Fillable NEVADA IRRIGATION DISTRICT

Fill Online, Printable, Fillable, Blank NEVADA IRRIGATION DISTRICT Form

Use Fill to complete blank online OTHERS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

NEVADA IRRIGATION DISTRICT

On average this form takes 29 minutes to complete

The NEVADA IRRIGATION DISTRICT form is 3 pages long and contains:

  • 1 signature
  • 4 check-boxes
  • 111 other fields

Country of origin: OTHERS
File type: PDF

BROWSE OTHERS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
NEVADA IRRIGATION DISTRICT
Application for Employment
Equal Opportunity Employer ~ Drug Free Workplace
M/F/D/V
RETURN TO: NEVADA IRRIGATION DISTRICT – HUMAN RESOURCES DEPARTMENT
1036 W. Main Street, Grass Valley, CA 95945
Phone: 530-273-6185 Fax: 530-271-6874
Email: hr@nidwater.com
Conditions of employment are stated at the end of this form. Please read carefully before you sign this application.
(Application must be completed in full even if attaching a resume.)
It is our policy to provide equal employment opportunity to all qualified persons without regard toward race, age, color, sex,
gender, religion, veteran status, national origin, physical or mental disability, sexual orientation, marital status, or any other
consideration made unlawful by federal, state or local laws.
POSITION APPLIED FOR __________________________________________ DATE___________________________
PERSONAL INFORMATION:
________________________________________________________________________________________________________
Last Name Middle First Name
______________________________________________________________________________________________
Address City State Zip Code
_______________________________ ______________________________ _____________________________
Home Phone Cell Phone Email Address
GENERAL INFORMATION:
Where did you learn about this position?
Former employee of NID?
☐ Yes ☐ No
Are you under 18?
☐ Yes ☐ No
Do you have any relatives presently employed with NID?
☐ Yes ☐ No
Name(s) _______________________________________
Can you provide valid documentation establishing
your identity and eligibility to be legally employed in
the United States? ☐ Yes ☐ No
Have you ever been discharged from any employment or asked to resign?
☐
Yes
☐
No
If Yes, please explain:
Have you ever served in the U.S. Military?
☐
Yes
☐
No
From: _____________ To: ______________
Branch: ____________________
EDUC
ATION:
Name and Location
Years
Completed
Major/Type of
Diploma or Degree
High School
Business/Trade School
College
Graduate/Professional
☐ Yes ☐ No
Do you have a valid driver's license?
E
MPLOYMENT HISTORY: Begin with your most recent Employment including any gaps of employment.
Do not write “Refer to Resume” (Attach additional sheets if necessary)
Dates of Employment
From (Mo/Yr) _____________ To (Mo/Yr) ______________
Position/Job Title:
Name of Employer:
Address:
Phone Number:
Supervisor Name/Title:
Job Responsibilities:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Reason for Leaving:
May We Contact? ☐ Yes ☐ No
Dates of Employment
From (Mo/Yr) _____________ To (Mo/Yr) ______________
Position/Job Title:
Name of Employer:
Address:
Phone Number:
Supervisor Name/Title:
Job Responsibilities:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Reason for Leaving:
May We Contact? ☐ Yes ☐ No
Dates of Employment
From (Mo/Yr) _____________ To (Mo/Yr) ______________
Position/Job Title:
Name of Employer:
Address:
Phone Number:
Supervisor Name/Title:
Job Responsibilities:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Reason for Leaving:
May We Contact? ☐ Yes ☐ No
Dates of Employment
From (Mo/Yr) _____________ To (Mo/Yr) ______________
Position/Job Title:
Name of Employer:
Address:
Phone Number:
Supervisor Name/Title:
Job Responsibilities:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Reason for Leaving:
May We Contact? ☐ Yes ☐ No
LIC
ENSES OR CERTIFICATES OBTAINED:
ADDITIONAL EXPERIENCE OR QUALIFICATIONS:
List any other experience, skills or other qualifications, which you believe should be considered in evaluating your
qualifications for employment.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
ACKNOWLEDGEMENT
PLEASE READ BEFORE SIGNING
I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE; I UNDERSTAND THAT THE
FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER
ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE
TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.
Questions regarding this statement should be directed to the Human Resources department before signing. The
application will be given every consideration, but its receipt does not imply that I will be employed.
It is the policy of the Nevada Irrigation District to afford equal opportunity to all employees and applicants for
employment without regard to age, race, religion, color, sex, national origin, marital status, veteran status, expunged
juvenile records, or pregnancy, and to afford equal opportunities to individuals with a disability, and other
characteristic protected by Federal, State or Local law.
I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the
information supplied on this application by me.
APPLICANT SIGNATURE____________________________________________ DATE __________________________
FOR HUMAN RESOURCES ONLY
DATE RECEIVED NOTIFICATION RESULT
Revised April 2021
Type: Number: Expiration Date:
Type: Number: Expiration Date:
Type: Number: Expiration Date:
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

NEVADA IRRIGATION DISTRICT

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 January 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document