Affirmative Action - Alaska Village Electric Cooperative

Alaska Village Electric Cooperative, Inc. Page 2
Employment Application
Please type or print clearly and fill out application completely.
Last Name First Middle
Mailing address
City State ZIP code
How were you referred
to AVEC?
(Circle only one)
A
By your
college
B
Advertisement
C
Employment
Agency
Position Applied For:
D
By an
employee
If so, give name:
GENERAL INFORMATION
E
Military
service
Date of application
Telephone no.
Home:
Other:
F
Walkin
G
Resume
or letter
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 AVEC before? Yes No
If yes, give date:
Have you ever been employed with AVEC before? Yes No
If yes, give date:
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? Yes No
(Proof of citizenship or immigration status will be required upon employment)
On what date would you be available for work?
Are you able to work: Full Time Part Time Shift Work Temporary
Are you currently on “lay-off” status and subject to recall? Yes No
Can you travel if a job requires it? Yes No
Have you ever been convicted of a felony or a misdemeanor which required imprisonment? Yes No
(Conviction will not necessarily disqualify an applicant for employment)
If Yes, please explain:
Can you work overtime if necessary? Yes No
Are you related, directly or through marriage, however remotely, to an
AVEC employee, or to any member of AVEC’s Board of Directors? Yes No
(AVEC’s Anti Nepotism Policy prohibits hiring of any employee’s family member for fulltime employment)
If so, in what way?
Do you have a valid Alaska driver’s license? Yes No
Current license number: ______________ State: ___________
Have you received a copy of the job description? Yes No
Have you ever been fired, discharged, or asked to resign from any position? Yes No
If Yes, please explain which organization and for what reason: ____________________________________________
______________________________________________________________________________________________
Are you aware of any reason why you could not perform each and every requirement
of the job description in an “above average” manner? Yes No
H
Open
house
I
Other