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Deputy Job Application

[{"type":"header","subtype":"h4","label":"LATE, INCOMPLETE or UNSIGNED applications will NOT be considered.","className":"d-block"},{"type":"text","required":true,"label":"Last Name","placeholder":"Last Name","name":"Lname","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"First Name","placeholder":"First Name","name":"Fname","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Middle Name","placeholder":"Middle Name","name":"middletext","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"SSN","description":"Social Security Number","name":"SSN","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Date of birth","name":"DOB","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Street Address","name":"Staddress","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Mailing Address","name":"Mailing-Address","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"City","name":"City","className":"col-lg-4","subtype":"text"},{"type":"select","required":true,"label":"State","name":"State","className":"col-lg-4","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT","selected":true},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North 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Address","name":"email","className":"col-md-6"},{"type":"text","subtype":"email","required":true,"label":"Email Address Confirmation","name":"email-confirmed","className":"col-md-6"},{"type":"header","subtype":"h4","label":"Do you have a valid driver's license?","className":"col-md-6"},{"type":"checkbox-group","required":true,"label":"Checkbox Group","name":"Do-you-have-a-drivers-license","className":"col-lg-4","values":[{"label":"Yes","value":"yes"},{"label":"No","value":"no"}]},{"type":"text","required":true,"label":"Driver's License number","name":"OLN","className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Expiration Date","name":"Exp","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","required":true,"label":"State","name":"OLN-State","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT","selected":true},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"file","required":true,"label":"Copy of Driver's License","name":"Pic-of-OLN","subtype":"file","multiple":true,"className":"d-block"},{"type":"paragraph","subtype":"p","label":"My signature below certifies that all the information on this and all attached pages is true, correct, and complete to the best of my knowledge and contains no willful falsifications or misrepresentations.  Falsification or misrepresentation may disqualify me from consideration for employment or, if hired, may be grounds for termination at a later date.  EMPLOYERS MAY BE CONTACTED AS REFERENCES.","className":"d-block"},{"type":"text","required":true,"label":"Signature","description":"Typing your name shall have the same legal validity as a manually executed signature.","name":"Signature","className":"col-lg-4","subtype":"text"},{"type":"date","required":true,"label":"Date Field","name":"Date","className":"col-md-6 col-lg-3"},{"type":"file","required":true,"label":"Cover Letter","name":"Cover-Letter","subtype":"file","multiple":true,"className":"d-block"},{"type":"file","required":true,"label":"Resume - to include education and experience","name":"Resume","subtype":"file","multiple":true,"className":"d-block"},{"type":"header","subtype":"h4","label":"Criminal Convictions","className":"d-block"},{"type":"textarea","required":true,"label":"List any criminal convictions you have had as an adult.","name":"CHI","subtype":"textarea","maxlength":500,"rows":10,"className":"d-block"},{"type":"header","subtype":"h4","label":"References","className":"d-block"},{"type":"textarea","required":true,"label":"List three (3) references","name":"References","subtype":"textarea","maxlength":250,"rows":10,"className":"d-block"},{"type":"paragraph","subtype":"p","label":"To report an emergency, call 911 (where applicable) or your local law enforcement office. This form is for non-emergency contact only. We will contact you once we have received your submission, if your contact information is provided. If you do not hear from us in 24 hours, please call our office.","className":"d-block"}]