Denair Community Service District Application

Denair Community Service District

Utility Maintenance Worker II or SR. Application

Last Name (required)

First Name (required)

M.I.

Mailing Address (required)

City (required)

State (required)

Zip (required)

Phone Number (required)

Email (required)

Position Applied For (required)

Utility Maintenance Worker II

Utility Maintenance Worker SR.

Were you ever a member of PERS? (required)

If yes did you withdraw your contributions

Are you at least 18 years or older? (required)

Education: Please be complete to allow an accurate appraisal of your qualifications. (required)

Do you have a High School Diploma? (required)

GED Certificate (required)

Languages spoken or written other than English? (required)

Upload License or Certificates you possess which are relevant to this position:

List all other license or certificates that apply to this position:

Valid CA Drivers License (required)

Have you ever been convicted, served a jail sentence or been placed on probation after committing a felony or misdemeanor? (required)

If yes, state nature of conviction, dates, city, and state in section #12 (You may exclude juvenile offenses and minor traffic citations.) Note: Prior convictions will not necessarily exclude applications from being hired.

Use this space to add any job related information to aid in considering your qualifications:

List all past employers: (1) Past Employer's Name:

Past employer's address

Position Title

Dates of Employment

(2) Past Employer's Name:

Past Employer's Address

Position Title

Dates of Employment

(3) Past Employer's Name:

Past Employer's Address

Position Title

Dates of Employment

(4) Past Employer's Name:

Past Employer's Address

Position Title

Dates of Employment

List all other Employer if needed

Legal Resident: Written proof of legal residence to work in United States will be required pre-employment. (required)

(1)Reference Name (required)