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Woodinville Water District Application for Employment

  1. P.O. Box 1390 Woodinville, WA 98072 Phone: 425-487-4100 Fax: 425-485-6381

  2. Woodinville Water District is an equal opportunity employer and encourages application from all persons regardless of race, creed, color, sex, national origin, marital status, age, physical, mental or sensory disability unless based upon a bona fide occupation qualification (RCW 49.60 and WAC 1162-12-170).

  3. Are you 18 years or older?

  4. Are you a U.S. Citizen or are you authorized to work in the U.S.?

  5. Can you perform the essential functions of the job, with or without reasonable accommodation?

  6. Training & Schooling

  7. Did you graduate?

  8. City and State

  9. If you didn't graduate, do you have a GED?

  10. Did you graduate?

  11. City and State

  12. Describe

  13. Regular Driver's License

  14. Commercial Driver's License: Indicate Type (A, B, C)

  15. Other (Indicate type):

  16. References

  17. 1.

  18. 2.

  19. 3.

  20. 4.

  21. 5.

  22. Previous Employment Instructions

    Previous Employment Instructions: Complete this section in detail. A resume will not substitute for a completed application form. Beginning with your present or most recent employment, list your work experience history. Limit your history to the last 10 years unless you feel that work experience is related to this position. Include any periods of self-employment, unemployment, U.S. military service, and any job-related volunteer experience. If additional space is necessary, attach a separate sheet.

  23. 1.

  24. May we contact them?

  25. 2.

  26. May we contact them?

  27. 3.

  28. May we contact them?

  29. 4.

  30. May we contact them?

  31. 5.

  32. May we contact them?

  33. To assure the District hires the best person possible, the District considers the information furnished on this application to be only one-step in the hiring process. For this reason, it is the District’s policy to supplement and verify your information.

  34. I authorize the District to investigate all statements in this application and to secure any necessary information from all my employers, references, and academic institutions. I hereby release all of those employers, references, and academic institutions, and the District from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with the District.

  35. I also authorize the District to make any investigations and inquiries of my driving history that may be necessary to arrive at a decision regarding my possible employment by the District. This includes obtaining an Abstract Driving Record.

  36. I understand that any offer of employment is contingent upon receipt of a satisfactory report concerning my academic credentials, and employment references. I further understand that any false or misleading statement will be sufficient cause for rejection of my application if the District has not employed me and for immediate dismissal if the District has employed me. I also authorize the District to supply information about my employment record, in whole or in part, in confidence to any prospective employer, government agency, or other party having a legal or proper interest, and I hereby release the District from any and all liability for its providing this information. I hereby acknowledge that I have read and understand the preceding statement.

  37. In accordance with the Immigration and Nationality Act (INA), Section 274A, all new employees must show employment authorization and identity. This will be done by proof of a Driver’s License, a Social Security Card, a U.S. Birth Certificate, or other documentation designated by the Attorney General, or documents which will establish both an individual’s employment authorization and identity are (1) a U.S. Passport, (2) a Certificate of U.S. Citizenship or Naturalization, (3) U.S. Citizen Identification Card (INS issued), (4) an Un-Expired Foreign Passport properly endorsed to show work authorization, (5) a Resident Alien Registration Receipt Card or, (6) an Un-Expired INS Work Permit. These verification requirements apply to any person or employer hiring or recruiting any individual for work. This must be done within 24 hours after being hired.

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  39. This field is not part of the form submission.