Application For Employment

INSTRUCTIONS: This application must be filled out completely and submitted to RSCVA - Human Resources Dept. P.O. Box 837 or 4001 S. Virginia St, Reno, NV 89502. Failure to provide complete information may eliminate you from consideration for employment. As an EQUAL OPPORTUNITY EMPLOYER, the RSCVA does not discriminate against applicants or employees because of their age, race, color, religion, national origin, sex, disability, veteran status or any other legally protected status.

All fields marked with * are required.

6 . References
7 . Work Experience

Beginning with you present or most recent position, list all your employment history for at least the last ten (10) years. Please include any periods of volunteer service, military service, and unemployment of 60 days or more. Provide the dates, locations and explanations. You may attach a resume; however, this entire application must be completed.

* Name of Employer:
* Name Under Which You Were Employed:
* Type of Business:
* Address:
* Phone: - -
* Reason for Leaving:
* Title of position held:
* Name of supervisor:
* Employed Dates:
* Hrs. Per Week:
* Last Salary:
* Please identify the most important tasks/duties performed and percentage of time spent on each task:

8 . Acknowledgement
9 . Drug Testing