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Collects applicant identity details, contact information, addresses for the past three years, phone and email, referral source, work authorization status, and driver’s license data. Includes employment history with employers, dates, addresses, positions, contact persons, reasons for leaving, and job responsibilities. Also requests educational background, references, and an applicant statement certifying the accuracy of provided information, verification authorization, and employment-condition notices under Maryland law.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/non-cdl-application-for-employment-please-print-applicant-information-employment-history-education-references/298675/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/non-cdl-application-for-employment-please-print-applicant-information-employment-history-education-references/298675.png","ImageObject",300,407,{"name":92,"@type":93},"Aria Callaghan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-18",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What personal details does the application request from the applicant?","Question",{"text":113,"@type":114},"It collects applicant name, application date, position(s) applied for, residency addresses for the past three years, phone numbers, email address, referral source, and whether the applicant can provide a work permit if under 18.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How should employment history be filled out?",{"text":118,"@type":114},"Starting with the most recent employer, provide employer name, from/to dates, address, position, contact person phone number, reason for leaving, and job responsibilities for each employer.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the applicant statement include and what does it authorize?",{"text":122,"@type":114},"It certifies the information provided is true and complete, expressly authorizes the employer and representatives to contact references, employers, agencies, licensing authorities, and schools to verify information, and explains how long the application remains current and that hiring requires identity and legal work authorization (I-9).","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},298675,1789762622,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":144},962084926284,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Choptank Electric Cooperative, Inc.  \nP.O. Box 430  \nDenton, MD 21629  \nNON-CDL APPLICATION FOR EMPLOYMENT  \nPLEASE PRINT  \nApplicant Name    \nLast First Middle  \nDate of Application    \nPosition(s) Applied for    \nEqual access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or review process should notify a representative of the Human Resources Department.  \nList your addresses of residency for the past 3 years  \nCurrent Address    \nStreet City State & Zip Code  \nPhone (H)  (C)   How Long?    \nyr/mo.  \nPrevious  \nAddresses   How Long?   Street City State & Zip Code yr/mo.  \n   How Long?    \nStreet City State & Zip Code yr/mo.  \n   How Long?    \nStreet City State & Zip Code yr/mo.  \nEmail Address   \nReferral Source (How did you hear about this position?):   \nIf you are under 18 and it is required, can you furnish a work permit?  Yes   No  \nIf no, please explain:   \nDriver’s license number:   State    \nDo you have the legal right to work in the United States?  Have you worked for this company before?   Where?   Dates: From   To   Position    \nReason for leaving   Are you now employed?   If not, how long since leaving last employment  Date available for work?   Rate of pay expected   Are any of your relatives employed by Choptank Electric Cooperative?  If so, please provide the name and relationship:   \n\n| Is there any reason you might be unable to perform the functions of the job for which you have applied? |\n| --- |\n| If yes, explain if you wish. |\n\nEMPLOYMENT HISTORY –( Starting with your most recent employer)  \n\n| EMPLOYER |  |  |\n| --- | --- | --- |\n| NAME | FROM\u003Cbr>MO. YR. | TO\u003Cbr>MO. YR. |\n| ADDRESS | POSITION |  |\n| CITY STATE ZIP |  |  |\n| CONTACT PERSON PHONE NUMBER | REASON FOR LEAVING |  |\n| JOB RESPONSIBILITIES |  |  |\n|  |  |  |\n\n\n| EMPLOYER |  |  |\n| --- | --- | --- |\n| NAME | FROM\u003Cbr>MO. YR. | TO\u003Cbr>MO. YR. |\n| ADDRESS | POSITION |  |\n| CITY STATE ZIP |  |  |\n| CONTACT PERSON PHONE NUMBER | REASON FOR LEAVING |  |\n| JOB RESPONSIBILITIES |  |  |\n|  |  |  |\n\n\n| EMPLOYER |  |  |\n| --- | --- | --- |\n| NAME | FROM\u003Cbr>MO. YR. | TO\u003Cbr>MO. YR. |\n| ADDRESS | POSITION |  |\n| CITY STATE ZIP |  |  |\n| CONTACT PERSON PHONE NUMBER | REASON FOR LEAVING |  |\n| JOB RESPONSIBILITIES |  |  |\n|  |  |  |\n\n\n| EMPLOYER |  |  |\n| --- | --- | --- |\n| NAME | FROM\u003Cbr>MO. YR. | TO\u003Cbr>MO. YR. |\n| ADDRESS | POSITION |  |\n| CITY STATE ZIP |  |  |\n| CONTACT PERSON PHONE NUMBER | REASON FOR LEAVING |  |\n| JOB RESPONSIBILITIES |  |  |\n|  |  |  |\n\nEDUCAT IONAL BACKGROUND  \nENTER HIGHEST GRADE COMPLETED:  \nPrimary/Secondary (Grades 1 through 12)  \nCollege (1 or more)  \nLAST SCHOOL ATTENDED   \nName City State  \n□ Diploma/GED □ Degree  □ Certification   \n□ Other  Month/Year Attained?   \nREFERENCES  \nList name and telephone number of three business/work references who are not related to you and are not previous supervisors. In not applicable, list three school or personal references who are not related to you.  \n\n| Name | Title | Relationship | Telephone | \\# years known |\n| --- | --- | --- | --- | --- |\n| Name | Title | Relationship | Telephone | \\# years known |\n\nName Title Relationship Telephone \\# years known  \nAPPLICANT STATEMENT  \nI certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.  \nI expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, ina lawful manner, in the employment ","cbCaibWTHI4ssGWd","https://ap.wps.com/l/cbCaibWTHI4ssGWd","pdf",524056,"English","# Applicant Information\n## Employment History\n## Educational Background\n## References\n## Applicant Statement","[{\"question\":\"What personal details does the application request from the applicant?\",\"answer\":\"It collects applicant name, application date, position(s) applied for, residency addresses for the past three years, phone numbers, email address, referral source, and whether the applicant can provide a work permit if under 18.\"},{\"question\":\"How should employment history be filled out?\",\"answer\":\"Starting with the most recent employer, provide employer name, from/to dates, address, position, contact person phone number, reason for leaving, and job responsibilities for each employer.\"},{\"question\":\"What does the applicant statement include and what does it authorize?\",\"answer\":\"It certifies the information provided is true and complete, expressly authorizes the employer and representatives to contact references, employers, agencies, licensing authorities, and schools to verify information, and explains how long the application remains current and that hiring requires identity and legal work authorization (I-9).\"}]","NON-CDL APPLICATION FOR EMPLOYMENT - Please print - Applicant Information, Employment History, Education, References | PDF",13]