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Collects applicant personal data, contact information, eligibility to work in the United States, prior employment with Loup, driver’s license details, and family members employed by the district. Captures job interests, work availability, preferred position(s), education and skills, and prior employment history with duties, dates, and reasons for leaving. 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(If offered employment, you will be required to provide documentation to verify eligibility)\u003Cbr>Yes No |  |  |  |  |  |  |  |  |  |  | If applied with Loup Power District before, state date and position: |  |\n|  | If employed by Loup before give\u003Cbr>Employee No. |  |  |  |  |  | Dates\u003Cbr>From To |  |  |  |  |  |  | Job Title |  |  |  |  |  |  |\n|  | Department | Reason(s) for leaving |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | Do you have a valid Driver's License?\u003Cbr>Yes No |  |  | State Issued |  |  |  |  | D.L. Number |  |  |  |  |  | Expiration Date: |  |  |  |  |  |\n|  | Give names of any relatives employed by Loup Power District and the relationship |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| JOB INTEREST | Are you willing to work\u003Cbr>Nights\u003Cbr>Overtime\u003Cbr>\u003Cbr>Yes Yes\u003Cbr> No\u003Cbr>\u003Cbr> No\u003Cbr>|  |  |  | Weekends or Holidays?\u003Cbr>Yes No\u003Cbr>Comments |  |  |  |  | Shifts and Rotating Shifts\u003Cbr>Yes No\u003Cbr>Comments |  |  |  | Employment Desired (check one)\u003Cbr>Regular Part-time Temporary\u003Cbr>Comments |  |  |  |  |  |  |\n|  | Type of work desired: Clerical Mechanical Technical Other Indoor Outdoor Either |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date Available for Work |  |  |\n|  | Position(s) applying for?\u003Cbr>Position 1-Title   Salary Anticipated:  \u003Cbr>Position 2-Title:   Salary Anticipated:  \u003Cbr>Position 3-Title:   Salary Anticipated:   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| EDUCATION AND SKILLS | Name of Grade School |  |  |  |  | City State |  |  |  |  |  | Years Completed |  |  |  |  |  |  |  |  |\n|  | Name of High School |  |  |  |  | City State |  |  |  |  | Graduate | 9 10 11 12 |  |  |  |  | Major and Minor Subjects |  |  |  |\n|  | Name of College/University |  |  |  |  | City State |  |  |  |  | Degree-Cert. | 1 2 3 4 |  |  |  |  | Major and Minor Subjects |  |  |  |\n|  | Name of College/Graduate School |  |  |  |  | City State |  |  |  |  | Degree-Cert. | 1 2 3 4 |  |  |  |  | Major and Minor Subjects |  |  |  |\n|  | Apprentice, Business or Vocational School, other Training or Skills (Factory or Office Machines Operated, Special Courses, etc.) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Education in Process?\u003Cbr>Yes No\u003Cbr>Expected Completion Date? |  |  |  |  |\n|  | List any activities, offices held, scholarships, honors, etc. (Omit organizations whose names indicate the race, creed, or national origin of their members) |  |  |  |  |  |  |  |  |  |  |  | List any additional skills, training, registrations,\u003Cbr>professional licenses, etc. |  |  |  |  |  |  |  |\n\n\n| EMPLOYMENT HISTORY | Please list all employment starting with present or most recent employer. Also include relevant voluntary and/or part-time work experience.\u003Cbr>Account for all periods, including unemployment and service with U.S. Armed Forces.\u003Cbr>Use additional sheet if necessary. |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n|  | NAME & ADDRESS-EMPLOYER | 1 JOB TITLE\u003Cbr>2 DEPARTMENT\u003Cbr>3 NAME OF SUPERVISOR | DESCRIBE MAJOR DUTIES | DATE WAGES |  | REASON\u003Cbr>FOR LEAVING |\n|  |  | 1\u003Cbr>2\u003Cbr>3 |  | From   Mo. Yr.\u003Cbr>To | Starting $  per \u003Cbr>Final |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  | Telephone Number (Area Code) |  |  |  |  |  |\n|  |  | 1\u003Cbr>2\u003Cbr>3 |  | From   Mo. Yr.\u003Cbr>To | Starting $  per \u003Cbr>Final |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  | Telephone Number (Area Code) |  |  |  |  |  |\n|  |  | 1\u003Cbr>2\u003Cbr>3 |  | From   Mo. Yr.\u003Cbr>To | Starting $  per \u003Cbr>Final |  |\n|  |  | ","cbCaicf31nADVsRT","https://ap.wps.com/l/cbCaicf31nADVsRT","pdf",177925,"English","# Personal Data\n## Job Interest\n## Education and Skills\n# Employment History\n## References\n## Applicant Certification","[{\"question\":\"What eligibility information does the form request for employment in the United States?\",\"answer\":\"It asks whether you are legally eligible for employment in the United States. If hired, documentation will be required to verify eligibility.\"},{\"question\":\"What details must be provided about education and skills?\",\"answer\":\"The form requests grade school, high school, and college/university information, including years completed or graduation status, degrees/certifications, and major/minor subjects. It also asks about vocational training or other skills, activities, offices held, scholarships, honors, and additional skills or professional licenses.\"},{\"question\":\"What does the applicant certification and signature section include?\",\"answer\":\"It requires acknowledgment that you have read and accept the application terms and certify the information is true and complete. It also authorizes investigation of statements and clarifies the application is not a contract of employment, then provides an applicant signature and date.\"}]","LOUP RIVER PUBLIC POWER DISTRICT - LR 432 - EMPLOYMENT APPLICATION | PDF"]