I, , affirm that this application packet contains no intentional misrepresentations or falsifications, omissions, or concealment of material facts. I further affirm that all information given by me is true, correct, and complete to the best of my knowledge and belief. I understand that if any of the information requested in this document should change at any point during the pre or post-employment process, failure to notify the Personnel Board of Jefferson County will result in my being removed from consideration for employment. I am aware that if my application is incomplete, it is subject to being rejected and my name removed from the eligibility list.

I am aware that all information contained in this application will be thoroughly investigated. I am further aware that should any investigation disclose any misrepresentation, falsification, omission, or concealment of material facts, my application is subject to being rejected, and my name may be removed from the eligibility list. If any falsification is detected after I have already been appointed, I may be dismissed.