APPLICATION FOR EMPLOYMENT

FLATHEAD COUNTY

FLATHEAD COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER

POSITION APPLYING FOR: Laborer/Spotter

POSITION CLOSING DATE: Until filled

APPLICATION SUBMITTED: 02/15/2024 08:58 pm

YOUR INFORMATION

First Name: Robert MI: A Last Name: Masters

Mailing Address: 1985 HWY 35 trailer C-5, United,States City: Kalispell State: MT Zip: 59901

Home Phone:

406-***-****

Cell Phone:

406-***-****

Msg Phone:

Email Address: ad3zve@r.postjobfree.com

Have you worked for Flathead County before? N

If YES, under what name and in which department?

WILL YOU ACCEPT:

X Regular Full-Time X Part-Time (less than 40 hrs/wk) X Temporary (up to 12 months) X Seasonal

Date when available for employment: 2024-02-19

Are you a United States citizen or legally authorized to work in the U.S.? Y If required for this position, do you have a valid driver's license? Y Valid commercial license? N If YES, enter class (A1 A2 B1 B2 C1 C2): Are any members of your immediate family employees of Flathead County? N If YES, identify by name, relationship and department: Have you ever been convicted of a crime other than a minor traffic violation? * N

* A record of criminal conviction will not necessarily bar you from employment. BONDING INFORMATION (IF REQUIRED)

Are you able to be bonded? Y If NO, explain why:

EDUCATION

High School Name and Location:

Years Completed: 10 Received Diploma/GED? Y

Describe Course(s) of Study and/or Relevant Course Basic Vo-Tech/Other School Name and Location:

Years Completed: Diploma/Degree:

Describe Course of Study and/or Relevant Course

Undergrad College/University Name and Location:

Years Completed: Degree:

Describe Course of Study and/or Relevant Course

Graduate/Professional School Name and Location:

Years Completed: Degree:

Describe Course of Study and/or Relevant Course

EXPERIENCE

Begin with your present or most recent job, and list your work experience with emphasis on experience that is relevant to the position for which you are applying. Include military service and any volunteer work that has provided experience that would help you qualify. List each promotion as a separate position. THIS INFORMATION MUST BE COMPLETED EVEN IF A RESUMÉ IS SUBMITTED. IF YOU NEED ADDITIONAL SPACE, PLEASE CONTINUE ON A SEPARATE SHEET OF PAPER AND ATTACH TO THIS APPLICATION.Do you want to be informed before we contact your present employer? N

Employer: Tupilosgrill

Job Title: Prep cook

Supervisor: Justin

Address: Whitefish Phone: 000*******

Beginning Salary: 15 Ending Salary: 18

Dates Employed: From 2021-05-03 To 2022-11-25

Work Performed: Prepared meals for dinner service

Reason For Leaving: Not enough hours

Employer: Trophy Foundations

Job Title: Mason/ form setter

Supervisor: Delmer Buller

Address: Kalispell Montana Phone: 406-***-****

Beginning Salary: 12.50 Ending Salary: 21.50

Dates Employed: From 2003-04-07 To 2024-02-15

Work Performed: Set footings and walls for new home foundations. Reason For Leaving: Son took over company but didn't show any respect for us employees LIST ALL RELEVANT SKILLS

Skills with office machines (typewriter, 10-key, etc.): Skills with data entry equipment, personal computer (list programs/software): Other tools/equipment: Bobcat operator all hand tools chainsaws backhoes lawn mower pole climbing certified can read blue print's and can locate property pins

List other licenses, certificates and special training related to the position that you are seeking (CPA, LPN, RN, etc.):

PLEASE LIST AT LEAST THREE (3) JOB RELATED REFERENCES Name: Delmer Buller Phone: 406-***-****

Title: Cement Address: Kalispell Montana

Name: Frank Telling Phone: 406-***-****

Title: Retired Address: Columbia Falls

Name: Chris Neva Phone: 406-***-****

Title: Laborer Address: Kalispell

Name: Phone:

Title: Address:

State any additional information that you feel may be helpful to us in considering your application for employment with Flathead County:

VETERAN'S AND HANDICAPPED EMPLOYMENT PREFERENCE

If you wish to claim Veteran's or Handicapped Persons Employment Preference, in accordance with Montana Law, you must complete this form with your application and it must be submitted by the posted closing date. One form must be completed for each position for which you wish to be considered. 1. To claim Veterans' Employment Preference you must be a U.S. Citizen and (select one of the options below): I. I AM NOT CLAIMING A PREFERENCE

II. To claim VETERAN'S EMPLOYMENT PREFERENCE, you must be a U.S. citizen and select one of the options below:

X A Veteran, if

1. You have been separated under honorable conditions, AND 2. You have served more than 180 consecutive days of active duty other than for training in the Army, Air Force, Navy, Marines or Coast Guard, or as a member of the Montana Army or Air National Guard and completed your 6 year enlistment with the last 3 years in a Montana Guard unit. A Disabled Veteran, if

1. You have been separated under honorable conditions from active duty, AND 2. You have an established Armed Forces, service-connected disability OR are receiving compensation, disability retirement benefits, or pension from the U.S. Department of Veterans Affairs or military department, OR you have received a Purple Heart.

The spouse of a disabled veteran if the veteran's disability prevents him/her from working. The unmarried surviving spouse of veteran or disabled veteran. The mother of a veteran, if

1. THE VETERAN lost his or her life under honorable conditions while serving in the Armed Forces, OR THE VETERAN has a service-connected, permanent, and total disability, AND 2. YOUR SPOUSE is totally and permanently disabled, OR you are the unremarried widow of the father of the veteran

PLEASE ATTACH FORM DD-214 OR NATIOAL GUARD DCSPER FORM 1 IN THE NEXT SECTION III. You may claim HANDICAPPED PERSONS EMPLOYMENT PREFERENCE as (select one of the options below): A handicapped person certified by DPHHS.

The spouse of a totally (100%) disabled person certified by DPHHS. If you checked one of the above boxes for Handicapped Persons Employment Act: Are you a Montana resident?

If YES, enter date residency was established:

PLEASE ATTACH COPY OF DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES (DPHHS) CERTIFICATION IN THE NEXT SECTION

SUPPORTING DOCUMENT ATTACHMENTS (resumé, DD-214, training certificate, etc.) Document #1: Resume

Document #2:

Document #3:

Document #4:

Document #5:

Document #6:

Powered by TCPDF (www.tcpdf.org)

Contact this candidate