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Job Application
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Steps
1.
Personal Information
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2.
Position Information
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3.
Education
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4.
Employment History
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5.
References
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6.
Disclaimer & Signature
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Personal Information
First Name
*
Last Name
*
Address1
*
Address2
City
*
State
*
Zip
*
Phone Number
*
Email Address
*
Are you eligible to work in the United States?
*
Yes
No
Upload Your Resume or Supporting Documents
*
PDF; JPEG; WORD FORMATS ONLY
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Position Information
Which position are you applying for?
*
Valid Drivers License:
If you are applying for a job that requires one, do you have a valid drivers license.
Type of employment desired
*
Full Time
Part Time
Internship
Salary desired
Hours of work (per week) desired
*
How did you hear about the position?
*
Do you have any friends or relatives in our employ?
*
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No
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Education
High School
Address
College
Address
Degree
Other
Address
Degree
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Employment History
(From Most Recent)
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
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No
Address
Responsibilities
Employed From - To (Date)
Salary
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
Yes
No
Address
Responsibilities
Employed From - To (Date)
Salary
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
Yes
No
Address
Responsibilities
Employed From - To (Date)
Salary
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References
Please list three professional references.
Full Name
*
Relationship
*
Company
*
Phone Number
*
Full Name
*
Relationship
*
Company
*
Phone Number
*
Full Name
*
Relationship
*
Company
*
Phone Number
*
Kittitas PUD - Equal Opportunity Employer
*Kittitas PUD provides equal opportunity in all of our employment practices to all qualified employees and applicants without regard to race, color, religion, gender, national origin, age, disability, marital status, military status, genetic information or any other category protected by federal, state and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training and social, and recreational programs. All such employment decision will be made without unlawfully discriminating on an prohibited basis.
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Disclaimer & Signature
I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.
I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.
Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature
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