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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
8 . Acknowledgement

Note: This application will only remain active for 90 days, if you are still interested in employment at the RSCVA, you must complete another application form.

Applicants Acknowledgement

I hereby certify that all statements made in this application are true and correct to the best of my knowledge and belief. I understand and agree that any misrepresentation or omission of facts in my application may be justification for refusal to hire, or termination of employment.

I further understand and authorize that investigative reports may be made by the RSCVA to obtain any information relating to my activities from any current and/or past employers, schools, persons and organizations having any information or knowledge pertaining, but not limited to, my achievement, performance, attendance, personal history, disciplinary record, character, general reputation and other relevant information. I hereby direct you to release such information to the RSCVA or its duly authorized representative for its use in deciding my suitability for an offer of employment and I specifically waive any other required written notification, regardless of any agreement, that I may have made with you previously to the contrary. I release any and all individuals and/or organizations (including records custodians) from all liability for damages that may result to me on account of compliance or any attempts to comply with this authorization.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract, agreement or obligation between the RSCVA and me for either employment or for the providing of any benefit. If any employment relationship is established, I understand that the RSCVA is an At-Will Employer and my employment can be terminated at any time, with or without cause, at the option of either the RSCVA or myself.

Further, if employed by the RSCVA, I will comply fully with all company policies and procedures as written. I understand that the RSCVA is a Drug Free Workplace employer.

By checking YES, I certify that I understand all the questions and statements in this application.



9 . Drug Testing

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