Job Application - Grant and Accounting Coordinator - SWCD - Southwestern Water Conservation District

Job Application - Grant and Accounting Coordinator - SWCD

APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, sexual orientation or gender identity, genetic information or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors. Answer each question fully and accurately. No action can be taken on this application until you have answered all questions in detail. Use extra paper if you do not have enough space on this application to answer a question(s). PLEASE PRINT, except for placing your signature at the end of this application. None of the questions are intended to imply illegal preferences or discrimination based upon non-job-related criteria or information.

General

Last Name (required)

First Name (required)

Middle Name

Telephone Number (required)

Email Address (required)

Job Applied For (required)

Today's Date (required)

What type of employment are you seeking? (required)

Salary/Wage Desired? (required)

Are you 18 years or older? (required)

If hired you will be required to furnish proof of your eligibility to work in the U.S.

Have you applied here before? (required)

If so, when?

Were you ever employed here (required)

If so, when?

If employed, do you expect to be engaged in any additional business or employment outside of our company? (required)

If so, give details:

Education

High School or GED - Name and address of school, # of years completed, & diploma/degree (required)

College or University - Name and address of school, # of years completed, & diploma/degree (required)

Subjects Studied

Vocational or Technical- Name and address of school, # of years completed, & diploma/degree

Subjects Studied

Special Skills

Additional skills or training which may be related to the job for which you are applying?

Computer programs, machines or equipment you are trained or certified to operate, which may be related to the job for which you are applying?

Do you have a valid drivers license? (required)

Driver's License Number

Class of License

State License Issued

List professional, trade, business or civic activities and offices held. (Exclude labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability, genetic information, sexual orientation, gender identity, or other protected status.)

Work History

List names of employers in consecutive order with your current or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, provide the company name and supply business references. Provide a detailed response to each question.

Note: A job offer will be contingent upon acceptable references from current and former employers.

Name, Address, and Telephone of Employer (required)

Position (or Positions) held (required)

Employed start date (required)

Employed end date (required)

Describe Position and Job Duities (required)

Describe reason for leaving - be specific (required)

Name, Address, and Telephone of Employer

Position (or Positions) held

Employed start date

Employed end date

Describe Position and Job Duities

Describe reason for leaving - be specific

Name, Address, and Telephone of Employer

Position (or Positions) held

Employed start date

Employed end date

Describe Position and Job Duities

Describe reason for leaving - be specific

References

Have you worked or attended school under any other names? (required)

If so, give names and dates of each name that was used:

Are you presently employed? (required)

If so, provide the name and job title of the reference we should contact at current employer.

Have you been fired form a job or asked to resign? (required)

If yes, please explain

Give three references, not relatives or former emloyers:

Reference 1: Name, Email Address, Phone (required)

Reference 2: Name, Email, Phone Number (required)

Reference 3: Name, Email, Phone Numger (required)

Attachements

Cover Letter

Resume

SWCD Disclosure Regarding Background Investigation - Please see 'Join our Team' for PDF download of this document

AFFIDAVIT, CONSENT TO BACKGROUND INVESTIGATION, AND RELEASE PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this Application for Employment is true, accurate and complete. I understand that any false information or omission of information may disqualify me from consideration for employment, and may result in my dismissal if false or omitted information is discovered at a later date after I am hired. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. If I am extended a job offer, understand the offer will be a Conditional Offer of Employment. I will be required to successfully pass a drug and alcohol screening examination. I hereby consent to a pre-employment and/or post employment drug and alcohol screening as a condition of employment. I understand that if I am extended a Conditional Offer of Employment, it may be conditioned upon successfully passing a post-offer of employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my ability to perform the position for which I am applying. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT, NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD. SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I WILL BE AN EMPLOYEE AT WILL, AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read, and understand this affidavit. My signature demonstrates consent to these terms, conditions and requirements. I attest that all information I have included in this Application for Employment is complete, accurate, and truthful.

Signature (Please type your name) (required)

By submitting this application I acknowledge that I have read, and understand this affidavit. (required)

Yes

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APPLICATION FOR EMPLOYMENT

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