Careers, Job Openings, Employment Application, Yankton, SD

Position Applying For

How Did You Learn About Us?

Employment Agency

Relative

Friend

Inquiry

Other

Other - How?

Personal Information

Last Name*

First Name*

Middle

Address*

Telephone Number(s)

Social Security Number (Voluntary)

Best Time to contact you at home is:

:

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

No

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:

Do any of your friends or relatives, other than spouse, work here?*

Yes

No

Are you currently employed?*

Yes

No

May we contact your present employer?*

Yes

No

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.

Yes

No

Date available for work

What is your desired salary range?

Are you available to work?

-Check all that apply

Full Time 1st Shift

Full-Time 2nd Shift

Full-Time 3rd Shift

Part-Time Mornings

Part-Time Afternoons

Part-Time Evenings

Temporary

Please indicate dates available (From what date until when?)

Are you currently on "lay-off" status and subject to recall?*

Yes

No

Can you travel if a job requires it?*

Yes

No

Education

Elementary School Information:

Name & Address of School

Course of Study

Diploma/Degree

# Years Completed

High School Information:

Name & Address of School

Course of Study

# Years Completed

Diploma/Degree

Undergraduate College:

Name & Address of School

Course of Study

# Years Completed

Diploma/Degree

Graduate Professional

Name & Address of School

Course of Study

# Years Completed

Diploma/Degree

Other (Specify)

Name & Address of School

Course of Study

# Years Completed

Diploma/Degree

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Describe any job-related training received in the United States military.

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Present or most recent job information:

Employer

Dates Employed (From | To)

Supervisor

Telephone Number(s)

Employer Address

Work Performed

Job Title

Reason for Leaving

Employer

Dates Employed (From | To)

Supervisor

Telephone Number(s)

Employer Address

Work Performed

Job Title

Employer

Dates Employed (From | To)

Supervisor

Telephone Number(s)

Employer Address

Work Performed

Job Title

Employer

Dates Employed (From | To)

Supervisor

Telephone Number(s)

Employer Address

Work Performed

Job Title

Additional Information

List professional, trade, business or civic activities and offices held.

You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

Other Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.

Specialized Skills

Check Skills/Equipment Operated

Terminal

PC/MAC

Typewriter

Spreadsheet

Word Processing

Shorthand

WPM

Production/Mobile Machinery

List any you have operated

Other

List any other machinery you have have operated

State any additional information you feel may be helpful to us in considering your application.

Can you perform the essential funcitons of the job, for which you are applying, either with or without a reasonable accommodation?

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Yes

No

References

Name

Phone #

Address

Name

Phone #

Address

Name

Phone #

Address

Review

Please Review what you are submitting, If you see anything wrong, use the Back link at bottom of page to return to the area you need to revise.

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Applicant's Statement

Please read and check each item to submit your application.

Your Name*

Please Type Your Name as a form of signing the Application.

Your Email*

Enter Email Confirm Email

Once you select to Submit Application, you will receive a confirmation email that your application has been submitted. A team member from our office will be in contact with you once your application has been processed.

Name

This field is for validation purposes and should be left unchanged.

Careers

Application Form

Personal Information

Education

Employment Experience

Additional Information

References

Review

Applicant's Statement

Join Our Team!

Careers

Application Form

Personal Information

Education

Employment Experience

Additional Information

References

Review

Applicant's Statement

Join Our Team!

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