Bracken County, KY

Online Employment Application

Please complete the form below to apply for open positions with the Bracken County Fiscal Court. If you prefer to download a PDF version and hand deliver or mail to the Office of the County Judge Executive, please click HERE.

Basic Information

Position(s) Applying for:*

Today's Date*

Full Name*

Address (Street, City, State, Zip Code)*

Phone Number*

Email*

Date of Birth*

Have you been employed by the Bracken County Fiscal Court before?*

If yes, please indicate what department and reason for leaving:

Are you a family member of anyone employed with the Bracken County Fiscal Court or any of its departments, including any and all offices operated by an elected official?*

If yes, please indicate name of family member, relation, and what office they are employed:

Are you legally eligible for employment in the United States?*

Date available for work:*

Type of employment desired:*

Full-Time

Part-Time

Seasonal/Temporary

Drivers License Number (and State) if driving is essential for job function:

Certified Drivers License Number (and State) if equipment driving is essential for job function:

Are you able to meet the attendance requirements for this position?*

Have you been convicted of a crime in the last seven (7) years?*

If yes, please explain:

Employment History

Provide the following information for your past three (3) employers, assignments, or volunteer activities, starting with the most recent.

Employer Information

Employer*

Start Date*

End Date*

Employer Address*

Employer Telephone*

Job Title*

Immediate Supervisor, Title*

Summarize the nature of work performed and job responsibilities:*

Reason for leaving*

Hourly Rate/Salary*

Employer Information

Employer*

Start Date*

End Date*

Employer Address*

Employer Telephone*

Job Title*

Immediate Supervisor, Title*

Summarize the nature of work performed and job responsibilities:*

Reason for leaving*

Hourly Rate/Salary*

Employer Information

Employer*

Start Date*

End Date*

Employer Address*

Employer Telephone*

Job Title*

Immediate Supervisor, Title*

Summarize the nature of work performed and job responsibilities:*

Reason for leaving*

Hourly Rate/Salary*

Supporting Documentation

Please upload a current resume

If desired, please upload a cover letter