Job Application Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Legal right to work in the United States?(Required) Yes No Driver's License(Required) Yes No Driver's License State Driver's License Number Additional InformationWhat position are you applying for?(Required)Please Select...Water/Wastewater Treatment Operator IVWater/Wastewater Treatment Operator IISolid Waste Operations SuperintendentWater Wastewater WorkerPlease provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:Are you at least 18 years of age?(Required) Yes No Do you know anyone who works at this agency?(Required) Yes No Are you related to anyone who works for this agency?(Required) Yes No Have you ever been convicted of a crime in the last 7 years?(Required) Yes No (In answering this question, do not include: Information regarding an arrest or detention that did not result in a conviction; information regarding referral to, and participation in, any pre-trial or post–trial diversion program; minor traffic violations; convictions for which the record has been judicially ordered sealed or expunged; marijuana-related convictions described in California Labor Code Section 432.8 that are more than two years old; misdemeanor convictions for which probation has been successfully completed or discharged and that have been judicially dismissed pursuant to California Penal Code Section 1203.4)Please explain (a conviction will not automatically bar employment)Have you ever been discharged or forced to resign from a position?(Required) Yes No Work Experience Please list ALL relevant work experience beginning with your most recent job held.Company(Required) Phone(Required)Website(Required) May we contact this employer?(Required) Yes No Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for leaving(Required) Your last job title(Required) Name of last Supervisor(Required) Supervisor's Phone Numnber(Required) List the jobs you held, duties performed, skills used or learned, advancement or promotions while you worked at this company.(Required)Start Date of Employment(Required) MM slash DD slash YYYY End Date of Employment(Required) MM slash DD slash YYYY Hours per week(Required) +-EducationSchool(Required)NameLocationType (ex. College/Trade)Degree ReceivedMajorYears Completed Add RemoveReferencesList(Required)NameCompanyPhoneTitleEmail Add RemoveCover Letter and Resume(Required) Drop files here or Select files Accepted file types: pdf, doc, xdoc, txt, Max. file size: 50 MB. References & Letter of Recommendation Drop files here or Select files Accepted file types: txt, doc, xdoc, pdf, Max. file size: 50 MB, Max. files: 3. Certificates & LicensesListTypeLicense NumberIssuing Agency Add RemoveI certify that the information provided on this application is truthful and accurate. I understand that proving false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize Ventura Regional Sanitation District to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to communicate information fully and freely regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Administration, the employment relationship will be "at will. In other words, the relationship at any time and without cause. With appropriate notice, I have the full and complete discretion to end the employment relationship when I chose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Ventura Regional Sanitation District, except in a specific written contract of employment signed on behalf of the organization by its Administration, has the power to alter or vary the voluntary nature of the employment relationship. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMSAre you over 18 years of age?(Required) Yes No After employment, can you submit verification of your legal right to work in the United States?(Required) Yes No I understand that a requirement of this position is possession of a valid Class C California driver's license and a driving record acceptable for insurability under the District's insurance policy? (Applicants not meeting this requirement will be disqualified from continuing in the recruitment process)(Required) Yes No SignatureEmail(Required)
