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Employment Application 
ADMINISTRATIVE OFFICE OF COURTS 
www.alacourt.gov

We Are An Equal Opportunity Employer 

RETURN TO: 
Human Resources Division 
Administrative Office of Courts 
300 Dexter Avenue  
Montgomery, AL 36104-3741 

1. When completing this application, list the specific job class(es) with the Unified Judicial System in which you are

interested.   Information on the type of jobs available within the system can be obtained from job announcements
which are available in any Alabama State Employment Service Office, the Circuit Clerk's Office in any State
Courthouse, the Human Resources Division of the AOC at the above address, and on-line at http:\\humanresources.
alacourt.gov.

2. ALL BLANKS MUST BE TYPED OR PRINTED IN INK.  PAGES 2 AND 3 MUST BE SIGNED AND DATED.

3. ALL applications must be mailed directly to the Administrative Office of Courts, Human Resources Division, 300

Dexter Avenue, Montgomery, AL 36104-3741, by the applicant. Applications must be received by the Human Resources
Division by the close of business on the last date for this job announcement.

4. Your application will be used to determine eligibility for the class(es) for which you are applying. Your application will

be accepted or rejected based on the training and experience standards published in the job announcement issued by
the Human Resources Division of the Administrative Office of Courts.

5.

If the position applied for requires written examination, you will be notified of your score(s) within approximately six
weeks after taking the written examination(s). Standing on a register will not be given for those classes which are
open for continuous recruitment, because your position may change as names are deleted or new names are added
to the register. NOTE: If you are determined to be unqualified for any class, you will be notified by mail.

6. REMOVAL OF ELIGIBLES FROM REGISTER(S): An applicant's name will be removed from the register under any of

the following conditions:

a. Written evidence that the eligible cannot be located by postal authorities.
b. Written evidence that the eligible no longer desires appointment to the class.
c. After the eligible has three times failed to reply, or upon being certified for a job vacancy, has declined an offer of

employment.

d. Written evidence that the applicant falsified his or her application, or is otherwise unsuitable for employment.

7. Failure to give complete information will result in the return and disqualification of your application.

 
8.

It is the responsibility of the applicant to notify the Human Resources Division of the Administrative Office of Courts
whenever there is a change of address. The U.S.Postal Service will forward mail for a limited time only.

State of Alabama U.J.S. Form No. PER 22  Rev. 10/19

Employment Application             

PART I. – APPLICANT IDENTIFICATION 
Social Security Number  

  Last Name 

The Administrative Office of Courts is an Equal Opportunity Employer 

First Name

M.I.

Area Code

Phone Numbers

Email Address _________________________________________ 
 
Mailing Address (Street Number / Name , Apt. Designation or RFD) 

 

 

 

 

 

 

City

State 

     Zip Code

Work:

Home :

County

         Are you currently working within the Unified 
         Judicial System and applying for a promotion? 

Yes 

No

PART II. – INDICATE ANSWER BY PLACING AN “X” IN THE PROPER BOX 

1. Have you ever been discharged or forced to resign from a position?          Yes        No 

2. Will you accept employment involving travel?      Yes        No 

3. May inquiries be made of your present and/or past employers regarding character, qualifications, or work performance?

 Yes        No 

4. Have you ever been convicted of a law violation other than a “minor” traffic offense? If yes, explain charges, where convicted and dates below.
Yes         No  ___________________________________________________________________________________________________
__________________________________________________________________________________________________________________
5. Have you filed an application for employment in the Alabama Unified Judicial System within the past year? If yes, list class(es) and date below.

    Yes         No ____________________________________________________________________________________________________

How did you find out about this job opening?     

   Newspaper                CareerBuilder.com     

TV/Radio     

UJS Employee      

 Monster.com                         Friend      
Other  _____________________________
 

PART III.  – USE THIS SPACE TO CLAIM VETERAN’S PREFERENCE – CHECK TYPE AND ATTACH DOCUMENTS 

Veteran (Attach DD Form 214 or other document showing service dates.)

Disabled Veteran (DD214 and V.A. Certifications of service connected disability.)

3.      Veteran’s Surviving Spouse (Veteran’s Documents, marriage, and death certificates.) 
Spouse of Disabled Veteran (Disabled Veteran’s Documents and marriage certificate.)
4.

Please  Read:  Persons  honorably  discharged  from  the Army, Navy, Air Force, Marine Corps, or Coast Guard are entitled to five points veteran’s 
preference.  The surviving spouse of such person who died in line of duty or the surviving spouse of a veteran who meets requirements of the 
preceding  sentence  is  entitled  to  ten  points  preference;  a  disabled  veteran  is  entitled  to  ten  points  preference  if  he/she  is  eligible  to  receive   
compensation  for  a  service  connected  disability;  and  the  spouse  of  a  disabled  veteran  is  entitled  to  ten  points  if  the  veteran  cannot  qualify 
because of his/her service connected disability. 

PART IV. – EMPLOYMENT DATA – INDICATE NO MORE THAN THREE JOB CLASSES FOR WHICH YOU ARE APPLYING  

JOB CLASS TITLE 

      JOB CODE 

1.

2.

 

1. 

2. 

3. 

 I will accept      TEMPORARY       PART-TIME      FULL-TIME  employment.  I will be available for work on _______________________________ 

Month 

      Day                 Year 

 Alabama county where I am primarily interested in working: 
 1.___________________________________________________ 

(Optional) Other Alabama counties where I will accept employment: 
2.______________________________  3. ________________________ 

_______________________________ Items below to be completed by Human Resources Division _____________________________________ 

.
1             

    3. 

DO NOT WRITE HERE – FOR USE OF HUMAN RESOURCES DIVISION 

Job Code 

    0        Evaluation   

   Average

  Training & 
Experience

Vet. 
Pref.

 

TOTAL 

  MO  DAY YR 

        2. 
 

Written  
Exam 

State of Alabama U.J.S. Form No.PERS 22 Rev.10/19

Note: A felony conviction will bar employment in law enforcement and certain judicial positions. The disclosure of a misdemeanor will not automatically
result in disqualification from employment. Criminal histories will be submitted to the National Crime Information Center (NCIC) for verification. Failure
to disclose a conviction may be considered grounds for disqualification. For these reasons, applicants should be careful to disclose ALL criminal
convictions. 

1

PART V. EDUCATION – Give Your Complete Educational History 

Employment Application

Did you graduate from high school or pass the high school equivalency test? Check your answer         

      Yes         No 

LEVEL 

NAME & LOCATION 

DATES 

From

To

Mo.  Yr.  Mo. 

Yr. 

 YEAR of

COMPLETION 

 CRED.
HOURS

DID 
YOU 
GRAD? 

DEGREE OR 
DIPL. & DATE 

MAJOR 
SUBJECT 

Answer questions for each period of employment; include previous employment with the State of Alabama, military service, and related 
volunteer work. Failure to give complete information will result in rejection of your application. Begin with your present or last position. If 
more space is needed, use a continuation sheet (page 3). Providing salary information is optional.

             Starting 

Yrs. 

Full-time 

Date separated 

.
 
Date employed 

Title of present  or most recent position __________________________________________ Salary _____________Last Salary___________
Name & Title of supervisor __________________________________ # EEs Applicant supv. _____________
Employer __________________________  Address _____________________________________________
Duties __________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
 Reason for leaving _______________________________________________________________________

If part-time, no. of hrs.  
worked /wk. 

Part-time 

Mos. 

Mos. 

Yrs. 

 A

`

            Starting 

B. Title of next most recent position _______________________________________________ Salary _____________Last Salary___________

Date employed 

Date separated 

Full-time 

Yrs. 

Mos. 

Part-time 

Yrs. 

Mos. 

If part-time, no. of hrs.  
worked /wk. 

Name & Title of supervisor __________________________________ # EEs Applicant supv. _____________
Employer ______________________________ Address______ ____________________________________
Duties __________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
 Reason for leaving _______________________________________________________________________

            Starting 

C. Title of next most recent position _______________________________________________ Salary _____________Last Salary___________

Date employed 

Date separated 

Full-time 

Yrs. 

Mos. 

Part-time 

Yrs. 

Mos. 

If part-time, no. of hrs.  
worked /wk. 

Name & Title of supervisor __________________________________ # EEs Applicant supv. _____________
Employer _____________________________ Address ___________________________________________
Duties __________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
 Reason for leaving _______________________________________________________________________

CERTIFICATION AND CONDITION OF EMPLOYMENT AGREEMENT 
I certify that the statements on or attached to this application are true and correct to the best of my knowledge. I know that any 
false statements may cause me to be denied employment, the chance for testing, to be removed from an employment register, 
or to be released from employment. I authorize the release of all prior employment, military service, academic/school and 
criminal records. If employed, I agree, consistent with applicable laws, to receive compensatory time off in lieu of overtime cash 
compensation. I also certify (if applicable) that I have enclosed proof of my service registration in compliance with Act 91-584. 

ate ____________________________________  

Applicant’s Signature : ________________________________________________ 

 D

State of Alabama U.J.S. Form No.PERS 22 Rev.10/19

   WE ARE AN EQUAL OPPORTUNITY EMPLOYER 

2

PART VI. – CERTIFICATIONS, SKILLS, AND COURSES 

1. List field of work for which you are licensed, registered, or certified. Give date and source of issuance:

2. List typing and shorthand skills, machines you can operate, and other skills in which you are proficient:

3.

If the position applied for calls for specific courses, indicate courses and credits received:

PART VII. – EMPLOYMENT – This section must be completed even if a resume is attached. 

Elementary or 
High School 

College 

Graduate or  
Professional 

Other Education, 
Intern., Etc. 

EMPLOYMENT APPLICATION 
Continuation Sheet  (page 3)

Date 

D. Title of position __________________________________________________________________________    Ending Salary ____________________
Name & title of supervisor _____________________________________________________________# EEs Applicant supv. ___________________
Name  of employer __________________________________________________Address ______________________________________________

Date employed 
Date separated 
Full-time 

Yrs. 

Mos. 

Part-time 

Yrs. 

Mos. 

f part-time, no. of hrs.  
worked /wk. 

Duties ______________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Reason for leaving ____________________________________________________________________ 
___________________________________________________________________________________

E. Title of position __________________________________________________________________________    Ending Salary ____________________
Name & title of supervisor _____________________________________________________________ # EEs Applicant supv. ___________________
Name  of employer ________________________________________________ Address ________________________________________________

Date employed 
Date separated 
Full-time 

Yrs. 

Mos. 

Part-time 

Yrs. 

Mos. 

f part-time, no. of hrs.  
worked /wk. 

Duties ______________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Reason for leaving ____________________________________________________________________ 
___________________________________________________________________________________

F. Title of position __________________________________________________________________________    Ending Salary ____________________
Name & title of supervisor _____________________________________________________________# EEs Applicant supv. ___________________
Name  of employer _________________________________________________ Address _______________________________________________

Date employed 
Date separated 
Full-time 

Yrs. 

Mos. 

Part-time 

Yrs. 

Mos. 

f part-time, no. of hrs.  
worked /wk. 

Duties ______________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Reason for leaving ____________________________________________________________________ 
___________________________________________________________________________________

G. Title of position __________________________________________________________________________    Ending Salary ____________________
Name & title of supervisor _____________________________________________________________ # EEs Applicant supv. ___________________
Name  of employer ____________________________________________________ Address ____________________________________________

Date employed 
Date separated 
Full-time 

Yrs. 

Mos. 

Part-time 

Yrs. 

Mos. 

f part-time, no. of hrs.  
worked /wk. 

Duties ______________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Reason for leaving ____________________________________________________________________ 
___________________________________________________________________________________

  I

 

  I

 

  I

 

  I

 

CERTIFICATION AND CONDITIONS OF EMPLOYMENT AGREEMENT

I certify that the statements on or attached to this application are true and correct to the best of my knowledge. I know that any
false statements may cause me to be denied employment, the chance for testing, to be removed from an employment register, or to 
be  released from employment. I authorize the release of all prior employment, military service, academic/school and criminal records. 
If employed, I agree, consistent with applicable laws, to receive compensatory time off in lieu of overtime cash compensation. I also 
certify (if applicable) that I have enclosed proof of my service registration in compliance with Act 91-584.
 
Date: ____________________________
 

_______________________________________________________________
Applicant’s Signature

State of A labama U.J.S. Form No.PERS 22 Rev.10/19

WE ARE AN EQUAL OPPORTUNITY EMPLOYER 

 3

EQUAL EMPLOYMENT OPPORTUNITY REPORTING AND RESEARCH 

(Federal  Employment  Opportunity  Reporting  and  Research  requires  the  following  Information  which  is  not  used  to  evaluate  your 
application – and is filed separately.) 

         Month 

   Day 

    Year 

   Male    Female 

        Yes     No

Date of Birth 

 Sex 

  Social Security  #

*Act  91-584  mandates  that  persons  required  to  register  with  the  U.S.  Selective  Service  System  (i.e.,  male  citizens  of  the  U.S.
between the ages of 18 and 26) furnish proof of registration before any offer of employment, promotion, or advancement may be
made by the State of Alabama.

A copy of the Selective Service registration must accompany this application. 

1. White
 
2.  Oriental/Asian
3. Native American

 U.S. Citizen  

4. Black

5. Hispanic/Latino

COMPLETE THIS SECTION IN ORDER TO BE SCHEDULED FOR WRITTEN EXAMS 

Written examinations will be given periodically in the cities listed below, indicate your 1st, 2nd and 3rd choices of 
test dates. 

01  (     )  Florence 

02  (     )  Huntsville 

03  (     )  Gadsden 

04  (     )  Birmingham 

05  (     )  Tuscaloosa 

06  (     )  Montgomery

07  (     )  Dothan

08  (     )  Mobile

If you qualify, you will receive notification of test date, time, and location. 

IMPORTANT  
PLEASE READ 

Applicants will be notified of their score(s) within approximately six weeks after taking 
the  written  examination(s).  The  standing  on 
for  those  passing 
examinations  for  classes  which  are  open  for  continuous  recruitment  (see  job 
announcement) will not be given due to the fact that relative positions will change as 
new names are added to or deleted from these registers. 

the  registers 

 
State of Alabama U.J.S. Form No.PERS 22 Rev.10/19 

 WE ARE AN EQUAL OPPORTUNITY EMPLOYER 

   4

Employment Application

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Alabama state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from eforms.alacourt.gov (2023-03)
Page(s): 5
Fields(s): 413
Average fields per page: 82
Reading Level: Grade 10
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

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text__193 was Text252 (0.35 conf)
text__194 was Text253 (0.35 conf)
text__195 was Text254 (0.35 conf)
text__196 was Text255 (0.35 conf)
text__197 was Text263 (0.35 conf)
text__198 was Text264 (0.35 conf)
text__199 was Text265 (0.35 conf)
text__200 was Text266 (0.35 conf)
text__201 was Text267 (0.35 conf)
text__202 was Text268 (0.35 conf)
text__203 was Text270 (0.35 conf)
text__204 was Text279 (0.35 conf)
text__205 was Text259 (0.35 conf)
text__206 was Text260 (0.35 conf)
text__207 was Text261 (0.35 conf)
text__208 was Text269 (0.35 conf)
text__209 was Text272 (0.35 conf)
text__210 was Text271 (0.35 conf)
text__211 was Text273 (0.35 conf)
text__212 was Text280 (0.35 conf)
text__213 was Text281 (0.35 conf)
text__214 was Text282 (0.35 conf)
text__215 was Text283 (0.35 conf)
text__216 was Text284 (0.35 conf)
text__217 was Text285 (0.35 conf)
text__218 was Text286 (0.35 conf)
text__219 was Text288 (0.35 conf)
text__220 was Text289 (0.35 conf)
text__221 was Text290 (0.35 conf)
text__222 was Text291 (0.35 conf)
text__223 was Text293 (0.35 conf)
text__224 was Text299 (0.35 conf)
text__225 was Text300 (0.35 conf)
text__226 was Text301 (0.35 conf)
text__227 was Text302 (0.35 conf)
text__228 was Text303 (0.35 conf)
text__229 was Text304 (0.35 conf)
text__230 was Text305 (0.35 conf)
text__231 was Text306 (0.35 conf)
text__232 was Text307 (0.35 conf)
text__233 was Text308 (0.35 conf)
text__234 was Text314 (0.35 conf)
text__235 was Text315 (0.35 conf)
text__236 was Text316 (0.35 conf)
text__237 was Text317 (0.35 conf)
text__238 was Text318 (0.35 conf)
text__239 was Text321 (0.35 conf)
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text__250 was Text262 (0.35 conf)
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text__260 was Text313 (0.35 conf)
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text__262 was Text319 (0.35 conf)
text__263 was Text320 (0.35 conf)
text__264 was Text340.0 (0.35 conf)
text__265 was Text340.1 (0.35 conf)
text__266 was Text340.2 (0.35 conf)
text__267 was Text340.3 (0.35 conf)
text__268 was Text340.4 (0.35 conf)
text__269 was Text340.5 (0.35 conf)
text__270 was Text357.0 (0.35 conf)
text__271 was Text357.1 (0.35 conf)
text__272 was Text357.2 (0.35 conf)
text__273 was Text357.3 (0.35 conf)
text__274 was Text357.4 (0.35 conf)
text__275 was Text375.1 (0.35 conf)
text__276 was Text375.2 (0.35 conf)
text__277 was Text375.3 (0.35 conf)
text__278 was Text375.4 (0.35 conf)
text__279 was Text375.5 (0.35 conf)
text__280 was Text375.6 (0.35 conf)
text__281 was Text375.0 (0.35 conf)
text__282 was Text389.3 (0.35 conf)
text__283 was Text389.4 (0.35 conf)
text__284 was Text389.0 (0.35 conf)
text__285 was Text389.1 (0.35 conf)
text__286 was Text389.2 (0.35 conf)
text__287 was Text335 (0.35 conf)
text__288 was Text337 (0.35 conf)
text__289 was Text352 (0.35 conf)
text__290 was Text326 (0.35 conf)
text__291 was Text327 (0.35 conf)
text__292 was Text329 (0.35 conf)
text__293 was Text330 (0.35 conf)
text__294 was Text331 (0.35 conf)
text__295 was Text332 (0.35 conf)
text__296 was Text333 (0.35 conf)
text__297 was Text334 (0.35 conf)
text__298 was Text336 (0.35 conf)
text__299 was Text339 (0.35 conf)
text__300 was Text344 (0.35 conf)
text__301 was Text345 (0.35 conf)
text__302 was Text346 (0.35 conf)
text__303 was Text347 (0.35 conf)
text__304 was Text349 (0.35 conf)
text__305 was Text350 (0.35 conf)
text__306 was Text353 (0.35 conf)
text__307 was Text354 (0.35 conf)
text__308 was Text355 (0.35 conf)
text__309 was Text356 (0.35 conf)
text__310 was Text358 (0.35 conf)
text__311 was Text359 (0.35 conf)
text__312 was Text360 (0.35 conf)
text__313 was Text361 (0.35 conf)
text__314 was Text362 (0.35 conf)
text__315 was Text363 (0.35 conf)
text__316 was Text364 (0.35 conf)
text__317 was Text365 (0.35 conf)
text__318 was Text366 (0.35 conf)
text__319 was Text367 (0.35 conf)
text__320 was Text368 (0.35 conf)
text__321 was Text369 (0.35 conf)
text__322 was Text370 (0.35 conf)
text__323 was Text371 (0.35 conf)
text__324 was Text372 (0.35 conf)
text__325 was Text373 (0.35 conf)
text__326 was Text374 (0.35 conf)
text__327 was Text376 (0.35 conf)
text__328 was Text377 (0.35 conf)
text__329 was Text378 (0.35 conf)
text__330 was Text379 (0.35 conf)
text__331 was Text381 (0.35 conf)
text__332 was Text382 (0.35 conf)
text__333 was Text384 (0.35 conf)
text__334 was Text385 (0.35 conf)
text__335 was Text386 (0.35 conf)
text__336 was Text387 (0.35 conf)
text__337 was Text391 (0.35 conf)
text__338 was Text393 (0.35 conf)
text__339 was Text394 (0.35 conf)
text__340 was Text396 (0.35 conf)
text__341 was Text325 (0.35 conf)
text__342 was Text328 (0.35 conf)
text__343 was Text342 (0.35 conf)
text__344 was Text338 (0.35 conf)
text__345 was Text343 (0.35 conf)
text__346 was Text348 (0.35 conf)
text__347 was Text351 (0.35 conf)
text__348 was Text388 (0.35 conf)
text__349 was Text390 (0.35 conf)
text__350 was Text392 (0.35 conf)
text__351 was Text383 (0.35 conf)
text__352 was Text380 (0.35 conf)
text__353 was Text36 (0.35 conf)
text__354 was Text1 (0.35 conf)
text__355 was Text2 (0.35 conf)
text__356 was Text3 (0.35 conf)
text__357 was Text4 (0.35 conf)
text__358 was Text5 (0.35 conf)
text__359 was Text6 (0.35 conf)
text__360 was Text7 (0.35 conf)
text__361 was Text8 (0.35 conf)
text__362 was Text9 (0.35 conf)
text__363 was Text10 (0.35 conf)
text__364 was Text11 (0.35 conf)
text__365 was Text12 (0.35 conf)
text__366 was Text13 (0.35 conf)
text__367 was Text14 (0.35 conf)
check_box__29 was Check Box15 (0.37 conf)
check_box__30 was Check Box16 (0.37 conf)
check_box__31 was Check Box17 (0.37 conf)
check_box__32 was Check Box18 (0.37 conf)
check_box__33 was Check Box19 (0.37 conf)
check_box__34 was Check Box20 (0.37 conf)
check_box__35 was Check Box21 (0.37 conf)
check_box__36 was Check Box22 (0.37 conf)
check_box__37 was Check Box23 (0.37 conf)
text__368 was Text35 (0.35 conf)
text__369 was Text21.0 (0.35 conf)
text__370 was Text21.1 (0.35 conf)
text__371 was Text21.2 (0.35 conf)
text__372 was Text21.3 (0.35 conf)
text__373 was Text21.4 (0.35 conf)
text__374 was Text21.5 (0.35 conf)
text__375 was Text21.6 (0.35 conf)
text__376 was Text21.7 (0.35 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

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