Nebraska City Utilities Application For Employment 1 Contact Information2 Education3 Work Experience4 References5 Sign & Submit Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap. Date Position(s) applying for:*How did you learn about this position? (News paper; our website; job service; friend; other)Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Have you filed an application here before? Yes No If yes, give date:Have you ever been employed here before? Yes No If yes, give date:Are you employed now? Yes No May we contact your present employer? Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No (Proof of citizenship or immigration status may be required upon employment) Save and Continue Later EducationElementary School Name Describe Specialized Training, Apprenticeship, Skills, and Extra Curricular Activities High School School Name Describe Specialized Training, Apprenticeship, Skills, and Extra Curricular Activities College/ University School Name Describe Specialized Training, Apprenticeship, Skills, and Extra Curricular Activities Graduate/ Professional School Name Describe Specialized Training, Apprenticeship, Skills, and Extra Curricular Activities Honors Received:Additional or Other Education Save and Continue Later Employment ExperienceStart with your present or last job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex or national origin. Name of EmployerPhoneAddress Street Address City State / Province / Region ZIP / Postal Code Job TitleSupervisorReason for LeavingDates Employed From To Hourly Rate/Salary Starting Final Work PerformedName of EmployerPhoneAddress Street Address City State / Province / Region ZIP / Postal Code Job TitleSupervisorReason for LeavingDates Employed From To Hourly Rate/Salary Starting Final Work PerformedName of EmployerPhoneAddress Street Address City State / Province / Region ZIP / Postal Code Job TitleSupervisorReason for LeavingDates Employed From To Hourly Rate/Salary Starting Final Work PerformedSpecial Skills and QualificationsSummarize special skills and qualifications acquired from employment or other experiences. Save and Continue Later ReferencesGive name, address and telephone number of three references who are not related to you and are not previous employers. State any additional information you feel may be helpful to us in considering your application. Save and Continue Later Applicant’s StatementI certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not nor is it intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.I agree to the statement above* Yes Name of Applicant*By typing your name here you agree to adopt this field as your online signature.Date* PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.