Job Application FormApplication must be completed in fullName (required)Phone (required)Address (required)CityState/Zip CodeEmail Address (required)Telephone Number (required)Best Time to CallResume (required)Position Applied ForDesired Hourly Rate of PayDate Available For WorkAre you authorized to work lawfully in the United States? (required)YesNoWill you now or in the future require Widefield Water and Sanitation District to commence an immigration case in order to employ you (for example, H-1B or other employment-based immigration case, sometimes called “sponsorship” for employment-based visa status)? (required)YesNoHave you ever been employed by WWSD in the past? (required)YesNoIf yes, what was your position?Will you work overtime if the position requires it?YesNoDrivers License Number (required)Drivers License State (required)Professional Licenses, Skills, and QualificationsEducationSchool 1 NameNumber of Years AttendedSchool 1 Credits EarnedSchool 1 DegreeSchool 2 NameSchool 2 Number of Years AttendedSchool 2 Credits EarnedSchool 2 DegreeSchool 3 NameSchool 3 Number of Years AttendedSchool 3 Credits EarnedSchool 3 DegreeEmployment HistoryEmployer #1Employer AddressCityStateTitleDates of EmploymentReason for LeavingImmediate Supervisor's NameSummarize your Job ResponsibilitiesEmployer #2Employer AddressCityStateTitleDates of EmploymentReason for LeavingImmediate Supervisor's NameSummarize your Job ResponsibilitiesEmployer #3Employer AddressCityStateTitleDates of EmploymentReason for LeavingImmediate Supervisor's NameSummarize your Job ResponsibilitiesProfessional Organizations and/or AffiliationsName of OrganizationOfficer or PositionName of OrganizationOfficer or PositionName of OrganizationOfficer or PositionName of OrganizationOfficer or PositionIs there any other work-related infomation that you would like us to know about you?Professional References (please try to not list personal references)NameRelationshipYears KnownPhone NumberNameRelationshipYears KnownPhone NumberNameRelationshipYears KnownPhone NumberApplication Statement – Important, Do Not Sign Until You Have Read. I certify that all of the information I have provided in order to apply for and secure work with this employer is true, complete, and accurate. I understand that falsifying information on this application may prevent me from obtaining employment with this employer. I also understand that providing false information if discovered after you have obtained employment with this employer may result in immediate termination of employment. I expressly authorize, without reservation, the employer or its representatives to contact and obtain information from all references provided, past employers, licensing authorities, and educational institutions. I realize and authorize Widefield Water and Sanitation District to conduct a complete background check on me, including a criminal background check, prior to offering me employment. All positions at Widefield Water and Sanitation District are “At Will” positions. If hired, you are free to resign at any time without cause or notice. The employer reserves the right to terminate my employment at any time with or without cause and without notice, except as may be required by law. I certify that I have read, fully understand, and accept all terms of the foregoing Application Statement.Your Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesDateSupplemental QuestionsWhy do you want to work at Widefield Water and Sanitation District?Why is this a good time in your career to make a change?What are you seeking in your career that you feel Widefield Water and Sanitation District can offer you?There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
