Employment Application

If you need help filling out this application form or for any phase of the employment process, please contact our Personnel Department, and every effort will be made to accommodate your needs in a reasonable amount of time. Houston County is an equal opportunity employer.

Job Application

Personal Information

  1. Previous Address



High School

College or Trade School


Employment History

List employment from the past 10 years, starting with your most recent job. Account for any time period that you were unemployed by stating the nature of your activities.

Employer 1

  1. Add Employer

Optional: Upload Resume


Please list four personal references, other than prior employers or relatives, whom we can contact.

Reference 1

Reference 2

Reference 3

Military Service Record

EEO Reporting Data

The following data is requsted for Equal Employment Opportunity record keeping and reporting compliance purposes only as specified by Title VII of the Civil Rights Act of 1964 as amended. This section is voluntary and will be kept confidential.

  1. American Indian or Alaskan Native: persons having origins in any of the original peoples of North America and who maintain cultural identification through tribal affiliation or community recognition.
    White, not of Hispanic Origin: persons having origins in any of the original peoples of Europe, North Africa or the Middle East.
    Black, not of Hispanic Origin: persons having origins in any of the Black racial groups of Africa.
    Asian, or Pacific Islander: persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent or the Pacific Islands.
    Hispanic: persons of Mexican, Puerto Rican, Cuban, Central of South American, or other Spanish culture or origin, regardless of race.

Special Conditions

Authorization and Release

Please read carefully before signing.

I understand that all appointments are probationary for a period of six months. during which time I must demonstrate my fitness for continued employment. I also understand that all appointments offered me will be contingent upon the results of a complete character and fitness investigation. I am aware that willfully withholding information or making false statements on the application will be a basis for denial of a position prior to employment, or will be grounds for dismissal after appointment. I agree that this application and all other papers shall be confidential records of the Personnel Board subject to inspection by the appointing authority. I hereby certify that all statements are true and correct to the best of my knowledge.


I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability and fitness of employment with Houston County by law enforcement agencies, employers, schools, and other individuals and organizations, to personnel staffing specialists, and other authorized employees of Houston County. I certify that to the best of my knowledge and belief, all of my statements on employment applications and related employment papers are true, correct, and complete, and made in good faith. I hereby release the aforementioned persons, corporations, agencies, associations and their employees, agents and representatives from any and all liability for damages of what ever kind of nature which may at any time result to me on account of compliance with this authorization. A copy of this authorization shall be effective and valid as the original.

Your Signature

  1. Please type your full name to serve as an electronic signature.

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Administrative Building

462 N. Oates St.
Dothan, AL 36303

Monday - Thursday
7:00 a.m. - 5:30 p.m.
Department Hours May Very
Closed Holidays

County Courthouse

114 N. Oates St.
Dothan, AL 36303

Monday - Friday
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 4:30 p.m.