APPLICATION FOR EMPLOYMENT

Nodak Electric Cooperative, Inc. 4000 32nd Ave S Grand Forks ND, 58201

Please read before completing the Application for Employment

Nodak Electric Cooperative, Inc. is an Equal Opportunity Employer. Our objective is to maintain a continuing policy of non-discrimination in employment. You will be considered for employment based upon your qualifications for the position for which you have applied.

Nodak Electric Cooperative, Inc. is the recipient of Federal financial assistance from the U.S. Department of Agriculture (USDA). The USDA prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familiar status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program . (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202)720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue S.W., Washington, D.C. 20250-9410, or call (800)795-3272 (voice) or (202)720-6382 (TDD). USDA is an equal opportunity provider and employer.

Nodak Electric Cooperative, Inc. is committed to comply with North Dakota law which prohibits smoking within Company premises and within 20 feet of entrances, exits, operable windows, air intakes and ventilation systems of enclosed areas of places of employment. Smoking is also prohibited in any Nodak Electric Cooperative, Inc. vehicle.

Personal Information
Present Address
Is Present Address your Permanent Address?
Permanent Address

Eligibility

Application for Employment
Work Type
Are you eligible for employment in the United States
Are you over the age of 18?
Were you previously employed by Nodak Electric Cooperative, Inc.?
If your application is considered favorably, when would you be available to start work?

Education

Education
Address of Educational Institution
Education
Address of Educational Institution

Military Service Record

Military
Were you in the United States Armed Forces?

Additional Qualifying Skills

Additional Qualifying Skill

Personal References

Personal References (Excluding previous employers and relatives)
Personal Reference 1
Address
Personal Reference 2
Address
Personal Reference 3
Address

Work History

Work History
Does your resume include your work history
Previous Employer (required)
Address
May we contact?
Previous Employer (optional)
Address
May we contact?

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Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, pages.

Sign above

The facts stated in my application are true and complete. It is understood that if employed, false statements shall be considered sufficient cause for dismissal. I understand that this application does not by itself create a contract of employment.

Invitation to Self-Identify

Nodak Electric  Cooperative in accordance with Title 41 Code of Regulations invites all applicants or employees to complete the information listed below.  This information will be a valuable assistance in fulfilling Nodak’s federal and state statistical reporting and Equal Opportunity/Affirmative Action requirements and will not be used for or have any effect on any hiring decisions.  This information is voluntary and refusal to provide it will not subject you to adverse treatment.  The information obtained will be treated in a highly confidential manner and will be used to assist Nodak in the proper and safe placement of all employees including the reasonable accommodations of an individual with a disability. 

Gender
Ethnicity

The term “disability,” with respect to the Americans with Disability Act, refers to an individual who has:

  • A physical or mental impairment that substantially limits one or more of the major life activities of such individual;
  • A record of such an impairment; or
  • Being regarded as having such impairment.

If you have a handicap or disability which might affect your performance or create a hazard to yourself or others in connection with the job for which you are applying or are presently performing, please state the following: (1) the skills and procedures you use or intend to use to perform the job notwithstanding the handicap or disability and (2) the accommodation(s) we could make which would enable you to perform this job properly and safely.

Veteran Status:
A citizen of the United States regularly enlisted, drafted, inducted or commissioned, who was accepted for and assigned to active duty in the armed forces of the United States.
According to the Amendments to the Vietnam Era Veterans Readjustment Assistance Act of 1974, a special disabled veteran is: a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Veterans’ Administration for a disability (i) rated at 30 percent or more, or (ii) rated at 10 or 20 percent in the case of a veteran who has been determined under section 1506 of this title to have a serious employment handicap, or a person who was discharged or released from active duty because of a service connected disability. Please specify any accommodations, which would allow you to do your job safely and properly.
A person who has served on active duty for a period of more than 180 days, any part of which occurred between August 5, 1964 and May 7, 1975, and was discharged or released there from with other than a dishonorable discharge, or discharged or released from active duty for a service connected disability during the same period.