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Applicants must answer questions about criminal convictions, arrests, work authorization in the United States, prior employment with the district, recent disciplinary actions, and prior dismissal or resignation in lieu of dismissal. A certification section confirms accuracy, authorizes reference checks, and supports equal opportunity and disability accommodation statements.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/employee-application-form-revised-february-2026/305184/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/employee-application-form-revised-february-2026/305184.png","ImageObject",442,249,{"name":88,"@type":89},"Lucas Vance","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-14","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information must applicants provide on the form?","Question",{"text":109,"@type":110},"Applicants must provide their full name (including middle and suffix if applicable), other names ever used, current address, phone numbers, email address, and whether they are 18 or older.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What employment eligibility and background questions are included?",{"text":114,"@type":110},"The form asks whether the applicant has been convicted of a crime, arrested for a felony, is legally authorized to work in the United States, and whether they have worked for the district in the last 3 months.",{"name":116,"@type":107,"acceptedAnswer":117},"What does the certification and signature section confirm?",{"text":118,"@type":110},"By submitting the application and attachments, the applicant certifies that the information is true and accurate, allows verification through past employers, and acknowledges that false statements may disqualify or lead to termination.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305184,1790389073,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},549768064622,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","VAN BUREN CONSERVATION DISTRICT EMPLOYEE APPLICATION FORM INSTRUCTIONS: Complete with black ink or type. Attach additional sheets as necessary.  \nPosition Applying For:    \nFull Name (Provide your full name. If you have only initials in your name, provide them and indicate \"Initial only\". If you do not have a middle name, indicate \"No Middle Name\". If you area \"Jr.,\" \"Sr.,\" etc. enter this under Suffix. First, Middle, Last, Suffix):  \nOther Names Ever Used (For example: maiden name, etc.):   \nCurrent Address:  Phone Number(s):  Email Address:   Are you 18 or older?: ❒ YES ❒ NO  \nHave you ever been convicted of a crime? ❒ YES ❒ NO  \nHave you ever been arrested for a felony? ❒ YES ❒ NO  \nAre you legally authorized to work in the United States? ❒ YES ❒ NO  \nDo you currently work for the Van Buren Conservation District? ❒ YES ❒ NO  \nHave you worked for the Van Buren Conservation District in the last 3 months?  \n❒ YES ❒ NO  \nIf you answered “YES” to the above question, please indicate the last date you worked.  \nHave you been disciplined within the last 2 years? (reprimands need not be reported)  \n❒ YES ❒ NO  \nHave you ever been dismissed or resigned in lieu of dismissal?  \n❒ YES ❒ NO  \nIf you answered “YES” to the above question, please explain.    \nRevised: February 2026  \nPlease list all languages that you speak and write fluently.    \nAre you able to perform the required job functions as indicated in the job announcement?❒ YES ❒ NO  \nIn applying for employment, it is understood that the Van Buren Conservation District reserves the privilege of contacting past employers regarding references. May we also contact your present employer at this time? ❒ YES ❒ NO  \nCertification  \nThe Van Buren Conservation District is an affirmative-action, equal-opportunity employer. VBCD programs and materials are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status or veteran status.  \nTo perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The Van Buren Conservation District complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Emilly Hickmott, Executive Director, 269-633-9054, [director@VanBurenCD.org](director@VanBurenCD.org)  \nBy submitting this application and any attachments, the applicant named above certifies that all information provided is true and accurate and contains no willful falsifications or misrepresentations. Falsifications or misrepresentations may disqualify applicants from consideration for employment with the Van Buren Conservation District; or if hired, may be grounds for termination. Previous employers may be contacted for verification of employment history. I hereby certify that the statements on this application are true and correct to the best of  \nmy knowledge.  \nApplicant Signature:   \nDate of Signature:   \nRevised: February 2026","cbCaiextneRKM5H6","https://ap.wps.com/l/cbCaiextneRKM5H6","pdf",118454,"English","# Position Applying For\n## Applicant Information\n# Eligibility and Employment History\n## Certification and Signature","[{\"question\":\"What information must applicants provide on the form?\",\"answer\":\"Applicants must provide their full name (including middle and suffix if applicable), other names ever used, current address, phone numbers, email address, and whether they are 18 or older.\"},{\"question\":\"What employment eligibility and background questions are included?\",\"answer\":\"The form asks whether the applicant has been convicted of a crime, arrested for a felony, is legally authorized to work in the United States, and whether they have worked for the district in the last 3 months.\"},{\"question\":\"What does the certification and signature section confirm?\",\"answer\":\"By submitting the application and attachments, the applicant certifies that the information is true and accurate, allows verification through past employers, and acknowledges that false statements may disqualify or lead to termination.\"}]","Employee Application Form - Revised February 2026 | PDF",1789822718]