Lea County Electric Cooperative, Inc.







We are an equal opportunity employer.
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Date Submitted:
09/18/2020
Position Applied For:
Please indicate other position not listed above:
How did you learn about us?

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Indicates Required Field
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Last name
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First name
Initial
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Phone#
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Address
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City
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State
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Zip code
E-mail Address


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Best time to contact you at home is?........................................
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If you are under 18 years of age, can you provide required proof of your eligibility to work?
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Have you ever filed an application with us before? If Yes. give date: xx/xx/xx
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Have you ever been employed with us before? If Yes. give date: xx/xx/xx
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Do you have any relatives working for the Cooperative? If yes who?
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Are you currently employed?...................................................
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May we contact your current employer?...................................
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Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration will be required upon employment.

Date available for work:............... xx/xx/xx
Desired salary:...........................$ /year
Are you available to work:
Beginning Ending xx/xx/xx
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Are you currently on layoff status and subject to recall?.............
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Can you travel if the job requires?...........................................
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Have you been convicted of a felony within the last five years?....



Education
High School
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Name
Address
City
State
Course of Study
No. of Years Completed
Diploma/Degree (or equivalent)
Undergraduate College
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Name
Address
City
State
Course of Study
No. of Years Completed
Diploma/Degree (or equivalent)
Graduate Professional
Name
Address
City
State
Course of Study
No. of Years Completed
Diploma/Degree (or equivalent)
Other (Specify)
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Name
Address
City
State
Course of Study
No. of Years Completed
Diploma/Degree (or equivalent)


Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Describe any job related training received in the United States military.


Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

1.
Dates Employed
Hourly Rate/Salary
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Employer
*From
xx/xx/xx
*To
xx/xx/xx
*Starting
*Final
$
$
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Address
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Telephone Number(s)
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Work Performed
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Job Title
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Supervisor
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Reason for Leaving

2.
Dates Employed
Hourly Rate/Salary
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Employer
From
xx/xx/xx
To
xx/xx/xx
Starting
Final
$
$
Address
Telephone Number(s)Work Performed
Job Title
Supervisor
Reason for Leaving

3.
Dates Employed
Hourly Rate/Salary
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Employer
From
xx/xx/xx
To
xx/xx/xx
Starting
Final
$
$
Address
Telephone Number(s)Work Performed
Job Title
Supervisor
Reason for Leaving

4.
Dates Employed
Hourly Rate/Salary
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Employer
From
xx/xx/xx
To
xx/xx/xx
Starting
Final
$
$
Address
Telephone Number(s)Work Performed
Job Title
Supervisor
Reason for Leaving


List professional, trade, business or civic activities and offices held.

Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.

Specialized Skills
Check skills/Equipment Operated


Shorthand WPM: Typewriter WPM:

Production/Mobile Machinery
Other Skills

Additional Information
State any additional information you feel may be helpful to us in considering your application.


Note to Applicants
DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.



References
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Name
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Address
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City
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State
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Phone#
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Name
Address
City
State
Phone#
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Name
Address
City
State
Phone#


Applicant's Statement
I certify that the answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed one year.

I hereby understand and acknowledge that, unless defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my appliication or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

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You may submit a resume through one of the following:

                 By e-mail: Personnel

                 By Fax at: (575)396-3634

                 By Mail to: Lea County Electric Cooperative
                                C/O Personnel Dept.
                                PO Drawer 1447
                                Lovington, NM 88260


Please review your application for errors prior to submitting.