Application For Employment - Clackamas County Vector Control District printable pdf download

Application For Employment - Clackamas County Vector Control District

CLACKAMAS COUNTY VECTOR CONTROL DISTRICT

APPLICATION FOR EMPLOYMENT

Clackamas County Vector Control District is an equal opportunity employer. All applicants will be considered without regard to age,

race, color, national origin, religion, sex, sexual orientation, gender identity, mental or physical disability, or other protected status in

accordance with applicable federal and state equal employment opportunity laws. If you require an accommodation to participate in

our application process, please contact the District Manager at 503-655-8394.

NAME: _______________________________________ TELEPHONE: ____________________________

CELL PHONE: ____________________________

ADDRESS: _____________________________________________________________________________

_____________________________________________________________________________

POSITION APPLIED FOR: __________________ DATE AVAILABLE FOR EMPLOYMENT: _________

Are you at least 18 years of age?

Yes

Have you ever been employed by Clackamas County Vector Control District?

Yes

Are you currently employed?

Yes

May we contact your present employer?

Yes

If yes, please give contact name and phone number: _______________________________________________

Are you eligible to work in the United States? Yes

Do you have a valid driver’s license? Yes

For positions that require driving:

License No.: ___________ Has your license been suspended or revoked in the last 3 years? Yes

Available to work: FULL TIME

PART-TIME

OVERTIME

EDUCATION

HIGH SCHOOL NAME: ___________________________________________YEARS COMPLETED 9 10 11 12

COLLEGE NAME: ________________________________________________YEARS COMPLETED 1 2 3 4

COURSE OF STUDY/DEGREE: _____________________________________________________________________

GRADUATE COLLEGE NAME _____________________________________ YEARS COMPLETED 1 2 3 4

COURSE OF STUDY/DEGREE ____________________________________________________________________

POST-GRADUATE OR OTHER VOCATIONAL, TECHNICAL, OR OTHER EDUCATION AND TRAINING:

YEARS COMPLETED

1 2 3 4

COURSE OF STUDY/DEGREE ____________________________________________________________________

Application For Employment - Clackamas County Vector Control District