Employment Application
Thank you for your interest in SouthEastern Idaho Community Action Agency! Please complete the following form as accurately as possible.

Please email your resume to hr@seicaa.org

For any technical issues with the application please contact Shantay Bloxham at 208-232-1114 x113 or hr@seicaa.org

Personal Data
SEICAA is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, national origin, religion, sex, veteran status or disability.

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity within three (3) days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Full Name
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Phone Number
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Email Address
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Address
(Street, City, State / Province, Postal / Zip Code, Country)
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For what position(s) are you applying
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How were you referred to us?
If you were referred to us by an employee please type their name in the "Other" box
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Education
Education
Check the highest level of education completed
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List any relevant certificates earned/ in-progress and any training programs not under education
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Previous Employment
List your current or most recent employment first. Include work related internships, military and volunteer work.
Name of Current/Most Recent Employer
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Address
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Phone number
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Supervisors Name and Title
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Position held
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Reason for leaving
If currently employed , please type "N/A"
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Start Date
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End Date
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May we contact your employer
Name of Next Most Recent Employer
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Address
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Phone number
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Supervisors Name and Title
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Position held
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Reason for Leaving
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Start Date
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End Date
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May we contact your employer
Additional Information
List any Professional Organizations/Affiliations to which you belong: (Optional)
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Professional References
Please include: Name, contact information, and professional relationship for three (3) professional references.
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Releases and Applicant's Signature
Verification: I verify that the information I have provided on this application is true and accurate. I understand that any false or misleading information that I furnish on or in connection with this application for employment may result in rejection of my application or termination of my employment.

Employment-at-Will: All hiring and employment at SEICAA is at-will. I understand this application is not an employment contract, nor can it be used to create one. Employment by SEICAA has no specific term and may be terminated by the employee or SEICAA with or without notice. I acknowledge that SEICAA has not made any promises or representations that differ from those contained in this paragraph.

Documentation: I understand I must provide satisfactory documents to establish my identity and right to work in the United States if I am offered a position with SEICAA, and that failure to provide this evidence will result in the termination of my employment.

Confidential Information: During and after any employment with SEICAA, I will not divulge or appropriate for my own use or for the use of others, except as SEICAA may authorize or direct, any knowledge or information obtained by me during my employment and considered by SEICAA confidential.

By signing this application form, I certify that I have read and agree to the terms of the above employment understanding.

Signature
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Date
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