Employment Application

Employment Application

The Morrow County Health District is an Equal Opportunity Employer and employment decisions are made without regard to race, religion, color, sex, pregnancy, sexual orientation, genetic information, national origin and ancestry, age (where protected by law), veteran status, disability, or military status.

Even if you are submitting supplemental information with your application, all information on the Morrow County Health District Application for Employment must be complete.

Personal Information

Social Security Numbers (SSNs) are used to match individuals with their application. Disclosure of your SSN is voluntary; however, upon employment and pursuant to Section 5101.312 of the Ohio Revised Code and certain other laws and regulations, a request for a SSN is mandatory. Your SSN may be used for purposes including but limited to the following: identification of obligors under child support orders, detection of welfare fraud, processing background checks, and tax information or general employee information.

Proof of citizenship or immigration status will be required upon employment.

Application Information

List any relatives employed by Morrow County Health District:

The Morrow County Health District performs criminal background checks on prospective employees. The Ohio Revised Code prohibits the Morrow County Health District from hiring individuals with certain criminal records (i.e. R.C. 2921.41, R.C. 3721.121).


Upon employment, the successful applicant may be required to provide proof of graduation or G.E.D.

Licenses, Registrations, and Certifications

Upon employment, the successful applicant must provide copies of all licenses/certifications required for the position.

Personal References

Persons who have known you for at least one year. Do not include former employers or relatives.

Employment History

Beginning with your most recent, list below present and past employment. All sections must be completed for each employer. Include additional Employment History sheets to reference your work history. Do not omit employer history.