Employment Application – Rainier View Water

APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONNAIRE / EQUAL OPPORTUNITY EMPLOYER

Personal Information

Name *

First

Middle

Last

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Email

Confirm Email

Phone Number *

Referred By

Employment Desired

For position descriptions click here.

Date You Can Start

Salary Desired

Are you employed?

Yes
No

Education History

High School

Years Attended

Did you graduate?

Yes
No

Subjects Studied

College

Years Attended

Did you graduate?

Yes
No

Subjects Studied

Other Schooling

Years Attended

Did you graduate?

Yes
No

Subjects Studied

General Information

Subjects of special study/Research work or special training/Skills

US Military Service

Rank

Former Employers - List below the last four employers, starting with the most recent.

From

To

Name, Address, Phone and Supervisors name

Salary

Position

Reason for leaving

From

To

Name, Address, Phone and Supervisors name

Salary

Position

Reason for leaving

From

To

Name, Address, Phone and Supervisors name

Salary

Position

Reason for leaving

From

To

Name, Address, Phone and Supervisors name

Salary

Position

Reason for leaving

References - List the names of three persons not related to you, whom you have know for at least one year.

Name

Address

Phone

Years known

Name

Address

Phone

Years known

Name

Address

Phone

Years known

Agreement

Have you ever been convicted of a felony? *

Yes
No

Certify *

"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION REGARDING MY BACKGROUND, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE AND WITHOUT CAUSE."

Date *

Signature *