Employment Application

  • General Information

  • Education/Training History

  • For each school, please include: Institution Name and Location, Dates attended, Major/minor areas of study (if applicable), Degree awarded, Grade Point Average and Year degree was received.
  • License/Registration Certificate

  • Include Description, State, Number, Expiration
  • Specialized Skills and Knowledge

  • List skills or knowledge that show your ability to perform the job for which you are applying.
  • Military Experience

  • References

    Lis 3 current references who are familiar with your work-related abilities and background. Do not list relatives.
  • Accommodation Information

    IN SUPPORT OF THE AMERICANS WITH DISABILITIES ACT, SPECIAL ARRANGEMENTS MAY BE MADE FOR CERTAIN DUTIES OF CERTAIN POSITIONS IN ORDER TO ACCOMMODATE A PHYSICAL OR MENTAL IMPAIRMENT OR DISABILITY. YOU ARE NOT REQUIRED TO DISCLOSE SUCH INFORMATION THAT YOU BELIEVE WILL NOT INTERFERE WITH YOUR CAPABILITY TO DO THE JOB. HOWEVER, IF YOU WANT THE COOPERATIVE TO CONSIDER SPECIAL ARRANGEMENTS TO ACCOMMODATE A PHYSICAL OR MENTAL IMPAIRMENT DURING THE SELECTION PROCESS OR CONCERNING THE POSITION FOR WHICH YOU HAVE APPLIED, YOU NEED TO IDENTIFY THE DISABILITY AND THE REQUESTED ACCOMMODATION BELOW.
  • Work Requirements

  • Date Format: MM slash DD slash YYYY
  • List job-related training courses by title and year. List honors, awards, volunteer work, and special accomplishments. (publications, memberships in professional/honor societies, leadership activities, public speaking, performance awards, etc.)
  • Previous Employment

  • Applicant Authorization

  • Affirmative - Completion is voluntary

    GASCOSAGE ELECTRIC COOPERATIVE IS REQUIRED TO PROVIDE STATISTICAL REPORTS TO GOVERNMENTAL AGENCIES ANALYZING AND MONITORING AFFIRMATIVE ACTION EFFORTS. THE INFORMATION REQUESTED BELOW WILL BE USED FOR THE COMPILATION OF STATISTICAL REPORTS AND RECORD KEEPING PURPOSES, AND NO INFORMATION PROVIDED WILL BE USED IN AN UNLAWFUL MANNER. THE INFORMATION WILL NOT BE KEPT WITH THE APPLICATION OR PERSONNEL FILE AND WILL IN NO WAY AFFECT THE HIRING DECISION.