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Conservation Technician I
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Steps
1.
CBWCD Statement
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2.
Personal Information
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3.
Education
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4.
Employment Experience
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5.
References
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6.
Applicant's Statement
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7.
Record Inquiry Waiver
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CBWCD Statement
We Are An Equal Opportunity Employer
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related mental or physical disability, or any other legally protected status.
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Personal Information
How did you learn about us?
*
Check all that apply.
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Employment Agency
Friend
Relative
Walk-In
Other
Explain Other:
First Name
*
Last Name
*
Address1
*
Address2
City
*
State
*
Zip
*
Phone Number
*
Email Address
*
If you are under 18 years of age, can you provide required proof of your eligibility to work?
*
Yes
No
I am over 18.
Have you ever filed an application with us before?
*
Yes
No
If yes, give date:
Have you ever been employed with us before?
*
Yes
No
If yes, give date:
Are you currently employed?
*
Yes
No
May we contact your present employer?
Yes
No
Rate or Salary Desired:
*
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
*
Proof of citizenship or immigration status will be required upon employment.
No
Yes
On what date would you be available to work?
*
Are you currently available to work:
*
Full Time
Part Time
Temporary
Can you travel if the job requires it?
*
Yes
No
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Education
High School
Address
Years Completed
9
10
11
12
Undergraduate College/University*
Address
Describe course of study:
Years Completed
1
2
3
4
Graduate/Professional*
Address
Describe course of study:
Years Completed
1
2
3
4
Describe any specialized training, apprenticeship, skills, and extracurricular activities:
Describe any honors you have received.
State any additional information about your education you may feel may be helpful to us in considering your application.
*Education beyond the requirements of the job description or not related to the job for which you are applying need not be listed.
Indicate any languages, other than English, that you can speak, read, and/or write:
Language:
Speak:
Fluent
Good
Fair
Read:
Fluent
Good
Fair
Write:
Fluent
Good
Fair
Language:
Speak:
Fluent
Good
Fair
Read:
Fluent
Good
Fair
Write:
Fluent
Good
Fair
List professional, trade, business, or civic activities and offices held:
You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status.
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Employment Experience
Upload Your Resume
*
Upload Your Cover Letter
*
Start with your present or last job. Include military service assignments and volunteer activities which relate to the job for which you are applying. You may exclude organizations which indicate race, color, religion, gender, national origin, mental or physical disability or other protected status.
Employer
Dates Employed
Address
Phone Number
Job Title
Supervisor
Work Performed
Employer
Dates Employed
Address
Phone Number
Job Title
Supervisor
Work Performed
Employer
Dates Employed
Address
Phone Number
Job Title
Supervisor
Work Performed
Employer
Dates Employed
Address
Phone Number
Job Title
Supervisor
Work Performed
Special Skills and Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
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References
Give name, address, and telephone number of three business references who are not related to you.
Full Name
*
Relationship
*
Company
*
Phone Number
*
Reference email address
*
Full Name
*
Relationship
*
Company
*
Phone Number
*
Reference email address
*
Full Name
*
Relationship
*
Company
*
Phone Number
*
Reference email address
*
Have you ever had any training in the United States military which is related to the job for which you are applying?
*
Yes
No
If yes, please describe:
Do you have the physical and mental ability to perform the tasks on the attached job description, with or without accommodation?
*
Yes
No
If accommodation is necessary, please describe below.
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Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge.
*
Check to initial
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand and acknowledge that the policy of the CBWCD is such that the existence of a criminal conviction will not necessarily disqualify my application for employment. I understand that if offered employment, the offer may be contingent on passing a pre-employment alcohol and drug screen and a pre-employment physical. I voluntarily agree to submit to these procedures. I also understand that I will be required to submit proof of my identity and legal right to work in the United States on my first day of employment. This employer participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization.
*
Check to initial
If the position applied for requires driving in the course of work, I understand that I will be required to possess a current and valid California driver's license and understand that I will be required to provide a copy of my official driving record and proof of insurance.
*
Check to initial
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the CBWCD.
*
Check to initial
Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by the CBWCD, I am entitled to copies of any such records obtained, unless I mark the checked box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
*
Check to initial
I waive receipt of a copy of any public record described in the paragraph above.
Check if desired
Applicant Signature
*
Date
*
Date
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Record Inquiry Waiver
To Whom It May Concern:
Having made an application for employment with the Chino Basin Water Conservation District (CBWCD), and desiring it to be informed as to my previous record and character, I hereby authorize any authorized representative of CBWCD, bearing this release, or a copy of it, within one year of its date, to obtain any information in your files pertaining to my employment, attendance, athletic, personal history, performance report, disciplinary records, including materials which may have been sealed and understood to be withheld pursuant to any prior agreement or court proceeding involving disciplinary matters, and credit records.
I hereby direct you to release this information upon request of the bearer. This release is executed with the full knowledge and understanding that the information is to be used only for the official use of CBWCD.
I hereby release you, as the custodian of such records, your employer, its officers, employees, or related personnel both individually and collectively, from any and all liability for damage of any kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. Should there be any questions as to the validity of this release, you may contact me as indicated below.
I understand that I have the right to receive a copy of this authorization and acknowledge that I have received a copy of it.
Full Name
*
Date
*
Date
Address1
*
Address2
City
*
State
*
Zip
*
Chino Basin Water Conservation District
4594 San Bernardino St
Montclair, CA 91763
909-626-2711
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