JHR 035 (Revised 08/2015) Page 1
EMPLOYMENT APPLICATION
The Maryland Judiciary is an Equal Opportunity Employer
INSTRUCTIONS: Please print or type all information. Please complete all relevant sections. Your application may be
rejected if information is missing. You may attach a resume; however, you must still complete all relevant sections.
Please attach additional pages and follow the same format of the continued section only if you need additional space.
SECTION ONE: IDENTIFICATION DATA
Job Title
Date
Location
PIN
[Please complete one application for each job announcement]
First Name and Middle Initial
Last Name
Home Address (Street and Number)
City, State and Zip Code
Home Phone
Work Phone
Cell Phone
Email Address
SECTION TWO: EDUCATION AND SKILLS
Schools Attended
Name and Location of School
Graduated?
(Yes/No)
Credits
Degree Type
or Certification
Major
High School
Business or Technical
Community College
College or University
College or University
College or University
Typing Skills
Please answer this question only if typing skill is a qualification in the job announcement.
Words Per Minute (WPM)
A typing test may be given to applicants interviewed for positions requiring typing.
Computer Skills
Please answer this question, as applicable, if a computer skill or certification is a qualification in the job announcement.
Software Proficiencies
Hardware Proficiencies
Computer Certifications
JHR 035 (Revised 08/2015) Page 2
SECTION THREE: LICENCES AND CERTIFICATIONS
Special Qualifications
List active professional and technical licenses and certifications (other than computer related), academic and professional
awards, and any other special qualifications you have earned or received.
License, Certification, or
Award
Field, Specialization, or
Nature of Award
School or Organization
Expiration Date
(if relevant)
Motor Vehicle License
Please answer this question only if a license is required in the job announcement.
Do you possess a valid motor vehicle license? (Yes/No)
Type/Class
SECTION FOUR: GENERAL INFORMATION
Please answer all questions, and provide additional information if applicable.
Question
Yes/No
Are you authorized to work in the United States?
Note that the Maryland Judiciary does not sponsor employees in application of the H-1B Visa.
All applicants must be legally authorized to work in the United States under the Immigration and Reform
Control Act of 1986.
Can you perform the essential duties of the job for which you applied, with or without a reasonable
accommodation?
Have you ever worked for an agency of the State of Maryland?
If yes, please provide the agency name(s) and dates in the space below.
Please ensure that these positions are detailed in your Employment History.
Previous State Positions:
Do you have relatives who are currently employed by the Maryland State Judiciary?
If yes, please provide their name(s), relationship to you, and the court or office in which they work:
Judiciary Relatives:
JHR 035 (Revised 08/2015) Page 3
Maryland Judiciary is a drug free workplace.
Maryland Judiciary is an affirmative action, equal opportunity employer and does
not discriminate on the basis of race, sex, color, national origin, religion, marital
status, age, sexual orientation, veteran status or disability in employment.
SECTION FIVE: EMPLOYMENT HISTORY
Important Instructions:
1. List your work experience, including military service. You may also include volunteer experience.
2. Start with your current or most recently held position.
3. You must fill out all blocks completely to be considered for employment, including “Job Duties”.
4. You may list additional positions (in hard-copy or Word), by photocopying or copy-and-pasting page 4.
5. In Word, the boxes will expand as you type. You may delete any empty “Job Duties” lines that are not needed.
In pdf, the font will reduce as you fill the boxes.
6. You may attach a resume; however, you must still complete all relevant sections below.
7. Unless requested on the job announcement, please do not attach copies of your diploma, degree, transcripts,
certificates of course completion, licenses, certifications, awards, work samples, or letters of recommendation.
Current or Most Recent Position
Business Name
Supervisor’s Name
Business Address
Supervisor’s Phone Number
Full Time or Part Time
Date Started (Mo./Day/Year)
Regular, Contract, or Temp.
Date Ended (Mo./Day/Year)
Your Job/Working Title
Your Salary
Hours/Week
Number of Employees You Supervise and Their Job Titles
Description of Job Duties ▼Start in space below▼
Reason for Leaving
JHR 035 (Revised 08/2015) Page 4
Former Position
Business Name
Supervisor’s Name
Business Address
Supervisor’s Phone Number
Full Time or Part Time
Date Started (Mo./Day/Year)
Regular, Contract, or Temp.
Date Ended (Mo./Day/Year)
Your Job/Working Title
Your Salary
Hours/Week
Number of Employees You Supervise and Their Job Titles
Description of Job Duties ▼Start in space below▼
Reason for Leaving
Former Position
Business Name
Supervisor’s Name
Business Address
Supervisor’s Phone Number
Full Time or Part Time
Date Started (Mo./Day/Year)
Regular, Contract, or Temp.
Date Ended (Mo./Day/Year)
Your Job/Working Title
Your Salary
Hours/Week
Number of Employees You Supervise and Their Job Titles
Description of Job Duties ▼Start in space below▼
Reason for Leaving
JHR 035 (Revised 08/2015) Page 5
Former Position
Business Name
Supervisor’s Name
Business Address
Supervisor’s Phone Number
Full Time or Part Time
Date Started (Mo./Day/Year)
Regular, Contract, or Temp.
Date Ended (Mo./Day/Year)
Your Job/Working Title
Your Salary
Hours/Week
Number of Employees You Supervise and Their Job Titles
Description of Job Duties ▼Start in space below▼
Reason for Leaving
NOTICE TO APPLICANTS
UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT
OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEES TO SUBMIT TO OR TAKE A POLYGRAPH, LIE
DETECTOR, OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED
EMPLOYMENT. ANY EMPLOYER WHO VIOLATES THIS PROVISION IS GUILTY OF A MISDEMEANOR AND IS
SUBJECT TO A FINE NOT TO EXCEED $100.
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND THEN SIGN THIS APPLICATION
I hereby certify that all information provided by me on this application is ACCURATE AND COMPLETE to the best of my
knowledge. I understand that any false or incomplete information furnished by me, or failure to disclose requested
information, may result in the rejection of this application, may make me no longer eligible for consideration for
employment with the Maryland Judiciary, or may result in my dismissal after my employment. I authorize the Maryland
Judiciary to investigate any statement contained in this employment application and release former employers and
reference contacts from any and all liability on account of furnishing such information to the Maryland Judiciary.
I further understand that, if considered for this position, the Maryland Judiciary will conduct criminal and/or driving record
checks. I understand that nothing contained in this employment application or in the granting of an interview is intended
to create an employment contract between the Maryland Judiciary and myself.
Signature of Applicant
Date
JHR 035 (Revised 08/2015) Page 6
VOLUNTARY PERSONAL INFORMATION FORM
THE FOLLOWING INFORMATION REQUESTED IS ON A VOLUNTARY BASIS. THIS INFORMATION
WILL BE USED TO ASSESS MARYLAND STATE JUDICIARY’S RECRUITMENT OUTREACH, AND FOR STATISTICAL AND
RESEARCH PURPOSES ONLY. YOUR CONSIDERATION FOR THIS POSITION WILL BE THE SAME, WHETHER OR NOT
YOU CHOOSE TO ANSWER THESE QUESTIONS
Recruitment Information
Job Title of Position Applied For
PIN
How did you learn about this position? Please check ONE box below.
Maryland Judiciary Job Announcement Posting or Email
Maryland Judiciary (Maryland Courts) Job Announcements Website (http://mdcourts.gov/jobs/)
Other Website (please specify):
Judiciary Employee
Friend or Relative
Newspaper (please specify):
Other (please specify):
If the job announcement that interests you instructs you to mail your application,
you must mail your completed application to the address specified near the bottom of that job announcement.
Unless requested on the job announcement, please do not attach copies of your diploma, degree, transcripts, certificates
of course completion, licenses, certifications, awards, work samples, or letters of recommendation.
THANK YOU FOR YOUR INTEREST IN EMPLOYMENT WITH THE MARYLAND JUDICIARY.
