CH-36 (Revised 02/2011)
APPLICATION FOR EMPLOYMENT
Local Health Departments of Kentucky
(Excluding Lexington-Fayette, Louisville Metro, and Northern Kentucky which include Boone, Kenton, Campbell and Grant Counties)
Department for Public Health
Division of Administration & Financial Management
Local Health Personnel Branch
Phone number (502) 564-6663
We appreciate your interest in employment with the Local Health
Department. In order to receive full consideration for employment opportunities an
“Application for Employment” must be completed and returned to the local health
department where employment is being sought for proper consideration.
General Instructions for completing the application for employment:
Type or print this application clearly in dark ink in its entirety.
Job Announcements may contain special instructions and requirements.
Do not substitute a resume’ or other application form for this application.
Write the exact job title as specified on the job announcement.
If a closing date for filing is shown in the job announcement, your application
and any required information, such as a copy of transcript(s) and any other
supporting documentation, must be submitted to the office listed on the job
announcement by the date indicated.
Applications that are received unsigned, incomplete, or after the closing date,
shall be eliminated from consideration.
Change of name or address should be reported in writing to the health
department where you applied.
Applications should be returned to the local health department where
employment is being sought for proper consideration.