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Contact Info

First Name (Required)

Last Name (Required)

Email (Required)

Phone (No dashes or periods)(Required)

Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Position Info

Position(s) applying for (Required)

Expected Salary (Required)

Start Date (Required)

Resume and Cover Letter

You can upload a cover letter and/or resume either by using the text box or upload a pdf, doc, docx, or odt file.

Cover Letter

Resume

Personal Info

Can you perform the listed duties of the job for which you are applying, with or without accommodation? (Required)No | Yes |

If you can't perform the listed duties of the job, please explain

Are you legally eligible for employment in the U.S.A.? (Proof of U.S. Citizenship or immigration status will be required upon employment.) (Required)No | Yes |

Are you at least 18 years or older? (If no, you may be required to provide authorization to work) (Required)No | Yes |

Are you on a lay-off and subject to recall?(Required)No | Yes |

Will you relocate if the job requires it?(Required)No | Yes |

Will you travel if the job requires it?(Required)No | Yes |

Will you work overtime if required? (Required)No | Yes |

If position requires driving on company business, do you have a current driver’s license?(Required)No | Yes |

Referral Source (Requested for EEO purposes) Current Employee
Radio or Newspaper Advertisement
NTCA Job Board
Google Job Board
Indeed
Other Online Job Board
Facebook
Other Social Media Platform
Other

Training and Educational

List the names and addresses of the last three (3) schools attended, starting with the most recent. List high school attended and if you graduated or received GED. Do not list junior high or elementary schools attended. For college credit, list the number of semester(s) or quarter hour(s) completed. List year(s) completed if total hours are not known. Indicate the degree or diploma earned, if any.

School Information

School Name:

School & Location:

Major & Minor:

Hours/Yrs. Completed

Did You GraduateNo | Yes |

Name	Location	Major/Minor	Hours/Years Completed	Graduated
No schools have been added.

Summarize special skills and qualifications acquired from employment or other experiences that may qualify you for this position. Include all computer software packages, licenses, certifications, bilingual, etc.

Indicate any equipment or machinery you can operate proficiently and the level of skill. (example: can type 63 WPM; can transcribe 35 WPM, have 5 years experience operating backhoe, etc.)

Do you, or have you recently belonged to a professional association which has a direct bearing upon your qualifications for the job you are seeking? If yes, describe:

Employment History

Employer Name

Employer Phone

Start Date

End Date

Job Title

Supervisor Name & Title

May we contact for reference?No | Yes | Upon_Offer |

Responsibilities

Reason for leaving

Employer Name	Phone	Job Title	Supervisor Name/Title	Can Contact?	Start Date	End Date	Responsibilities	Reason for Leaving
No employment has been added.

References

List names and addresses of three (3) business/work references who know you well and to whom we may refer (do not list relatives or family members). (Required)

Reference Name

Relationship

Phone Number

Years Known

Name	Relationship	Phone Number	Years Known
No references have been added.

I authorize Plateau to contact each former employer and/or person, firm, or corporation cited as reference, and to request any information related to this application, my employment history, work habits, or skills. I authorize inquiry with the Department of Motor Vehicles for driving record, and with law enforcement and credit reporting agencies if required for position applied for. I further authorize the said parties to provide requested information.

(Required) I agree that misrepresentation or omission of facts called for is cause for dismissal. I understand and agree that any employment offered is for no definite period and I may, regardless of the date of payment of wages and salary, be terminated at any time without any previous notice. If employed, I agree to abide by and comply with all the rules of this organization. I understand that if employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of starting work. Failure to submit such proof within the required time shall result in immediate termination of employment. I acknowledge that, if hired, I will be subject to drug and alcohol screening and understand that continued employment is dependent upon successful testing results.

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