Certification Of Veterans Status Form Sandoval County

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HRD. 26- 2015
Sandoval County
CERTIFICATION OF VETERAN’S STATUS
TO RECOGNIZE VETERAN STATUS THIS FORM MUST ACCOMPANY YOUR JOB APPLICATION
The purpose of this form is to allow job applicants the opportunity to identify themselves as veterans and certify their
status as a veteran who has an honorable discharge from the military, or to verify that they are a member of the
National Guard or Reserve who has successfully completed basic training.
A veteran who has certified/verified their status, AND is determined by Sandoval County Human Resources to meet or
exceed the Minimum Qualifications as identified in the position for which the applicant has applied, shall be identified
as a qualified veteran on the hiring list. If there are more than four qualified veteran applicants for a position, a
minimum of four veterans shall be interviewed.
NAME (Please print): ____________________________________________
JOB REQ # ______________________
ADDRESS: _____________________________________________________ PHONE: ________________________
EMAIL: _______________________________________________________
PHONE; ________________________
I AM APPLYING FOR (Position Title): _______________________________________________________________
PLEASE COMPLETE THE FOLLOWING:
 YES
 NO
1. Have you ever served in the United States Military, National Guard or Reserve?
 YES
 NO
2. Did you receive an honorable discharge?
3. Are you a member of the National Guard or Reserve who has successfully
 YES
 NO
Completed basic training?
4.
Attach a copy of your DD214 or DD215 Form and/or proof of your Active, Guard or Reserve
enlistment to certify your veteran status.
Please ensure your job application clearly indicates your military experience including job duties and/or
responsibilities as well as any education/training experience.
Sandoval County does not guarantee that a veteran will be hired for a position for which he/she applies. Veterans will be
given an interview pursuant to the conditions stated above for positions for which they meet or exceed the Minimum
Qualifications of the position as identified in the Job Posting. Please call Human Resources at (505) 867-7505 if you have
any questions.
_____________________________________
__________________________
Signature
Date

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