Application For Employment | Highland County Water Company Inc

* indicates a required field.

Position(s) Applied For *

Date of Application *

How Did You Learn About Us?

Employment Agency

Friend

Relative

Inquiry

Other…

Last Name *

First Name *

Middle Name *

Street Address *

Street Address2

City *

State *

Zipcode *

Telephone Number(s) *

Best time to contact you at home *

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever filed an application with us before? If Yes, give date

Yes

Previous Application Date

Have you ever been employed with us before? If Yes, give date

Yes

Previous Employment Date

Do any of your friends or relatives, other than spouse, work here? If Yes, state name, relationship, and location

Yes

Friend or relative information

Are you currently employed?

Yes

May we contact your current employer?

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?

Yes

Proof of citizenship or immigration status will be required upon employment.

Date available for work *

What is your desired salary range?

Are you available to work Full Time?

Full Time Shifts

1st

2nd

3rd

Are you available to work Part Time?

Part Time Hours

Mornings

Afternoon

Evenings

Are you available to work Temporarily?

Temporary Dates

From / To

Are you currently on "lay-off" status and subject to recall?

Yes

Can you travel if a job requires it?

Yes

Education

High School

Name and Address of School

Course of Study

No. of Years Completed

Diploma / Degree

Undergraduate College

Name and Address of School

Course of Study

No. of Years Completed

Diploma / Degree

Graduate / Professional

Name and Address of School

Course of Study

No. of Years Completed

Diploma / Degree

Other (specify)

Name and Address of School

Course of Study

No. of Years Completed

Diploma / Degree

Work Experience

Employer

Address

Telephone Number(s)

Starting / Present Job Title

Supervisor

Reason for Leaving

Dates Employed (From / To)

Hourly Rate / Salary (Starting / Final)

Work Performed

May We Contact?

Yes

Employer

Address

Telephone Number(s)

Starting / Present Job Title

Supervisor

Reason for Leaving

Dates Employed (From / To)

Hourly Rate / Salary (Starting / Final)

Work Performed

May We Contact?

Yes

Employer

Address

Telephone Number(s)

Starting / Present Job Title

Supervisor

Reason for Leaving

Dates Employed (From / To)

Hourly Rate / Salary (Starting / Final)

Work Performed

May We Contact?

Yes

Employer

Address

Telephone Number(s)

Starting / Present Job Title

Supervisor

Reason for Leaving

Dates Employed (From / To)

Hourly Rate / Salary (Starting / Final)

Work Performed

May We Contact?

Yes

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Comments: Include explanation of any gaps in employment

Describe any speciliazed training, apprenticeships, skills and extra-curricular activities.

List professional, trade, business or civic activities and offices held.

You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

Additional Information (Other Qualifications)

Summarize special job-related skills and qualifications acquired from employment or other experience.

Specialized Skills (Skills / Equipment Operated)

Terminal

PC/MAC

Typewriter

WPM

Spreadsheet

Word Processing

Shorthand

WPM

Production / Mobile Machinery (List)

Other (List)

State any additional information you feel may be helpful to us in considering your application.

Note

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing in a reasonable manner, with or without reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.

Yes

Personal / Professional References

Name *

Phone Number *

Best Time To Call *

Occupation *

Name *

Phone Number *

Best Time To Call *

Occupation *

Name *

Phone Number *

Best Time To Call *

Occupation *

Do not include family members or past supervisors

Applicant's Statement

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.