Career Opportunity Employment Opportunities North Plains Electric Cooperative is seeking qualified and motivated individuals to join our line operations team. As a member-focused cooperative, we are committed to providing safe, reliable electric service while supporting the communities we serve. Application for Employment North Plains Electric Cooperative is an equal opportunity employer. North Plains Electric Cooperative does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law. Incomplete information could disqualify you from further consideration. Please complete all fields. Mark field as “N/A” if not applicable. Personal Information Today’s Date Contact Information Full Name Email Address Mobile Phone Number Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Are you at least 18 years or older? Yes No Can you provide the necessary documentation to prove that you are a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States? Yes No Have you ever been convicted of a crime? Yes No If yes, please explain. Have you ever been discharged or forced to resign from any previous place of employment? Yes No If extended a job offer, are you willing to submit to a detailed background check, pre-hire drug screen, and physical examination? Yes No Employment Desired Position Desired Date you can begin work Type of employment desired Full-Time Part-Time Seasonal Hourly Pay Rate/Salary Desired Can you work overtime, including weekends? Yes No Are you able to travel if required? Yes No Education School Names Re-order Education Level Name of School City, State Degree/Certification Major/Minor Weight Operations Education Level (High School/GED/College/University /Trade/Technical) Name of School City, State Degree/Certification Major/Minor Item weight Add more items more items Employment History Start with your most recent employer. Employment Re-order Employer Name Address Phone Number Dates Employed Job Title Summarize the nature of work performed and job responsibilities. Reason for Leaving Immediate Supervisor and Title May we contact? Weight Operations Employer Name Address Phone Number Dates Employed (From-To) Job Title Summarize the nature of work performed and job responsibilities. Reason for Leaving Immediate Supervisor and Title May we contact? (Yes/No) Item weight Add more items more items Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? Yes No If yes, please list. References Give the names of three persons, not related to you, who can attest to your reliability and work quality. Reference List Re-order Full Name Phone Number Email Address Company Years Acquainted Weight Operations Full Name Phone Number Email Address Company Years Acquainted Item weight Add more items more items Agreement and Signature I agree to the disclosure statement. Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for North Plains Electric Cooperative to hire me. If I am hired, I understand that either North Plains Electric Cooperative or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of North Plains Electric Cooperative has the authority to make any assurance to the contrary.I attest with my signature below that I have given to North Plains Electric Cooperative true and complete information on this application. No requested information has been concealed. I authorize North Plains Electric Cooperative to contact the references provided above. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. In the event of my employment, I will comply with all rules and regulations as set forth in the company's policy manual or other communications distributed to all employees.I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. Signature BY SIGNING BELOW, I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND UNDERSTAND IT. Signature Date & Time Signature Date & Time: Date Signature Date & Time: Time Upload Your Resume One file only.10 MB limit.Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.
