CVE Employment Application

Central Valley Electric Cooperative, Inc.
PO Box 230, Artesia, NM 88211 (mailing address)
1403 N. 13th St., Artesia, NM 88210 (physical address)

APPLICATION FOR EMPLOYMENT

This application will be considered only for the vacant position for which you are applying. To be considered for other vacant positions, a new application must be completed. The following information is requested in order to help us make the best possible placement within the cooperative. All portions of this application pertaining to you must be completed. We appreciate your time in filling out this application for employment.

The Cooperative, in accordance with state and federal laws, does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or veteran status. The Cooperative is also required by lay, by virtue of it constract(s) with the federal government, to make affirmative action to employ women, minorities, otherwise qualified disabled individuals, and Vietnam Era and disabled veterans.

Central Valley Electric Cooperative, Inc. is an equal opportunity porivder and employer.

You will be required to provide your social security number if offered a position.

Contact Information

Last Name

First Name

Address

Address 2

City/Town

State/Province

- Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Do you have the legal right to work in the United States?

Yes

No

Is any member of your family employed by Central Valley Electric Cooperative?

Yes

No

Have you ever applied for a job with the Cooperative?

Yes

No

Have you ever worked at the Cooperative before?

Yes

No

Can you perform the essential functions of the job for which you are applying (with or without reasonable accommodations)?

The essential functions of a position are included on the position description.

Yes

No

Are you available to work from 8:00 a.m. to 5:00 p.m., Monday thru Friday?

Yes

No

Depedning on the position you are applying for, you may be required to work different hours than those stated above.

Would you have a problem working a different schedule?

Yes

No

Are you willing to work after hours (call-out duty) and/or on-call assignments?

Yes

No

You may be asked to provide a transcript detailing your academic career.

High School

School Name

Number of years attended

Degree

Major

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

College

School Name

Number of years attended

Degree

Major

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Other

School Name

Number of years attended

Degree

Major

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Not former employers or relatives

Reference 1

Name

Occupation

Phone

Address

Address 2

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Reference 2

Name

Occupation

Phone

Address

Address 2

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Reference 3

Name

Occupation

Phone

Address

Address 2

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Place a check for experience.

Word Processor

Handling Consumer Concerns

Calculating Machine

Load Management Systems

Switchboard

Proofreading

Accounts Receivable/Payable or Payroll

Data Entry

Typing

Personal Computer

Please place a check for experience.

Warehousing

Computer Inventory

Lay Out Work Orders

Prepare Work Orders

Basic Electricity

Tree Trimming

Brush Clearing

Clearing Machinery

Material Control

Perpetual Inventory

Automotive Maintenance

Vehicle Painting & Bodywork

Electric and Gas Welding

Hotline Work

Primary & Secondary

Underground Experience

Primary & Secondary

Electrical Hand Tools

Electrical Safety

Radio Communications & Operations

Pole Inspection

Load Management Systems

Meter Reading

Collecting Money on Consumer Accounts

Handling Consumer Concerns

Connecting & Disconnecting Meters

Electrical Mapping Systems

Load Switching

Substation Construction

Line Construction

Regulators, Capacitors, Breakers & Switches

Please provide most recent employer first.

IMPORTANT PLEASE READ

I certify that all information provided in support of my employment with the Cooperative, including but not limited to this application, resume, medical informatio, and information provided by me during interview, is correct to the best of my knowledge. I understand that misrepresentation or omission of relevant facts in seeking employment will result in my disqualification from further consideration or my dismissal from employment. I agree to conform to the rules and regulations of the Cooperative. I understand that my employment and compensation can be terminated with or without cause, with or without notice, at any time, at the option of the Cooperative or myself. I further understand that no person is authorized to make any represntation contrary to the above statement unless such representation is approved by the Board of Trustees and is embodied in a written agreement signed by the President or the General Manager of the Cooperative. I further understand that if offered employment, I will be required to take a physical examination. Such examination may include blood, breath, urine, or saliva tests to determine the presence or use of alcohol and/or illegal controlled substances.