Siouxland Energy Cooperative - Siouxland Energy Cooperative Employment Application

The entire form must be completed; a resume will not substitute.
Keep a copy for your records.

Personal Information

First Name

Last Name

Street Address

City

State

Zip Code

Best phone number to contact you

Job Applied For

If "Other", please list position you are interested in

How did you learn of this opening?

If you learned of this position from Siouxland personnel, please indicate who

Are you legally Authorized to Work in the US?

Yes

Can you reliably commute to this jobs location?

Yes

Have you ever been convicted of, or pled guilty to, a crime (other than a minor traffic violation)?

Yes

If convicted, please explain nature of the crime(s), when committed, and all sentences imposed.

Education, Formal Training and Skill Codes

Do you have a highschool diploma or GED Certificate?

Yes

Education and Formal Training - Please List

Trade Skills - Please indicate all that apply

Welding

Plumbing

Electrical

Computer Skills - Indicate all that apply

General Computer Knowledge

Excel/Spreadsheet Application

Access/Database Application

Power Point/Presentation Application

Outlook/Email Application

Word/Word processing and document creation

Publisher/Desktop publishing Application

Employment History

Describe enough work experience to meet the qualifications of the job announcement. List each job separately, even within the same organization. Include unpaid and volunteer work related to the job applied for. List your average number of hours worked per week; part-time work is prorated on a 40-hour workweek. You must complete this section; a resume will not substitute. You may make additional copies to attach to your application if necessary.

Employer

City & State

Your Title

From (Month and Year)

To (Month and Year)

Wage (Hourly Or Salary)

Average Hours Worked Per Week

Supervisors Name

Can Supervisor be contacted?

Yes

If "Yes", please provide Supervisor contact information

Supervisory/Lead Work: Check the areas you were responsible for

Assigning/Reviewing Work

Rating Work Performance

Hiring or recommending Hiring

Handling disciplinary problems

Responding to grievances

Writing Position Descriptions

Major Duties (Be Specific)

Employer

City & State

Your Title

From (Month And Year)

To (Month And Year)

Wage (Hourly Or Salary)

Average Hours Worked Per Week

Supervisors Name

Can Supervisor be contacted?

Yes

If "Yes", please provide Supervisor contact information

Supervisory/Leadwork: Check the areas you were responsible for

Assigning/Reviewing Work

Rating Work Performance

Hiring or recommending Hiring

Handling disciplinary problems

Responding to grievances

Writing Position Descriptions

Major Duties (Be Specific)

Any additional information that you would like to share in regards to being qualified for employment with our company -

I certify that all information given in this job application is true and complete to the best of my knowledge. I understand that any statement that is false, fraudulent or misleading may result in the rejection of my application, denial of employment, and dismissal from state service if discovered after employment. I understand that my employment with Siouxland Energy Cooperative is considered "at will", meaning that either the company or I may terminate this employment relationship at any time with or without cause or notice.

" />

Electronic Signature

Date

Required field

By submitting this form you are opting in to receive email and/or text communications from Barchart for related product, service or company information, updates and announcements. You can unsubscribe at anytime. View our Privacy Policy.