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2. SUWANNEE RIVER WATER MANAGEMENT DISTRICT
4. Equal Opportunity Employer
   To be considered for employment, complete your application in its entirety.
6. Title of Position for which you are applying:*
8. First Name*
9. Last Name*
11. Address1*
13. Address2
15. City*
16. State*
17. Zip*
19. E-mail
20. County
22. Telephone*
23. Business Telephone
27. EDUCATION:
29. HIGH SCHOOL
31. Name and Address of School
33. Received:

    1. Diploma
    2. Other
    3. None
34. If Other, Specify
36. Your Name if Different While Attending School
38. COLLEGE, UNIVERSITY or PROFESSIONAL SCHOOL
39. Type of Degree Earned
41. Name of School
42. Location
43. Major/Minor
45. Attended From:
    Attended From:
46. To:
    To:
47. Credit Hours Earned (Quarter)
48. Credit Hours Earned (Semester)
50. Enter Second College, etc.

    1. Yes
51. Type of Degree Earned
53. Name of School
54. Location
55. Major/Minor
57. Attended From:
    Attended From:
58. To:
    To:
59. Credit Hours Earned (Quarter)
60. Credit Hours Earned (Semester)
62. JOB RELATED TRAINING or COURSE WORK
    (Vocational, Trade, Governmental, Business, Armed Forces)
63. Type of Degree Earned
65. Name of School
66. Location
67. Major/Minor
69. Attended From:
    Attended From:
70. To:
    To:
71. Credit Hours Earned (Class)
72. Credit Hours Earned (Semester)
74. Enter Second Training, etc.

    1. Yes
75. Type of Degree Earned
77. Name of School
78. Location
79. Major/Minor
81. Attended From:
    Attended From:
82. To:
    To:
83. Credit Hours Earned (Class)
84. Credit Hours Earned (Semester)
86. LICENSURE, REGISTRATION, CERTIFICATION
    (PG, PE, EIT, Teacher Certification, CPA, etc.)
88. License, Registration or Certification
89. Number
91. Date Received:
    Date Received:
92. Expiration Date:
    Expiration Date:
93. State Licensing Agency
95. Enter Second License, etc.

    1. Yes
97. License, Registration, Certification
98. Number
100. Date Received:
     Date Received:
101. Expiration Date:
     Expiration Date:
102. State Licensing Agency
106. EXPERIENCE
     Begin with your present or most recent job and describe all periods of employment, including self-employment. Military service, including rank and position, and periods of part-time employment and unpaid and/or volunteer service must be included. Indicate the number or employees supervised. Account for your time during any intervals of unemployment other than when attending school.
108. 1. Name of Present or Last Employer
109. Your Name if Different During Employment
111. Address
113. Telephone
114. Hours Per Week
115. Supervisor's Name
117. Your Job Title
118. From:
     From:
119. To:
     To:
121. Duties and Responsibilities
123. Reason for Leaving
125. 2. Name of Previous Employer
126. Your Name if Different During Employment
128. Address
130. Telephone
131. Hours Per Week
132. Supervisor's Name
134. Your Job Title
135. From:
     From:
136. To:
     To:
138. Duties and Responsibilities
140. Reason for Leaving
142. 3. Name of Previous Employer
143. Your Name if Different During Employment
145. Address
147. Telephone
148. Hours Per Week
149. Supervisor's Name
151. Your Job Title
152. From:
     From:
153. To:
     To:
155. Duties and Responsibilities
157. Reason for Leaving
159. 4. Name of Previous Employer
160. Your Name if Different During Employment
162. Address
164. Telephone
165. Hours Per Week
166. Supervisor's Name
168. Your Job Title
169. From:
     From:
170. To:
     To:
172. Duties and Responsibilities
174. Reason for Leaving
178. REFERENCES
     List three persons other than former employers, supervisors, or family members who are familiar with your qualifications and background.
180. 1. Name and Occupation
182. Address/Phone
184. 2. Name and Occupation
186. Address/Phone
188. 3. Name and Occupation
190. Address/Phone
192. RELATIVES
194. Are you related to anyone currently employed by the District?

     1. Yes
     2. No
196. NOTE:
     "Relative" is defined as father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, husband, wife, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half-brother, half-sister, grandfather, grandmother, or grandchildren. Employees who marry while employed at the District will be required to comply with these provisions.
198. VETERANS' PREFERENCE
200. Do you qualify for Veterans' Preference?

     1. Yes
     2. No
202. To qualify for the veteran’s preference applicants must provide a copy of their DD214 with the application.
204. Upload File (DD214) here
206. ACTIVE MILITARY SERVICE
208. Branch
210. From:
     From:
211. To:
     To:
213. CITIZENSHIP
215. Are you a U.S. citizen or are you legally authorized to work in the USA?

     1. Yes
     2. No
217. NOTE: Documentation substantiating your claim must be furnished at the time of application.

     The Suwannee River Water Management District hires only U.S. citizens and lawfully authorized alien workers. If a conditional offer of employment is made you will be required to provide proof of citizenship or authorization to work in the U.S.

219. BACKGROUND INFORMATION
     The District conducts a thorough background check; answers inconsistent with the background check may disqualify you from consideration.
221. Have you ever been convicted of a felony or first-degree misdemeanor?

     1. Yes
     2. No
223. If yes, of what charge(s)?
225. Place Convicted
226. Date
     Date
228. CERTIFICATION
     I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employement consideration and if I am hired, may be grounds for termination at a later date. I understand that any information I give will be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, personnel staff and other authorized employees of the Suwannee River Water Management District for employment purposes. This consent shall continue to be effective during my employment if I am hired. I understand that applications submitted for District employment are public records. I certify that to the best of my knowledge and belief all the statements contained herein and on any attachments are true, correct, and made in good faith. I further agree to a drug test and a physical examination if required as a condition of employment by the District. I have been made aware that employment with the District is not guaranteed for any specific length of time and the District is not required, in it's ability to terminate employment, to list any grounds or reasons for dismissal. The Executive Director may dismiss any employee at any time.
230. File Upload
     Browse to and upload your cover letter and resume, if desired.
232. Electronic Signature*

     1. Sign

     By checking this box I am providing an electronic signature.
Leave This Blank:


234. 1. Receive an email copy of this form.
235. Email address

     This field is not part of the form submission.

236. Submit

* indicates a required field