OPD5 About Job Opportunities Online Application Online Application Font Size: Share Share on FacebookShare on X (Twitter)Share on PinterestShare on LinkedinShare on Email Feedback Print Position "*" indicates required fields Date* MM slash DD slash YYYY Position Applying For*DepartmentTownPay Expected*Date Available for Work MM slash DD slash YYYY How did you learn about this job opportunity? In-House News Paper Friend Internet Other OtherName* First Last Address Street Address 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 Email* PhoneHave you ever been bonded? Yes No Current Employer(s)Are you currently a district employee? Yes No DepartmentMay we contact you at work? Yes No Work NumberPersonal InformationEducation Record*Type of SchoolSchool NameLocationHours EarnedDiploma, Degree CertificateMajor Field of Study Add RemoveDo you have a High School diploma or GED?*District policy requires applicants to have a GED or High School diploma. Yes – High School diploma Yes – GED No LicensesList Drivers License and other current licenses, certifications, or registrations required for the position for which you are applying. One per line please.Indicate types, state license numbers, and expiration dates. Add RemoveSkillsList any special skills you possess which may pertain to this position, and/or equipment or office machines you can operate.Language(Other than English), in which language(s) can you clearly communicate?Have you previously worked for the district? Yes No When did you work for the district?Which department?Is a relative of yours a board member or currently employed by the district?* Yes No Please provide that person's name*Acknowledgements & ReferencesAcknowledgements*Please read ALL of the following statements and CHECK each box to indicate you have read and understood each of the statements. If you have any questions, contact Overton Power District #5 Human Resources (702) 397-3030. Following an offer of employment, you will be required to submit verification of your legal right to work in the United States. All offers of employment and all information regarding compensation and other terms and conditions will be made in writing. Verbal statements may not be relied upon. Employment will be at will unless specifically stated to be otherwise. At Will means the District has no obligation to continue my employment in the future. This application is the property of the District and will become part of my personnel file, if I am hired. References*List three school or personal references not related to you.NameTelephoneYear Known Add RemoveEmployment HistoryEmployment HistoryProvide information regarding all paid, military, and volunteer work. Describe your most recent position first; then list other positions in order, working down from the most recent. Use a separate block for each position even though with the same organization. Explain any gaps in employment. DO NOT use references such as ‘See Resume’ in place of completing this section.Employer 1Employer NamePhoneAddress 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 From* MM slash DD slash YYYY Presently Employed Presently Employed To* MM slash DD slash YYYY Designation Full Time Part Time PositionStarting Salary*Ending Salary*Related DutiesSupervisor's Name and TitleReason for LeavingMay we contact this employer for reference? Yes No Later When? MM slash DD slash YYYY Add Employer 2 Add another employer Employer 2Employer NamePhoneAddress Street Address 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 From* MM slash DD slash YYYY To* MM slash DD slash YYYY Designation Full Time Part Time PositionStarting Salary*Ending Salary*Related DutiesSupervisor's Name and TitleReason for LeavingMay we contact this employer for reference? Yes No Later Add Employer 3 Add another employer Employer 3Employer NamePhoneAddress Street Address 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 From* MM slash DD slash YYYY To* MM slash DD slash YYYY Designation Full Time Part Time PositionStarting Salary*Ending Salary*Related DutiesSupervisor's Name and TitleReason for LeavingMay we contact this employer for reference? Yes No Later Add Employer 4 Add another employer Employer 4Employer NamePhoneAddress Street Address 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 From* MM slash DD slash YYYY To* MM slash DD slash YYYY Designation Full Time Part Time PositionStarting Salary*Ending Salary*Related DutiesSupervisor's Name and TitleReason for LeavingMay we contact this employer for reference? Yes No Later Add Employer 5 Add another employer Employer 5Employer NamePhoneAddress Street Address 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 From* MM slash DD slash YYYY To* MM slash DD slash YYYY Designation Full Time Part Time PositionStarting Salary*Ending Salary*Related DutiesSupervisor's Name and TitleReason for LeavingMay we contact this employer for reference? Yes No Later Substance Abuse PolicyI have been informed that, as a condition of any offer of “at-will” employment or as a condition of my continued “at-will” employment, I must submit to a urine, hair and/or blood drug screening test and I accept this condition. I agree that any drug testing facility is authorized by me to provide the results of this test(s) to OVERTON POWER DISTRICT #5 RESOURCES/RISK MANAGEMENT. I agree to indemnify and hold the District harmless from and against any and all liabilities or judgments arising out any claim related to (i) the employer’s submission and handling of the test(s) samples, (ii) compliance by employer with federal and state law, or (iii) the employer’s interpretation, use (including employment decision) and confidentiality to the test results; except where the testing facility is found to have acted negligently with respect to such matters. I understand that if I fail to cooperate with a testing procedure, or in the case of a positive test result, I may not be employed by OVERTON POWER DISTRICT #5 HUMAN RESOURCES/RISK MANAGEMENT or my employment may be terminated by OVERTON POWER DISTRICT #5 HUMAN RESOURCES/RISK MANAGEMENT. Date* MM slash DD slash YYYY APPLICANT/EMPLOYEE*Please type your full name to serve as your digital signature.Disclosure Authorization & Release FormI, authorize Overton Power District #5 to contact any employer or individual that I have listed on my employment application and/or resume or mentioned in job interviews, and to obtain from them any relevant information regarding my previous employment, education, certificates, licenses, military service, criminal history, characteristics or traits, or other qualifications for employment with Overton Power District #5. In exchange for Overton Power District #5’s consideration of my employment application, I authorize anyone possessing this information to furnish it to the District upon request, and I release the individual company or institution and all individuals providing the information or acquiring the information, including the District, from all claims, liability, and damages whatsoever in furnishing, obtaining, or using said information including, but not limited to, claims for defamation, libel, slander, infliction of emotional distress, and interference with current or prospective economic relations.Date* MM slash DD slash YYYY APPLICANT/EMPLOYEE*Please type your full name to serve as your digital signature.Security Check
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