DELIVERING RELIABLY SAFE AND REFRESHING WATER
WEST DES MOINES WATER WORKS
Personal Information
Do you have a legal right to work full time in the United States? *
Are you 18 years of age or older? *
Have you worked for West Des Moines Water Works? *
Do you have any relatives employed with West Des Moines Water Works? *
Have you ever been convicted of a misdemeanor or felony? (For purposes of this question, "convicted" includes found guilty, plead guilty, plead no contest, or been given a deferred sentence or judgment.) *

(Note: A conviction will not automatically disqualify you for a particular job. The type and seriousness of the crime, the frequency of violations, the date of conviction, and your work and educational history will be considered.)

Job Description
Have you reviewed a copy of the job description or had the requirements of the job explained to you? *
Do you understand the requirements? *
Can you perform the requirements of this job with or without a reasonable accommodation? *
If the job requires, do you have the appropriate valid driver's license? *
Have you had any vehicular moving violations in the past 10 years? If yes, please describe *
Education / Training / Skills
Do you have a High School Diploma or GED? *
EDUCATION NAME & ADDRESS OF SCHOOL YEAR GRADUATED COURSE OF STUDY MAJOR/MINOR DIPLOMA/DEGREE AWARDED
High School
College / Trade School
College / Trade School
College / Trade School
Other Training
Work History

List all employment for the last 10 years, starting with your most recent job. Account for any time period that you were unemployed by stating the nature of your activities. You may submit a resume to supplement the information you provide below, however, you must fill out this section completely. If you have included a resume that includes your current description of duties, that section can be left blank.

Most Recent Employer

If you have included a resume that includes your current description of duties, that section can be left blank.

Previous Employer

Previous Employer

Previous Employer

May we contact your present employer? *
Attachments
Certification
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