Employment Application | Monte Vista Cooperative

Employment History
The information you provide, in addition to education, will be used to determine if you meet the minimum qualifications, and in some cases, placement of the eligibility list for the position you are seeking. Indicate date, month and year beginning and ending for each position held and a description of duties performed for each. Start with your current or most recent employer.
Employer
Address
Street Address City State ZIP Code
Phone
Position Title
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Supervisor
First Last
Reason for changing employment
Description of Job Duties
May we contact your supervisor?
- Yes
- No

Employment History - 2
The information you provide, in addition to education, will be used to determine if you meet the minimum qualifications, and in some cases, placement of the eligibility list for the position you are seeking. Indicate date, month and year beginning and ending for each position held and a description of duties performed for each. Start with your current or most recent employer.
Employer
Address
Street Address City State ZIP Code
Phone
Position Title
Date From
MM slash DD slash YYYY
Date To
MM slash DD slash YYYY
Supervisor
First Last
Reason for changing employment
Description of Job Duties
May we contact your supervisor?
- Yes
- No
Employment History Attachment
Max. file size: 300 MB.
*Additional Employment information: List any accomplishments, hobbies, skills, scholastic honors, interests, or experiences that you would like noted. Scan and attach additional sheets if necessary.

References
List Three (3) personal references who are not relatives or former employers.
Reference 1
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Occupation*
Reference 2
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Occupation*
Reference 3
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Occupation*
Consent*
I give my consent and authorize The Monte Vista Cooperative Human Resource Department to conduct a reference check on the above-named references. Reference information may include achievement, performance, attendance, disciplinary information or reason for separation of employment. If is understood that any information given is to be used solely for the purpose of determining my acceptability for employment. I release former employers, their agents/employees, from any liability for damages or claims which may result from information provided.

Position