Employment Opportunities – Crescenta Valley Water District

We consider applicants for all positions without regard to race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or veteran or military status, or any other legally protected status.

Position(s) Applied For

Date

How did you learn about us?

Name

First Middle Last

Address

Street Address City State ZIP Code

Phone

Email

Indicate any languages, other than English, that you can speak, read and/or write.

SPEAK: FLUENT, GOOD, OR FAIR?

READ: FLUENT, GOOD, OR FAIR?

WRITE: FLUENT, GOOD, OR FAIR?

List any professional licenses and/or certifications. Please indicate license/certification number (if applicable).

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities which relate to the job for which you are applying.

Employer

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Dates Employed

To

From

Work Performed

Job Title

Supervisor

Reason for Leaving

Employer

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Dates Employed

To

From

Work Performed

Job Title

Supervisor

Reason for Leaving

Employer

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Dates Employed

To

From

Work Performed

Job Title

Supervisor

Reason for Leaving

Special Skills and Qualifications

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

References

Give name, address and telephone number of three business references who are not related to you.

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Applicant's Statement

I certify that answers given in the application are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. 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 CVWD. Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted (following satisfaction that minimum job requirements have been met) by internal personnel employed by CVWD, 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.

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Employment

All Positions:

Application for Employment

Proof of citizenship or immigration status will be required upon employment.

Education

High School

Undergraduate College/University*

Graduate/ Professional*

*Education beyond the requirements on 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.

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities which relate to the job for which you are applying.

Dates Employed

Dates Employed

Dates Employed

Special Skills and Qualifications

References

Give name, address and telephone number of three business references who are not related to you.

Applicant's Statement