Mission Springs Water District - Application for Employment

The District only accepts applications for current vacancies.

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, sexual orientation, religion, national origin, or other protected classifications. MSWD is an Equal Opportunity Employer.

This application will be rejected if all spaces are not completed. Resumes may be submitted as attachments, however, not in lieu of completing the application.

Position Applied For:

Email Address:

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Name:

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Street Address:

City:

State:

Zip:

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Phone:

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Are you over 18 years of age?:

YesNo

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How did you learn of this opening?:

Have you worked here before?:

YesNo

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If “yes”, when:

Have you seen a copy of the job description listing the essential functions of the job?:

YesNo

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Can you perform these essential functions with or without reasonable accommodation?:

YesNo

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Are there any hours, shifts or days you cannot or will not work?:

YesNo

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If “yes”, please explain:

Are you willing to work overtime as required?:

YesNo

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EDUCATION

Education

Name/Location of School

Major

List
Diploma/G.E.D.
College Units Completed or Degree Earned

High School:

College/University:

_{Other Training/Education/Certificates}

_{(Please attach copies of certificates)}

WORK HISTORY (Last 10 years)

May we contact your present employer?

YesNo

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Most Recent Employer:

Telephone:

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Address:

State:

City:

Zip:

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Date Employment Began:

Date Employment Ended:

Beginning Position:

Position on Leaving:

_{Name and Title of Supervisor:}

_{Description of Duties:}

_{Reason for Leaving (or looking for other employment):}

Previous Employer:

Telephone:

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Address:

State:

City:

Zip:

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Date Employment Began:

Date Employment Ended:

Beginning Position:

Position on Leaving:

_{Name and Title of Supervisor:}

_{Description of Duties:}

_{Reason for Leaving (or looking for other employment):}

Previous Employer:

Telephone:

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Address:

State:

City:

Zip:

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Date Employment Began:

Date Employment Ended:

Beginning Position:

Position on Leaving:

_{Name and Title of Supervisor:}

_{Description of Duties:}

_{Reason for Leaving (or looking for other employment):}

_{(Please attach optional resume)}

APPLICANT’S CERTIFICATION AND AGREEMENT

I certify the facts I provided in the Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize Mission Springs Water District to make an investigation of any of the facts set forth in this Application for Employment. I am also aware that Mission Springs Water District is an at-will employer. As such, any position with the District may be terminated at any time, with or without cause. I am aware the District policy requires that successful job applicants pass a job-related physical which includes a drug screening test prior to beginning employment.

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Water Quality

EDUCATION

WORK HISTORY (Last 10 years)

APPLICANT’S CERTIFICATION AND AGREEMENT

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