Orcas Power and Light Cooperative: Employment Application

Orcas Power and Light Cooperative (OPALCO) is an equal opportunity employer and does not discriminate in employment because of race, color, creed, religion, sex, age, national origin, ancestry, physical or mental disabilities, on-the-job injuries, marital or veteran status, or any other legally protected status unless it is a bona fide occupational requirement reasonably necessary to the operation of our business.

 
 
 
 
 
 
 
 
 
 
 
 

Are you legally able to be employed in the State of Washington?


(NOTE: All successful applicants will be required to provide proof of identity and eligibility for employment.)

 
 
 

If you are offered a position at OPALCO, when will you be available to start?

 
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Do you have the manual dexterity, with or without reasonable accommodation, to do this job?

 

Do you have the visual acuity, with or without reasonable accommodations, to do this job?

 

Do you have the physical ability, with or without reasonable accommodations, to do this job?

 

Do you have the hearing acuity, with or without reasonable accommodation, to do this job?

 

Orcas Power and Light Cooperative Policy 4 Employment of Relatives precludes employment of relatives of current employees where one of the parties would have authority (or practical power) to supervise, appoint, remove, or discipline the other; one party would handle confidential material that creates improper or inappropriate access to that material by the other; one party would be responsible for auditing the work of the other; or other circumstances exist that might lead to potential conflict among the parties or conflict between the interest of one or both parties and the best interests of Orcas Power and Light Cooperative. Decisions regarding the foregoing shall be determined in the sole discretion of the general manager.

 

Conviction of a crime is not an automatic bar to employment. Factors such as the nature and gravity of the crime, the length of time that has passed since the conviction, and/or completion of any sentence, and the nature of the job for which you have applied will be considered.


Have you ever been CONVICTED of any crime other than traffic violations?

 
 

Have you been CONVICTED of any traffic violations in the last three years?

 

Provide your four (4) most recent employers beginning with your current or most recent. Please list: Employer Name; Telephone Number; Supervisor; Job Title; Dates of Employment; Work Performed; Reason for Leaving for all four entries.

Most recent employer:

 

Please list: Employer Name; Telephone Number; Supervisor; Job Title; Dates of Employment; Work Performed; Reason for Leaving for all four entries. If you have not had more than one job, please enter "N/A"

 

Please list: Employer Name; Telephone Number; Supervisor; Job Title; Dates of Employment; Work Performed; Reason for Leaving for all four entries. If you have not had more than two jobs, please enter "N/A"

 

Please list: Employer Name; Telephone Number; Supervisor; Job Title; Dates of Employment; Work Performed; Reason for Leaving for all four entries. If you have not had more than three jobs, please enter "N/A"

 

Please provide four references. Three references must be professional. Label each reference according to the relationship. Relatives will not be considered a valid reference. Please list, name, phone number and email address of each reference.

Professional Reference #1

 

Please provide, name, phone number and email address of professional reference.

 

Please provide, name, phone number and email address of professional reference.

 

Please provide, name, phone number and email address of personal reference.

 

If you were employed under a maiden name or any other name, please indicate that name and the employer(s) who knew you by that name.

 
 

Please list any education, training, or specialized experience you feel relates to the position(s) applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, military training, hobbies, etc.

 
 

Orcas Power and Light Cooperative is an equal opportunity employer and does not discriminate in employment

because of race, color, creed, religion, sex, age, national origin, ancestry, physical or mental disabilities, onthe-job injuries, marital or veteran status, or any other legally protected status unless it is a bona fide occupational requirement reasonably necessary to the operation of our business.

  • I authorize Orcas Power and Light Cooperative to solicit information regarding my character, general reputation, previous employment and similar background information, to verify all information provided in my application, and to contact all references given on my application. I hereby waive any privilege I may have regarding this information and release all persons connected with any such request from all claims, liabilities and damages arising out of the furnishing of such information.
  • I certify that the facts and information in this application and in any attachments or supporting documents are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omissions, as well as any misleading statements or omissions will be cause for denial of employment or immediate termination, regardless of when or how discovered.
  • I understand that the consideration of my application by Orcas Power and Light Cooperative is not an offer of employment and that in the event I am hired, my employment and compensation may be terminated, with or without cause, and with or without notice, at any time. No personnel recruiter, interviewer or other representative of Orcas Power and Light Cooperative other than the General Manager has any authority to enter into any agreement for employment for a specified time, or to make any agreement contrary to the foregoing.
  • Orcas Power and Light Cooperative is a drug and alcohol-free workplace, which includes marijuana regardless of state laws. I understand that I may be required to submit to a pre-employment physical or other professional examinations, medical inquiries and/or urinalysis tests for the presence of drugs. I agree to such examinations, inquiries and/or testing at Orcas Power and Light Cooperative’s expense. I authorize release of the results to Orcas Power and Light Cooperative and their use to evaluate my suitability for employment. I also release Orcas Power and Light Cooperative from all liability arising out of or connected with any examinations, inquiries and/or testing.


I am acknowledging that I have read each of the above statements. I have also reviewed all of the information I was provided in this application.

 
 
 
mm/dd/yyyy
 

 

**VOLUNTARY** Demographic Information

Orcas Power and Light Cooperative (OPALCO) is an equal opportunity employer and does not discriminate in employment because of race, color, creed, religion, sex, age, national origin, ancestry, physical or mental disabilities, on-the-job injuries, marital or veteran status, or any other legally protected status unless it is a bona fide occupational requirement reasonably necessary to the operation of our business.

 
 
 
 
 
 

 

USDA Nondiscrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.




Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.




To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/ad-3027.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:




mail:


U.S. Department of Agriculture


Office of the Assistant Secretary for Civil Rights


1400 Independence Avenue, SW


Washington, D.C. 20250-9410; or


fax:


(833) 256-1665 or (202) 690-7442; or


email:


Program.Intake@usda.gov






This institution is an equal opportunity provider.

 

Please attach your Cover Letter & Resume:

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