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EVCBA Employment Application Form
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Position you are applying for
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Personal Information
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Address
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Eligibility
Are you under 18 years old?
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No
If under 18, please provide date of birth
Have you submitted an application or worked as an employee for Evansville - Vanderburgh County Building Authority
Yes
No
If yes, give name, date(s) and position(s).
Are you legally eligible for employment in the U.S?
Yes
No
Will you now or in the future require sponsorship for employment visa status?
Yes
No
Are you currently employed?
Yes
No
Date available to begin work
*
Are you available for full-time?
*
Yes
No
Are you available for part-time?
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Yes
No
Are you on layoff and subject to recall?
*
Yes
No
Will you travel if the job requires it?
*
Yes
No
Can you work overtime, including weekends?
*
Yes
No
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
*
Yes
No
Have you ever been convicted of any crime, other than a crime that was expunged or sealed by the court and other than a minor traffic offense (a 'DUI' or similar offense is not minor)?
*
Yes
No
Employment History and Skills
Employer
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Position
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Employer Address
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City
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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State
Zip Code
Start Date
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End Date
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Current Employer
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No
Summarize the job duties performed
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Reason for leaving
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Summarize any special training, skills, licenses and/or certifications that may qualify you as being able to perform job-related functions in the position for which you are applying.
Military History
Have you served in the military?
*
Yes
No
List branch of service
If you had any job training in the military, please describe here.
Education
High School Attended
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Address/City
Did You Graduate?
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No
High School Equivalent/GED
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Honors, Specialized Training, Skill, Extracurricular Activities, and Any Additional Information:
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College Education
Post College Education
Trade School Education
College or Trade School Attended
Location
Major or Minor Course of Study
Degree
Number of years completed
Additional Information
Reference's
Please provide the name, phone number, and number of years known for three business/work references who are not related to you.
Reference Name
*
First
Last
Position
Number of years known
Phone
*
Reference Name
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First
Last
Position
Number of years known
Phone
*
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