Personal InformationWhat position are you applying for?First Name(Required)Last Name(Required)MIDate(Required)Home Phone(Required)Alternate PhoneEmail Address(Required) Street Address(Required)City, State, Zip(Required)Are you legally eligible for Empoyment in the US?(Required) Yes No Are you over the age of 18?(Required) Yes No When will you be available to begin work?(Required)Drivers License No.(Required)Issuing State(Required)Expiration Date(Required)Drivers License Special Endorsements (CDL, etc.)(Required)Drivers License Special Restrictions (Glasses, etc.)(Required)What was your previous address?(Required)How long at previous address?(Required)How long at current address?(Required)Have you ever been bonded?(Required) Yes No List the employers you were bonded with.(Required)State names and relationships of relatives working for the East District?State how you learned of this employment opportunity.(Required)THE EAST COLUMBIA BASIN IRRIGATION DISTRICT WILL NOT DISCRIMINATE AGAINST ANY EMPLOYEE OR APPLICANT FOR EMPLOYMENT BECAUSE OF RACE, COLOR, RELIGION, SEX, AGE,DISABILITY, OR NATIONAL ORIGIN.EducationCollege or Trade SchoolDid you attend College or Trade School?(Required) Yes No Name & Location of SchoolCourse of StudyNo. of Years CompletedDescribe Degree or DiplomaDid you Graduate? Yes No High SchoolDid you attend High School?(Required) Yes No Name & Location of SchoolCourse of StudyNo. of Years CompletedDescribe Degree or DiplomaDid you Graduate? Yes No OtherDo you have another form of education you'd like to list?(Required) Yes No Name & Location of SchoolCourse of StudyNo. of Years CompletedDescribe Degree or DiplomaDid you Graduate? Yes No List any other special training or skills you possess that you feel are applicable to the position you are applying for:List any special licenses you possess that you feel are applicable to the position you are applying for:List any equipment, vehicles, machines, tools, instruments, office equipment, computers, etc. that you can operate that you feel are applicable to the position you are applying for:MilitaryWere you in the Military?(Required) Yes No Describe your duties and any special training:BranchYears ServedReferencesGive below the names of three persons not related to you that we may contact.1Name(Required)Relationship(Required)Business(Required)Phone(Required)Email(Required) 2Name(Required)Relationship(Required)Business(Required)Phone(Required)Email(Required) 3Name(Required)Relationship(Required)Business(Required)Phone(Required)Email(Required) Employment HistoryPlease give accurate, complete employment record. Start with present or most recent employer.1Company NameAddressCityStatePhoneName of Supervisor(s)Employment Verification Contact NameMay we contact this employer? Yes No State job title & describe your work:Employment Start DateEmployment End DateReason for Leaving2Company NameAddressCityStatePhoneName of Supervisor(s)Employment Verification Contact NameMay we contact this employer? Yes No State job title & describe your work:Employment Start DateEmployment End DateReason for Leaving3Do you have a third employer you want to list?(Required) Yes No Company NameAddressCityStatePhoneName of Supervisor(s)Employment Verification Contact NameMay we contact this employer? Yes No State job title & describe your work:Employment Start DateEmployment End DateReason for Leaving4Do you have a fourth employer you want to list?(Required) Yes No Company NameAddressCityStatePhoneName of Supervisor(s)Employment Verification Contact NameMay we contact this employer? Yes No State job title & describe your work:Employment Start DateEmployment End DateReason for Leaving Resume and letters of reference may be attached if you desire. This application is only valid for the current position opened and applied for. Applicant must reapply for future openings as applications will not be kept on file for future openings after current position in which you are applying for has been filled (even if new opening is of the same job title). By signing below you are stating and agreeing to the following: all the information provided in this Application for Employment is true, correct and complete. You are giving The District permission to make contact with all resources on this application unless otherwise stating so. You are aware that if employed, any misstatement or omission of fact on this application may result in termination of employment.Attach a resume and letter of reference here. Drop files here or Select files Max. file size: 128 MB. Date(Required)Signature(Required)Draw your signature. Δ
