in your contact information, including your last name, first name, middle name, complete mailing address, phone numbers, and county. Clearly state the position(s) you're applying for, including titles and position numbers if available.
  5. Employment Status: Indicate your willingness to accept employment throughout the state or specify preferred locations. Mention the type(s) of employment you are open to (full-time, part-time, temporary) and whether you have previously applied or worked with the Arkansas State Government. List any professional licenses relevant to the position.
  6. Educational History: Document your highest level of education, including high school and any post-secondary institutions attended. Be sure to include degrees or diplomas awarded and graduation dates.
  7. Work History: Starting with your most recent employment, list all positions held. Include for each job: employer’s name and contact, your job title, employment dates, average hours worked per week, salary range, and reason for leaving. Add any volunteer work experience, ensuring to note the number of hours per week dedicated.

Completing the Arkansas Employment Application form meticulously will enhance the evaluation process of your application. Take your time to ensure that all information provided is accurate and comprehensive. Upon submission, your application will be considered for employment opportunities that match your skills and experience.

Frequently Asked Questions

What is the purpose of the Equal Employment Data section on the Arkansas Employment Application form?

The Equal Employment Data section is meant to gather information for various state and federal reports. This section is not used in evaluating your application or considered as part of your employment application. Filling out this section is entirely voluntary and aims to ensure compliance with equal employment opportunity regulations. It asks for information about your gender, race, ethnicity, and military history but is designed to be separate from the decision-making process regarding your job application.

Does having a criminal record automatically disqualify me from state employment in Arkansas?

No, a conviction of a crime does not automatically disqualify you from employment with the State of Arkansas. Each application is considered on a case-by-case basis, and factors such as the type of conviction, the time elapsed since the conviction, and its relevance to the job you are applying for are taken into account. It's important to provide complete and honest information regarding your criminal record when applying.

Can my application for employment with the State of Arkansas be made public?

Yes, applications filed can become subject to disclosure as public records under the Arkansas Freedom of Information Act. This means that your application could be requested and viewed by the public, so it's essential to keep that in mind when providing personal information.

Is employment with the State of Arkansas guaranteed once an application is submitted?

No, submitting an application does not create an employment contract with the State of Arkansas or any of its subdivisions. Employment with the state is not guaranteed for any definite period, and the application process is just the first step towards potential employment. The hiring process includes various stages, such as interviews and background checks, before any employment offer is made.

What proofs are required to show eligibility to work under the Immigration Reform and Control Act of 1986?

Individuals hired by the State of Arkansas will be required to provide proof of eligibility to work in the United States as per the Immigration Reform and Control Act of 1986. This typically includes documents such as a passport, birth certificate, green card, work permit, or other acceptable documents that prove identity and authorization to work in the U.S.

How can applicants with disabilities request accommodations for the application process?

Qualified applicants with disabilities, as outlined under the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, are encouraged to request necessary accommodations to participate in the application process effectively. These requests should be made as early as possible to ensure the required accommodations can be arranged in a timely manner.

What information is sought in the “How did you learn of this job opening?” section?

This section aims to understand where applicants are finding out about job openings with the State of Arkansas. It includes options such as newspapers, the Employment Security Department, agency announcements, educational institutions, among others. This helps the state evaluate the effectiveness of their job advertisement mechanisms and improve future outreach efforts. It’s helpful for applicants to be specific to provide valuable feedback for the state’s hiring practices.

Common mistakes

When people fill out the Arkansas Employment Application form, they often make mistakes that can hinder their chances of securing employment. Avoiding these common errors can improve the quality of your application and make a positive impact on your job search:

  1. Not answering all applicable questions: Failing to provide answers to all relevant questions can leave employers with incomplete information about your qualifications and background.
  2. Writing illegibly: If you choose to fill out the application by hand, make sure your handwriting is clear and easy to read. Unclear handwriting can lead to misunderstandings or even disregard of your application.
  3. Leaving the "Equal Employment Data" section blank: While completing this section is voluntary, providing this information can be beneficial, especially if there are equal employment opportunity (EEO) goals the agency aims to meet.
  4. Omitting contact information for references or past employers: Employers need this information to verify your employment history and get feedback on your performance.
  5. Not specifying types of employment desired: Clearly indicate whether you are seeking full-time, part-time, or temporary work to ensure that you are considered for the appropriate job openings.
  6. Failing to provide complete work history: Omitting certain jobs or not listing them in chronological order can create gaps that raise questions about your reliability or experience.
  7. Leaving out educational achievements: Neglecting to mention important qualifications, degrees, or certificates can cause you to miss out on opportunities for which you are well-suited.
  8. Inaccurate or outdated contact information: Ensuring that your phone numbers and mailing address are current is crucial for employers to reach you for interviews or job offers.
  9. Not tailoring job duties and accomplishments to the position: Highlight your experiences and achievements that are most relevant to the job you're applying for to catch the employer's attention.

By avoiding these common pitfalls, applicants can present a more complete and compelling case for their candidacy. The goal is to provide prospective employers with a clear, accurate picture of your skills, experiences, and achievements.

Documents used along the form

Filling out an Arkansas Employment Application form is a critical step in your journey towards securing a job within the State of Arkansas. However, this form is often just one piece of the puzzle in the application process. Several other documents might be requested or required to ensure that all grounds are covered during your job application process. Understanding these supplementary documents will better prepare you for what to expect and how to navigate through the employment application process more effectively.

  • Resume: This document provides a more detailed overview of your professional history, including educational background, work experience, skills, and accomplishments. It complements the information provided in the employment application form.
  • Cover Letter: A cover letter allows you to introduce yourself to potential employers and explain why you are the best candidate for the job, highlighting relevant experiences or skills.
  • Proof of Eligibility to Work in the U.S.: This could include documents such as a U.S. passport, a Permanent Resident Card, or an Employment Authorization Document, ensuring compliance with the Immigration Reform and Control Act of 1986.
  • References List: A compilation of professional references including their contact information. Employers may use this list to verify your qualifications and work ethic.
  • DD-214 Form: For veterans, providing a copy of the DD-214 form can be necessary for verifying military service and eligibility for veterans' preference, as mentioned in the employment application form.
  • Educational Transcripts: Some positions may require proof of educational achievements, and official transcripts can serve as this verification.
  • Licensing and Certification Documents: For jobs that require specific professional licenses or certifications, providing copies of these documents is mandatory.
  • Background Check Authorization: Employers might require approval to conduct a background check, ensuring candidates meet all employment criteria.
  • Drug Test Consent Form: Some employers enforce a drug-free workplace policy and will require consent to drug testing as a condition of employment.

Understanding and preparing these documents in advance can streamline the application process, making it less stressful and more efficient. Each document serves a specific purpose in painting a comprehensive picture of your capabilities and background, thereby enhancing your employment application. Remember, the goal is to present yourself in the best light and demonstrate to potential employers why you are the ideal candidate for the position. Taking care to properly prepare and organize these documents can significantly impact the success of your application within the State of Arkansas or any other prospective employment opportunity.

Similar forms

A Federal Employment Application form is quite similar to the Arkansas Employment Application form in several ways. Both require personal information, work and education history, and information about preferences for the type of employment sought. Like its state counterpart, the Federal form asks for information to determine eligibility under various employment laws and regulations. Additionally, both forms are subject to public disclosure laws and emphasize equal employment opportunities without discrimination based on race, color, religion, sex, national origin, age, disability, or political affiliation.

The Job Application form for a private sector position also shares similarities with the Arkansas Employment Application form. Both solicit detailed information about the applicant's education, past employment history, and qualifications for the position. While the private sector form might delve more deeply into skills and experiences relevant to the specific industry, both types of applications aim to screen candidates based on their qualifications and experience. However, the private sector form might not always include sections on equal employment opportunity data or veteran status.

The Volunteer Application form used by many non-profits resembles the Arkansas Employment Application form in that it collects personal information, work history, and other relevant experiences. Despite the focus on unpaid roles, both forms gather details to assess the applicant's background, skills, and suitability for the position. However, the volunteer application might put more emphasis on personal motivation, availability, and areas of interest relevant to the volunteer role.

The Internship Application form shares the structure of asking for educational background and work experiences similar to the Arkansas Employment Application form, tailored mainly to students or recent graduates. Both forms evaluate the applicant’s qualifications and fit for the role, yet the internship application often focuses more on educational achievements and how the internship aligns with the applicant’s career goals. Additionally, it may request information about college credits if the internship is for academic credit.

A Scholarship Application can be paralleled with the Arkansas Employment Application form due to its requirement for detailed personal, educational, and sometimes work experience information. Though it serves a different purpose, aiming to grant educational funding, both forms assess qualifications and potentially, the suitability of applicants based on various criteria. The scholarship form, however, might delve more into academic achievements and financial need analysis.

The Professional License Application, much like the Arkansas Employment Application form, asks for a comprehensive list of educational qualifications, work history, and personal data to evaluate eligibility for licensure in professions such as medicine, law, or education. Both forms serve as a means to assess the qualifications and backgrounds of individuals seeking to engage in professional activities, with a focus on verifying credentials and experience.

The College Application form also bears resemblance to the Arkansas Employment Application, especially in requiring detailed educational history and personal information. It's structured to assess an applicant's readiness and suitability for academic programs, similar to how job applications determine fit for a position. Still, it places more emphasis on academic performance, extracurricular activities, and personal essays.

The Grant Application form, while focused on securing funding for research or projects, shares the ethos of requiring detailed information about the applicant's history and qualifications. Like the Arkansas Employment Application form, it assesses the applicant's ability to meet certain criteria, albeit with a greater emphasis on project proposals, research experience, and the potential impact of the grant-funded work.

The Loan Application form collects extensive personal and financial information from applicants, akin to the job application's collection of personal and employment history. Though its purpose is to evaluate creditworthiness and the ability to repay a loan, both forms require thorough details to assess eligibility—highlighting financial stability in one and employment suitability in the other.

The Tenant Application form used by landlords to screen potential renters includes collecting personal information, rental history, and sometimes employment information to assess the applicant's reliability and ability to pay rent. Similar to the employment application, the focus is on verifying background information. However, it concentrates more on rental history and financial capacity than job skills or qualifications.

Dos and Don'ts

When completing the Arkansas Employment Application form, it is vital to follow specific guidelines to ensure your application is considered. Below is a list of dos and don'ts that applicants should keep in mind:

  • Do read all instructions carefully before filling out the application to avoid any mistakes.
  • Do answer all questions truthfully. Misrepresentation or omission of facts can lead to disqualification or termination.
  • Do use a blue or black pen if filling out the application by hand, or ensure typed applications are clear and easy to read.
  • Do provide detailed information about your employment history, including all relevant positions held, to demonstrate your qualifications and experience.
  • Don't leave any applicable sections blank. If a question does not apply to you, mark it as N/A (Not Applicable) instead of leaving it empty.
  • Don't forget to sign and date the application. An unsigned application may not be processed.
  • Don't include sensitive personal information such as your social security number when not specifically requested, to protect your privacy.
  • Don't rely solely on attaching a resume instead of completing the requested sections. Make sure all information requested on the form is provided within the form itself.

Adhering to these guidelines can significantly improve the chances that your application will be properly reviewed and considered for employment with the State of Arkansas.

Misconceptions

There are several misconceptions about the Arkansas Employment Application form that applicants and employers alike should be aware of. Here's a breakdown of these misconceptions to provide clarity:

  • Conviction of a crime automatically disqualifies an applicant. Many believe that if someone has a criminal record, they're automatically ineligible for state employment in Arkansas. However, the form clearly indicates that a conviction does not automatically bar an applicant from employment opportunities with the State of Arkansas.
  • Applications are private and confidential. Another common misunderstanding is regarding the privacy of the application. Applicants might assume their information is kept confidential, but as mentioned in the application, once filed, it may be disclosed as a public record under the Arkansas Freedom of Information Act.
  • Filing an application guarantees employment. Some applicants might think that submitting an application means they have entered into a contract of employment with the State of Arkansas or any of its subdivisions. In reality, the application form specifies that filing an application does not create any contract of employment.
  • Completing the Equal Employment Data section is mandatory. The form highlights that the Equal Employment Data section, designed for state and federal reporting purposes, is voluntary. Therefore, applicants have the option to provide that information or leave it blank.
  • Only full-time employment is available. It's often assumed that job opportunities within the State of Arkansas are only for full-time positions. The application form, however, allows applicants to indicate if they are willing to accept part-time or temporary work as well, showcasing the array of employment types offered.
  • Veterans need to have served in combat to qualify for preference. Some might think that only veterans who have served in combat are eligible for veterans' preference. The application clarifies that eligibility for veterans' preference is not limited to combat service, and spouses, widows, or widowers of qualified veterans may also be eligible under certain conditions.

Understanding these points helps eliminate common misconceptions about the Arkansas Employment Application form, ensuring that applicants have accurate expectations and information when applying for state employment.

Key takeaways

  • Applications for employment with the State of Arkansas are accepted without regard to sex, race, color, national origin, disability, age, religion, or political affiliation, ensuring equality and diversity in the workplace.

  • Conviction of a crime does not automatically disqualify an applicant from employment opportunities within the State of Arkansas, allowing for a more inclusive hiring process.

  • Filed applications may become public records under the Arkansas Freedom of Information Act, highlighting the importance of transparency in the employment application process.

  • Employment with the State of Arkansas or its subdivisions does not create an employment contract, indicating that jobs are generally at-will and not guaranteed for any specific duration.

  • Candidates are required to provide proof of eligibility to work in the United States as per the Immigration Reform and Control Act of 1986, ensuring compliance with federal laws.

  • Qualified applicants with disabilities are encouraged to request accommodations, which demonstrates the state's commitment to accessibility and equal opportunities.

  • Voluntary completion of the equal employment data section is used for state and federal reporting and is not part of the application processing, emphasizing the effort to comply with reporting requirements while maintaining fairness in hiring.

  • The inclusion of a section for military history and the provision for veterans' preference highlight the state's commitment to supporting former military personnel in their employment search.

  • Applicants are encouraged to disclose extensive employment histories, including volunteer or unpaid work, suggesting that all forms of work experience are valued during the selection process.

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