WATER TREATMENT PLANT OPERATOR

Have you applied or been employed with us before?*
- No
- Applied
- Employed
A response is required
Confirm the Following - Must meet all requirements to be eligible for employment with the City of Martinsburg.*
- I am 18 years or older
- I possess a valid Driver's License
- I am able to be legally employed in the United States
A response is required
Can you travel if position requires it?*
- Yes
- No
A response is required
Highest level of Education?*
- High School
- Undergraduate College/Technical School
- Graduate/Professional School
A response is required
Other Education (Please Specify)*
A response is required
Languages other than English?*
A response is required
Describe any specialized training, apprenticeship, skills or extracurricular activities.*
A response is required
Describe any job related training received in the US Military.*
A response is required
Summarize special job-related skills and qualifications acquired from employment or other experience.*
A response is required
List professional, trade, business, or civic activities and offices held (you may exclude memberships that would reveal gender, race, religion, national origin, age, disability or other protected status).*
A response is required
List any additional information, skills, or equipment used that you may feel would be helpful in considering your application.*
A response is required
Reference 1 Name and Relationship:*
A response is required
Reference 1 Phone:*
A response is required
Reference 2 Name and Relationship:*
A response is required
Reference 2 Phone:*
A response is required
Reference 3 Name and Relationship:*
A response is required
Reference 3 Phone:*
A response is required
Equal Employment Survey Questionnaire*
The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. Completion of this data is voluntary and will not affect your opportunity for employment or terms and conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records and only accessed by the Human Resources Department.
- Male
- Female
A response is required
Birth Date*
A response is required
Racial or Ethnic Background*
Please check only one (1) which best describes your primary racial/ethnic background
- Black/African American (non-Hispanic) A person having origins in any of the black racial groups of Africa
- White (non-Hispanic) A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
- American Indian or Alaskan Native (non-Hispanic) A person having origins in any of the peoples of the original peoples of North or South America (including Central America) and who maintain tribal affiliation or community attachment
- Asian (non-Hispanic) A person having origins in any of the original peoples of the Far east, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.
- Native Hawaiian or Other Pacific Islander (non-Hispanic) A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Island.
- Hispanic or Latino – A person of Cuban, Mexican, Puerto Rican, South of Central American, or other Spanish culture or origin regardless of race.
A response is required
Disability or Veteran Status*
Check any that apply:
- Disabled Individual
- Disabled Veteran
- Vietnam Era Veteran
- Military service in a campaign for which a campaign badge was authorized and received
A response is required
Date of Discharge (Veteran Only)*
A response is required

City of Martinsburg

Application Submitted

WATER TREATMENT PLANT OPERATOR

Personal Details

Full Name*

Email Address*

Phone Number*

Address*

Desired Salary

Experience

Work History*

Education*

Experience Summary*

Cover Letter

Have you applied or been employed with us before?*

Confirm the Following - Must meet all requirements to be eligible for employment with the City of Martinsburg.*

Can you travel if position requires it?*

Highest level of Education?*

Other Education (Please Specify)*

Languages other than English?*

Describe any specialized training, apprenticeship, skills or extracurricular activities.*

Describe any job related training received in the US Military.*

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

List professional, trade, business, or civic activities and offices held (you may exclude memberships that would reveal gender, race, religion, national origin, age, disability or other protected status).*

List any additional information, skills, or equipment used that you may feel would be helpful in considering your application.*

Reference 1 Name and Relationship:*

Reference 1 Phone:*

Reference 2 Name and Relationship:*

Reference 2 Phone:*

Reference 3 Name and Relationship:*

Reference 3 Phone:*

Equal Employment Survey Questionnaire*

Birth Date*

Racial or Ethnic Background*

Disability or Veteran Status*

Date of Discharge (Veteran Only)*

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