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Employment Application

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INSTRUCTIONS:

This application is part of the examination process. Late and/or incomplete application will be rejected.
Complete a separate application for each position applied for. Make sure proper job title appears on each application.
Complete all fields of the application form. All applications must be signed and dated.
Applicants must meet all qualifications for classification by the final due date. An incomplete application may be grounds for rejection. An applicant may be required to submit additional proof of qualifications and verification of education and training.

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Driver's License #(Required)

Phone(Required)

Position Applying For(Required)

Have You Ever Been Convicted of a Felony?

Yes

EDUCATION AND TRAINING

Last Grade Completed(Required)

LIST SCHOOLING BEGINNING WITH MOST RECENT (COLLEGE, HIGH SCHOOL, VOCATIONAL SCHOOL, ETC.)

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First School

Name of School

Address of School

Street Address City State ZIP Code

Total Hours

Degree

Major/Course

Minor(s)

Did You Graduate?

Yes

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Second School

Name of School

Address of School

Street Address City State ZIP Code

Total Hours

Degree

Major/Course

Minor(s)

Did You Graduate?

Yes

LIST NAMES, ADDRESSES, AND PHONE # OF THREE (3) PREVIOUS SUPERVISORS AS REFERENCES.

Supervisor Reference #1(Required)

Supervisor Reference #2(Required)

Supervisor Reference #3(Required)

List Skills or Experience Pertinent to this Job(Required)

List any Certifications or Licenses(Required)

Are you willing to have your present employer contacted?(Required)

Yes

APPLICANTS LIST THE LAST TWO PLACES OF EMPLOYMENT ALONG WITH SUPERVISOR OR CONTACT PERSON’S NAME. AGENCY’S EVALUATION OF QUALIFICATIONS AND SUITABILITY FOR EMPLOYMENT INCLUDES AGENCY CONTACTING THESE EMPLOYMENT REFERENCES.

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Employer #1

Employed (START DATE)

Employed (END DATE)

Position(Required)

Reason for Leaving(Required)

Name of Employer(Required)

Address

Street Address City State ZIP Code

Immediate Supervisor(Required)

First Last

Your Supervisors Title(Required)

Description of Duties(Required)

Total Years(Required)

Months(Required)

Hours Per Week(Required)

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Employer #2

Employed (START DATE)

Employed (END DATE)

Position(Required)

Reason for Leaving(Required)

Position(Required)

Name of Employer(Required)

Address

Street Address City State ZIP Code

Immediate Supervisor(Required)

First Last

Your Supervisors Title(Required)

Description of Duties(Required)

Total Years(Required)

Months(Required)

Hours Per Week(Required)

Upload Your Resume or Additional Items

i.e.: licenses, letters of recommendation, etc

Document(s) Upload

Drop files here or

Max. file size: 128 MB.

CERTIFICATION OF APPLICANT

Signature of Applicant(Required)

Date(Required)

OUR PROGRAM COMPLIES WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964.

Employment with this Agency is on an "at-will" basis, meaning that employment terms can be terminated by either party, employer or employee, for any reason not expressly prohibited by law. Revised

Administrative Offices
2307 E. Capitol Ave
Pierre, SD 57501
Phone: (605) 224-6603
Fax: (605) 224-0850

Office Hours: 7:45am - 3:30pm

OCDC Irwin Building
2506 E Irwin St,
Pierre, SD 57501

Volunteer

Employment Application

INSTRUCTIONS:

EDUCATION AND TRAINING

LIST SCHOOLING BEGINNING WITH MOST RECENT (COLLEGE, HIGH SCHOOL, VOCATIONAL SCHOOL, ETC.)

First School

Second School

LIST NAMES, ADDRESSES, AND PHONE # OF THREE (3) PREVIOUS SUPERVISORS AS REFERENCES.

APPLICANTS LIST THE LAST TWO PLACES OF EMPLOYMENT ALONG WITH SUPERVISOR OR CONTACT PERSON’S NAME. AGENCY’S EVALUATION OF QUALIFICATIONS AND SUITABILITY FOR EMPLOYMENT INCLUDES AGENCY CONTACTING THESE EMPLOYMENT REFERENCES.

Employer #1

Employer #2

Upload Your Resume or Additional Items

CERTIFICATION OF APPLICANT

Resume Upload