Kit Carson Electric Cooperative General Application

Name

Email

Phone

Address

Address Line 1

City

State

Zip Code

What Job Are You Applying For?

Propane Delivery Driver
Kit Carson Electric Cooperative General Application

Can you perform the essential functions of the position for which you are applying?

Yes
No

If you cannot perform the essential functions of the position, please explain.

(If you have any question as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer this question)

When would you be available to begin work?

Are you legally eligible to be employed in the United States?

Yes
No

(Proof of identity and eligibility will be required upon employment)

Are you over the age of 18 years?

Yes
No

(If no, you may be required to provide authorization to work.)

Do you presently hold a CDL license?

Yes
No

Which class of CDL license?

Class A
Class B
Class C

Have you ever worked for Kit Carson Electric Cooperative or any of it's subsidiaries or divisions?

Yes
No

If yes, where? when? Job Title?

Do you have any relatives or friends that work for Kit Carson Electric Cooperative or any of it's subsidiaries or divisions?

Yes
No

If you do have friends or relatives who work at KCEC, please list their names.

When are you available to work?

Please choose all that apply.

If you cannot work full time, please explain why.

What days are you available for work?

Please let us know if there times you cannot work during the days you are available for work.

For example. If you have to pick up your child at school during the weekdays, please let us know what time you could not be in the office. If you leave this section blank, we will assume that you can work regular hours.

Are you presently employed?

Yes
No

If you are presently employed, why are you considering leaving?

May we contact your current employer?

Yes
No

Phone Number of Your Current Employer

Do you belong to any professional, trade, business, or civic organizations that deal with the position for which you are applying?

Yes
No

Please explain and list offices held.

(Omit any organization which reflects your race, color, religion, age, sex, sexual orientation, marital status, or disabilities.)

Have you spent more than 30 days since leaving school during which you were not working?

Yes
No

If so, please explain when and why. Please include the dates that you were not working and explain why.

Education

High School Education

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

College

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

Vocation or Trade School

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

Graduate Work

Please include: name of school, location of school, course of study, number of years Completed, diploma or degree received

Have you completed any special courses, seminars and/or training directly related to the position for which you are applying?

Yes
No

If yes, please describe

List academic honors, extracurricular activities, offices held, etc. In high school or college

(Omit any which reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)

Most Recent Employer

You will need to give three employment references - 1 of 3

Name of Employer

Employers Phone Number

Supervisors Name and Title

Date Employment Began

Date Employment Ended

Presently Employed

Yes

Employer's Address

Address Line 1

Address Line 2

City

State

Zip Code

Describe the Work Performed

Reason for leaving

Second Most Recent Employer

You will need to give three employment references - 2 of 3

Name of Second Employer

Second Employer's Phone Number

Second Supervisor's Name and Title

Date Second Employment Began

Date Second Employment Ended

Second Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Describe the Work You Performed at Your Second Employer

Reason for leaving

First Personal Reference

You will need to give three references (not relatives or employers) - 1 of 3

Name of Your First Reference

Occupation of Your First Reference

Phone Number of your First Reference

Second Personal Reference

You will need to give three references (not relatives or employers) - 2 of 3

Name of Your Second Reference

Occupation of Your Second Reference

Phone Number of Your Second Reference

Third Personal Reference

You will need to give three references (not relatives or employers) - 3 of 3

Name of Your Third Personal Reference

Occupation of Your Third Reference

Phone Number of Your Third Reference

Upload Your Resume, Read, Agree, and Sign

Resume

Click or drag a file to this area to upload.

Please upload your resume in one of the following formats: .pdf, .doc, .docx

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristics protected by law.

I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can result in disqualification for employment consideration or, if hired, may be grounds for termination from the company or it's subsidiaries. I understand that if I am hired, my employment if for no definite time and may be terminated at any time without prior notice.

I agree with the above

Yes
No

If you do not agree with the requirements, you will not be able to apply for a job with Kit Carson Electric Cooperative.

Agreement

EMPLOYMENT AT WILL I acknowledge that employment with Kit Carson Electric Cooperative, Inc. is entirely on an at-will basis and receipt of this application does not imply that I will be employed. If I do become a Kit Carson Electric Cooperative, Inc. employee, I understand that either I or Kit Carson Electric Cooperative, Inc. can terminate my employment at any time, with or without prior notice. RELEASES I authorize my former employers, any person, firm, corporation, school, or government agency to answer all questions and to release or provide any information within their knowledge or records. I further request that my former and/or current employer provide a reference regarding my current/prior employment. I understand and acknowledge that such an employer acting in good faith is immune from liability for comments about my job performance. LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE USA I understand and agree that any offer of employment is conditioned on my providing satisfactory proof of my identity and legal authority to work in the USA for Kit Carson Electric Cooperative, Inc. and if I fail to provide satisfactory proof, the offer of employment will be withdrawn and, if employed, my employment will be terminated. TRUTHFULNESS I certify that all statements made by me on this application and in the course of the pre-employment process are true and complete to the best of my knowledge. I understand that misrepresentations, false information, or omissions may be cause for rejection, disqualify me from further consideration for employment, and/or may be cause for subsequent dismissal if I am hired. If I am offered employment I agree to submit to a medical examination and drug test, before starting work. I also agree to submit to a medical examination and/or drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continue employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug tests, and if I am hired, a condition of my employment will be that I abide by the Company’s Drug and Alcohol Policy(s). I understand that acceptance of this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies, and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time. I hereby acknowledge that I have read the above statements, understand the same, and consent to these statements. An Equal Opportunity Employer: In compliance with Federal and State equal employment opportunity laws, applicants are considered for employment without regard to race, age, religion, color, national origin, ancestry, sex, physical or mental disability or serious medical condition, military or veteran status, spousal affiliation, genetic information, sexual orientation, gender identity, or any other protected class under New Mexico or Federal law. No question, this application is intended to elicit protected information. If you have a disability and require reasonable accommodation related to completing this application or other steps in the hiring process, please contact the Human Resources Department at (575) 758-2258 ext. 156.

Signature

I confirm that all of the information submitted with this application is accurate. Please type your full name to comply.

Position Available