Fillable WRD form 181003 Application For Employment

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WRD form 181003 Application For Employment

On average this form takes 33 minutes to complete

The WRD form 181003 Application For Employment form is 5 pages long and contains:

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

Country of origin: US
File type: PDF

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APPLICATION FOR EMPLOYMENT
WRD cons
iders all applicants for all positions, regardless of race, color, religion, creed, gender, national origin, age,
disability, marital or veteran status, orientation, or any other legally protected status. We are an Equal Opportunity
Employer.
(Please PRINT All Information)
Position Applied For:
Today’s Date:
How did you learn of this position?:
Last Name: First Name: Middle Name:
Address: City: State, Zip:
Telephone(s): Fax: Email:
If you are under 18 years of age, can
you provide required proof of your
eligibility to work?
Yes No
Have you ever filed an application with
WRD before?
Yes
If Yes, Please explain:
No
Are you currently employed?
Yes No
May we contact your current
employer?
Yes No
Are you prevented from lawfully
becoming employed in this country
because of Visa or Immigration
status?
(Proof of citizenship or immigration
status will be required before any offer
of employment may be made.)
Yes No
Are you available to work:
Full-Time Part-Time Shift Work Temporary
On what date will you be available to
begin work?:
Are you currently on “lay-off” status
and subject to recall?
Yes No
Are you available to travel if the
position requires it?
Yes No
Driver’s License Number / State of Issuance:
Water Replenishment District
Page 2 of 5 Application for Employment
EMPLOYMENT EXPERIENCE
Begin with your current or most recent job.
Employer:
Dates Employed Job Title:
From: To:
Reason for Leaving:
Employer:
Dates Employed Job Title:
From: To:
Address: Telephone:
Work Performed / Job Description: Supervisor:
Reason for Leaving:
Employer:
Dates Employed Job Title:
From: To:
Address: Telephone:
Work Performed / Job Description: Supervisor:
Reason for Leaving:
Employer:
Dates Employed Job Title:
From: To:
Address: Telephone:
Work Performed / Job Description: Supervisor:
Reason for Leaving:
If you require additional space, please continue on a separate sheet of paper.
Address: Telephone:
Work Performed / Job Description: Supervisor:
Water Replenishment District
Page 3 of 5 Application for Employment
ADDITIONAL EXPERIENCE
List professional, trade, business, or civic activities and offices held. Include any job-related military service assignments
and volunteer activities. If you wish, you may exclude any memberships which would reveal gender, race, religion,
national origin, age, ancestry, disability, or other protected status.
EDUCATION
Name and Location of
School
Course of Study Years Completed Diploma/Degree
High School
Undergraduate
College
Graduate
Professional
Other (Specify)
ADDITIONAL EDUCATION / SKILLS
Describe any specialized training, job-related skills, qualifications, apprenticeships, and extra-curricular activities. Include
any additional information you feel may be helpful to us in considering your application.
NOTE TO APPLICANTS
Answer the following question only if you have been informed about the requirements of the job for which you are
applying.
Are you capable of performing with or without reasonable accommodation,
the activities involved in the job or occupation for which you have applied?
Yes No
Water Replenishment District
Page 4 of 5 Application for Employment
PROFESSIONAL REFERENCES
Name: Occupation:
Address: Phone:
Name: Occupation:
Address: Phone:
Name: Occupation:
Address: Phone:
NOTES
Is there anything else you would like WRD to be aware of when considering your application?
Water Replenishment District of Southern California
is an
Equal Opportunity Employer
Water Replenishment District
Page 5 of 5 Application for Employment
APPLICANT STATEMENT
I certify that the answers given herein are true and complete to the best of my knowledge.
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 forty-five (45) days. Should I
wish to be considered for employment beyond this time period I must contact WRD to inquire as to whether or not
applications are being accepted at that time and I understand that I may be required, at the discretion of WRD, to
complete a new application.
In the event of employment with WRD, 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 WRD.
Signature of Applicant:
Date:
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WRD form 181003 Application For Employment

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Completed 6 May 2020

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