Spring Creek Association
451 Spring Creek Parkway, Spring Creek, NV 89815
Telephone (775) 753-6295
Fax (775) 753-6295
EMPLOYMENT APPLICATION
AN EQUAL OPPORTUNITY EMPLOYER
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If you have a disability and believe you require accommodation for the disability during the
selection process, please contact us to make appropriate arrangements.
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INSTRUCTIONS:  THIS APPLICATION IS PART OF THE EXAMINATION PROCESS.  TYPE OR PRINT CLEARLY.  ANSWER ALL QUESTIONS COMPLETELY AND CORRECTLY.
________________________________________________________________________________
Position Applied For:______________________________________________________________
Department:____________________________________ Date:____________________________
Name:_________________________________________ SSN#:___________________________
State:__________________ Zip Code:___________Telephone:_(____)_____________________
Are you a current Spring Creek Association employee? Yes ___ No ___ If Yes, what department_________________
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EDUCATION RECORD     Did you graduate from high school or recieve a GED certificate?  Yes_____ No _____


      School Name                                                                      Hours                   Diploma,                            Major field of Study
                                                                         Location             Earned                 Degree or
                               _                     _     __                                                                Certificate_____________________________________  
       HighSchool                                                                                                                                                                                          _                    
  Business/Technical/Vocational_   _________________________________________________________________________                              College/University  (Undergraduate)
  1.                                                                                                                                                                                                                         ____    
  2.                                                                                                                                                                                                                   _    ____     
  Graduate School 
   

  

                   
                       For positions which require high school graduation or GED, or a college degree, a copy of the high school
                        diploma/GED certificate or college diplona may be required.
       
       LICENSES  (Optional, unless required for the position for which you are now applying.) 
 
  List Driver's License and other current licenses, certifcations, or registrations required for the position for which
  you are applying. Indicate types, state license numbers and expiration dates.
  ___________________________________________________________________________________________________
   List any special skills you possess and/or equipment or office machines you can operate.
  ___________________________________________________________________________________________________
  ___________________________________________________________________________________________________
  LANGUAGE (other than English) in which you can clearly communicate.
  ____________________________________ Speak_______ Read_______ Write__________
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SCA Employment Application                                      Page 1 of 3
Revised 9-27-04