American States Water
Water Distribution Operator I (3.23)
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Personal Information

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Additional Information

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Military Service

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Employment History

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Two Professional References

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Applicant Consent - Signature

“I certify that the information contained in this application, as well as any and all related information (for example, cover letter, resume, and/or other documentation) provided by me to the Company, is correct to the best of my knowledge and understand that falsification of this information or material omission is ground for refusal to hire or dismissal regardless of when the falsification or omission is discovered. I authorize all of the individuals whom I have listed on this application to give any and all information regarding my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing or procuring such information.

If I am employed, in consideration of my employment, I agree to conform to the rules and regulations of the Company. I acknowledge that these rules and regulations may be changed, withdrawn or added to by the company at its sole option and without any prior notice to me. I understand and agree that unless otherwise provided for under the terms of a collective bargaining agreement or other specific written employment agreement signed by an authorized executive of the Company, my employment, if I am hired, will be “at-will”. This means that either the Company or I may terminate our employment relationship at any time, for any reason, with or without cause or prior notice.”

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I certify that all of the information in this application is true and correct as of this date.

Application Review