McLean County, North Dakota - Online Job Application

Military Data (U.S. only)

Branch of Service

Grade or Rating

Length of Service

Duties in Service (describe technical experience)

Education

Name and location of last grade or high school attended

Did you graduate?

Yes

Give Name and City of Vocational, Business School or Colleges Attended

Major Field

Minor Field

Degree Awarded

List Additional information such as certificates or licenses held, correspondence course, or special skills

Office Machines and/or Equipment

Volunteer Work Experience

Describe any pertinent volunteer and unpaid work experience

Please indicate your responsibilities, size of operation, time devoted to activity per month, and dates during which work occurred.

Last or Present Employer

Begin with your PRESENT or last job and described each period of employment as indicated.

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

If you still work here, may we contact your employer ?

Yes

Previous Experience

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

Previous Experience 2

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

Previous Experience 3

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

Previous Experience 4

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

Previous Experience 5

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

Previous Experience 6

Name of Employer:

Address of Employer:

Your Job Title or Classification:

Job Duties:

From:

Job type

Full Time

Part Time

Hours per week

Monthly salary (starting)

Ending

Supervisor’s Name:

Supervisor’s Title:

Reason for Leaving:

References

List three persons, not relatives or employers, who have knowledge of your character or ability.

Name

Address

City

State

Zip Code

Phone Number

References 2

Name

Address

City

State

Zip Code

Phone Number

References 3

Name

Address

City

State

Zip Code

Phone Number

Agreement

I Agree^*

Agree

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for in this application may be cause for cancellation of the application and/or separation from employment.

Signature^*