Application for Employment

Complete all applicable areas. An incomplete application may reduce your opportunity for employment with the UMVRDC. Applications must be received by the application deadline. Late applications will not be considered.

Education

College, university, technical, business, trade, vocational or other school (list most recent first)

Work/Volunteer Experience

List all work and volunteer experiences (most recent listed first). Explain any gaps in employment in the section below. Attach additional sheets if necessary.

Additional Work/Volunteer Experience

List all work and volunteer experiences (most recent listed first). Explain any gaps in employment in the section below. Attach additional sheets if necessary.

Additional Work/Volunteer Experience

List all work and volunteer experiences (most recent listed first). Explain any gaps in employment in the section below. Attach additional sheets if necessary.

Equal Employment Opportunity

It is the UMVRDC’s policy to provide equal opportunity in employment. The UMVRDC will not discriminate on the basis of race, color, creed, age, religion, national origin, marital status, disability, sex, sexual orientation, familial status, status with regard to public assistance, local human rights commission activity or any other basis protected by law. Please furnish complete information, so we may accurately and completely assess your qualifications. You may attach any other information which provides additional detail about your qualifications for employment in the position you seek. Please refer to the Applicant Data Practices Advisory for guidance regarding how your application information will be used, the consequences of providing or not providing your information, and more. The UMVRDC accommodates qualified persons with disabilities in all aspects of employment, including the application process. If you believe you need a reasonable accommodation to complete the application process, please contact Dawn Hegland at dawn.hegland@umvrdc.org or 320.289.1981 x 101

Data Privacy Notice

The information requested on this application is intended to be used by the UMVRDC in determining suitability for employment for the position which you are currently seeking or may seek in the future. You are not legally required to provide any of the information on this form at this time. However, failure to provide complete, accurate information may result in the UMVRDC being unable or unwilling to offer employment to you. Under the law, the following data on you as an applicant is public. This means that it is available to anyone who asks to see it. 1. Veteran status 2. Relevant test scores 3. Your rank on our eligible list 4. Your job history 5. Your education and training; and 6. Your work availability Your name is considered private until you are certified eligible for appointment to a vacancy or considered by the appointing authority to be a finalist for a position in public employment. For the UMVRDC purposes “finalist” means an individual who is selected to be interviewed by the appointing authority or their designee prior to selection. The information on this application which is classified as private data under the Minnesota Government Data Practices Act will not be released outside the UMVRDC without your consent except as necessary for tax purposes or otherwise required by state or federal law.

Background Check

The UMVRDC will conduct a background check on the finalist. This may include employment eligibility verification, credit, criminal, drivers record, education and prior employment. No offer of employment shall become final until receipt of the results of the background check, the content of which is acceptable to the UMVRDC.

Certification Achnowledgement & Release

I certify that the answers I have given on this application are true and correct to the best of my knowledge. I understand that any false or misleading information provided, or any omission or concealment of facts, will disqualify me for consideration for employment and constitutes grounds for my immediate dismissal should I be employed by the UMVRDC. I understand, acknowledge and agree that no offer of employment is valid or binding until formal approval by the UMVRDC Executive Director and that until such approval the UMVRDC shall not be liable for any reliance on any oral or written offers of employment made to me. I hereby authorize in connection with this application any and all current and former employers, organizations where I have volunteered (“volunteer organizations”) and references named in this application, or any agent of such current or former employer or volunteer organizations, to release to the UMVRDC and its agents any and all information regarding my job performance and fitness/qualifications to perform the position I am presently seeking and any other employment or related information, both public and private, in their possession. I understand that the UMVRDC will use this information in determining my fitness/qualifications for the position I am seeking. This authorization expires one year from the date of my signature below. I hereby release the UMVRDC and all current and former employers, volunteer organizations and references listed herein and any and all agents acting on behalf of said the UMVRDC, current and former employers, volunteer organizations or references, from any and all liability of whatever nature by reason of requesting or providing such information.