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Contact Information

Do you possess a valid driver’s license?
1. Yes
2. No
Are you eligible to work in the United States?
1. Yes
2. No
(Employees are required to provide proof of identity & employment authorization)
Have you ever been convicted of any offense against the law or received a traffic citation, including speeding?
1. Yes
2. No
If Yes, Please Explain
Is a member of your family or household currently employed by the Citrus County Clerk of the Circuit Court?
1. Yes
2. No
NOTE: Affirmative answers to the above question do not constitute an automatic bar to consideration. Provide all the facts so that an informed decision may be made. An intentional omission of falsification of answers either verbally or in writing may result in non-consideration.
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Special Qualifications
List any special qualifications and skills including certifications or licenses, memberships in professional organizations or societies. List scholarships, fellowships, honors, etc. (Optional)
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By checking this box, I certify that I have read and understand all the information contained in this application and any attachments hereto. I authorize the release of information concerning my qualifications, character, education and/or employment records to the Citrus County Clerk of the Circuit Court Human Resources Department through inquiries to appropriate sources. I further certify, under penalty of perjury, that all statements made in this application and/or attachments are true and complete to the best of my knowledge and belief and that there are no misrepresentations or omissions of material fact. In addition, I understand misstatements and/or missing information is cause for rejection of my application and/or non-consideration for volunteer placement.
1. I agree to the above statement
By checking this box, I certify that I acknowledge and understand that I am providing services for the Citrus County Clerk of the Circuit Court as a volunteer. As such, I recognize and accept that I am not eligible for compensation for my time and services.
1. I agree to the above statement

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