Application for Employment
We are an equal opportunity employer, dedicated to a policy of non discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.
For what type of employment are you applying for and where? *
I: Personal Information
Name *
Last, First, Middle Initial
Your answer
Present Address *
Your answer
Social Security Number (Last 4 digits) *
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Your answer
Telephone *
(XXX) XXX-XXXX
Your answer
Is there any information we would need about your name or use of another name for us to be able to check your work record? *
If yes, please specify.
Your answer
Do you have any relatives who are presently (or have formerly been) employed by Nevada PEP? *
If yes, please specify
Your answer
How were you referred to Nevada PEP? *
Were you referred by a Nevada PEP staff member? If so enter their name please.
Your answer
Have you ever been convicted of a felony? *
If yes, please specify
Your answer
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