Affirmative Action - Alaska Village Electric Cooperative

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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
Alaska Village Electric Cooperative, Inc. Page 3 Employment Application School name Location (city, state) High school College/Technical School (list all attended) Educational History Subject of Study Dates attended From To Graduated Yes No Degree Received Name(s) of Seminars, Vocational/Technical Certifications or Continuing Education Programs: ________________ ________________________________________________________________________________________________ Professional Activities Professional memberships, certificates, or licenses held: Software Programs: (check competency level for each) Experience with: Microsoft Outlook Microsoft Word Microsoft Excel Microsoft PowerPoint Microsoft Access AutoCAD ver_____ QuickBooks ver___ Other: ___________ Office Skills No Experience Beginner Intermediate Advanced Scanner _____ yes _____ no Copier ____ yes _____ no PBX/Multi Line Phones_____ yes _____ no Fax Machine ____ yes _____ no 10-Key By Touch _____ yes _____ no Please list other skills, equipment experience, and/or language skills you have acquired:____________________
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Affirmative Action - Alaska Village Electric Cooperative

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