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WAUKESHA WATER UTILITY TO: APPLICANTS FOR Operator I (Waukesha Water Utility)

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WAUKESHA WATER UTILITY
TO: APPLICANTS FOR Operator I
Thank you for your interest in the Operator position at the Waukesha Water
Utility!
A description of job duties and an application for employment are attached. The
2021 hourly pay rate for this position is $25.98 (bottom) - $30.57 (mid-point). The pay rate
can progress beyond the midpoint based upon performance.
After reading the job description, you are encouraged to use this sheet to briefly
describe how your ability, education, and experience will help you to successfully perform these
duties. A resume may be used to supplement the information which you provide here, but will
not be accepted as a substitute. Please use one sheet only.
Name: ___________________________
Date: _______________
WAUKE
SHA WATER UTILITY
P.O. BOX 1648, Waukesha, WI 53187-1648 (mail)
115 Delafield Street, Waukesha, WI 53188-3615 (street)
Emplo
yment Application
We are an Equal Opportunity Employer
You must complete entire application and sign where indicated. You may type-in or print out and write in.
Date:
Applicant Information
Name (first, middle, last)
Address (street, city, state, zip code)
Mobile Telephone
Email Address:
Home Telephone
Yes No Are there other names under which you have worked or attended
school? If yes, please list for reference checking purposes.
Are you legally authorized to work in the U.S.? Yes No
(If hired, you will be required to provide proof of work authorization.)
Are you at least 18 years old? Yes No
If not, your employment will be subject to verification that you meet state/federal minimum age requirements for the type of work
you are applying for and have obtained a valid work permit.
Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations?
Yes No If Yes, explain: 1) nature of crime, 2) date of conviction, and 3) state in which convicted. (Convictions are not an
automatic bar to employment.)
Do you have any pending criminal charges against you? Yes No
If Yes, describe the 1) nature of the charges, 2) date issued, and 3) county and state where issued.
Have you ever applied at this company before?
Yes No If yes, when:
Have you ever worked at this company before?
Yes No If yes, when:
Position Applying For
Part-Time or Full-Time Desired
Salary Preference
When can you start?
How were you referred to the company? Agency Website Friend/Relative
Social Media School Other
1.
1. If relevant, please describe computer proficiency, software knowledge, and office equipment experience.
2. If relevant, please describe experience using machines and equipment.
R:\PERSONNE\MASTERS\Employment Application 2019.docx
Education
School
Name & Location (city,
state)
Number of Years
Attended
Major subjects
Diploma or Degree
Received
High School Yes No
College Yes No
Type:
Graduate Yes No
Type:
Other (specify) Yes No
Type:
Training Courses
List any relevant training programs completed.
Course/Seminar Organization Sponsoring Content Date(s) Attended
Required License(s)
If required to drive a motor vehicle for the job applying for, state your:
1) driver’s license number 2) state issued
Are you licensed with any group, association or society relating to the job for which you are applying? Yes No
Registration or License Number State Issued Expiration Date
Employment History (start with most recent; use separate sheet if necessary)
Name of Employer:
Telephone
Address:
Job Title:
Employment Dates (month and year)
From:
To:
Name of Immediate Supervisor:
Description of Duties:
Salary (start): Salary (end):
Reason for Leaving:
If currently employed, may we contact as a reference? Yes No
R:\PERSONNE\MASTERS\Employment Application 2019.docx
Name of Employer: Telephone
Address:
Job Title:
Employment Dates (month and year)
From: To:
Name of Immediate Supervisor:
Description of Duties:
Salary (start): Salary (end):
Reason for Leaving:
Name of Employer:
Telephone
Address:
Job Title:
Employment Dates (month and year)
From: To:
Name of Immediate Supervisor:
Description of Duties:
Salary (start): Salary (end):
Reason for Leaving:
Name of Employer:
Telephone
Address:
Job Title:
Employment Dates (month and year)
From: To:
Name of Immediate Supervisor:
Description of Duties:
Salary (start): Salary (end):
Reason for Leaving:
Employment References
List individuals familiar with your job qualifications (no relatives or personal friends).
Name: Telephone
Email Address:
Relationship:
How long known?
Name: Telephone
Email Address:
Relationship: How long known?
Name: Telephone
Email Address:
Relationship: How long known?
R:\PERSONNE\MASTERS\Employment Application 2019.docx
Please Read Carefully Before Signing This Form
1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that
misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am
hired.
2. I authorize the Waukesha Water Utility to investigate my responses on this application and contact any or all of my former
employers or any individuals familiar with my employment background for the purpose of verifying any information I have
provided and/or for the purpose of obtaining any information about my employment. I voluntarily and knowingly fully release
and hold harmless any person or organization that provides information pertaining to me or my employment.
3. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a jo
b
r
equirement, you will be notified.)
4. Regardless of whether or not I become employed by the Utility, I recognize this application is not and should not be considere
d
a contract of employment. I understand that employment at the Utility is on an at-will basis and that my employment may be
terminated with or without cause, and without notice, at any time, at my option or the Utility’s, unless specifically provide
d
o
therwise in a written employment contract. I further understand that no company employee or representative has the
authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of
t
he company, and then only by means of a signed, written document.
Signed by Date
Thank you for your interest in the WAUKESHA WATER UTILITY!
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WAUKESHA WATER UTILITY TO: APPLICANTS FOR Operator I (Waukesha Water Utility)

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Completed 23 July 2021

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