(Employees are required to provide proof of identity & employment authorization)
List any special qualifications and skills including certifications or licenses, memberships in professional organizations or societies.
List scholarships, fellowships, honors, etc. (Optional)
By checking this box, I certify that I have read and understand all the information contained in this application and any
attachments hereto. I authorize the release of information concerning my qualifications, character, education and/or employment
records to the Citrus County Clerk of the Circuit Court Human Resources Department through inquiries to appropriate sources. I
further certify, under penalty of perjury, that all statements made in this application and/or attachments are true and complete to
the best of my knowledge and belief and that there are no misrepresentations or omissions of material fact. In addition, I
understand misstatements and/or missing information is cause for rejection of my application and/or non-consideration for
By checking this box, I certify that I acknowledge and understand that I am providing services for the Citrus County Clerk of the
Circuit Court as a volunteer. As such, I recognize and accept that I am not eligible for compensation for my time and services.
This field is not part of the form submission.
* indicates a required field