Name
First Name
Middle Name
Last Name
Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Email
example@example.com
Driver's License #
Is it a WA Driver's License?
Yes
No
WDL Restrictions (if any)
Are you 18 years of age or older?
Yes
No
CDL License?
Yes
No
Name and position of any relation to you SVID currently employs:
Desired Position
Date Available
-
Month
-
Day
Year
Date
Desired Salary
Are you a U.S. citizen?
Yes
No
Are you authorized to work in the U.S.?
Yes
No
Are you currently employed?
Yes
No
May we contact your current/prior employers?
Yes
No
Have you ever applied to this organization before?
Yes
No
Date applied:
-
Month
-
Day
Year
Date
Education
Name and Location
Years Attended
Subject of Study or Degree
High School
College/University
Other Education
Specialized training, trade school, etc.
Additional areas of specialized study or research work, etc.
Do you speak a second language fluently?
No
Yes
If so, what language?
Hobbies or special interests:
Previous Employers (list your 4 previous employers, starting with the most recent)
Dates Employed
Name and Address of Employer
Phone
Position
Reason for Leaving
Employer 1
Employer 2
Employer 3
Employer 4
References (List three references of no relation to you, whom you have known at least a year)
Name
Address
Relationship
Phone
Years Accquainted
Reference 1
Reference 2
Reference 3
Are you physically capable of performing this job?
Do you agree to the following items:
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal or failure to be hired. Further, I understand and agree that 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 any previous notice. I authorize SVID to investigate my past employment, background and credit history, etc., and understand any falsifications or omissions is grounds for denial of employment or termination.If I am hired, the relationship will be terminable at will without notice or cause by either party, notwithstanding any other oral or written statement by the District prior to, at, or following the date of employment, unless set out in writing, dated and executed by both parties.This application does not create a contract of employment if I am hired.I have not furnished consideration independent of services to be performed as an employee in return for employment.If I receive a job offer, I give permission to Sunnyside Valley Irrigation District to perform a WSP background check.
Signature
Clear
Date
-
Month
-
Day
Year
Date
Submit Application
Should be Empty: