Poppies spring up around the Truckee Meadows
Poppies spring up around the Truckee Meadows
County Home => Juvenile Services => Employment => On-Call Application

WASHOE COUNTY JUVENILE SERVICES ON-CALL YOUTH ADVISOR APPLICATION
INSTRUCTIONS:
Carefully review the instructions below to ensure that your job application can be submitted successfully:
1. All items marked with an * are required.
2. List all jobs in reverse order, starting with your present or last job.
3. List your entire work history including part-time, temporary, self-employment, volunteer and military jobs.
4. Please complete this application in it`s entirety.
Optional Information:
The following information will be used by the Washoe County Department of Juvenile Services for research and statistical purposes only. Federal and State laws make it unlawful to discriminate in employment on the basis of race, color, religion, sex, sexual orientation, national origin, disability or age. Your participation is voluntary and would be greatly appreciated. This information will be kept separate and confidential and will not be used to make any employment decision.
I learned of this opportunity through: (you may check more than one item)
- Walk-in Juvenile Services
- Juvenile Services Website
- Juvenile Services employee
- Community Services Organization
- Correspondence from Juvenile Services
- College / Technical School
- Parent / Guardian
Choose one ethnic group with which you most closely identify:
- Caucasion
- African-American
- Hispanic
- Asian / Pacific Islander
- American Indian or Alaskan Native
- Native Hawaiian
Date of Birth (MM / DD / YYYY):
Gender:
- Male - Female
Name: *
Social Security Number:
Street Address: *
City: *
State: *
Zip Code: *
Phone Number: *
Alternate Phone:
Email Address:
Valid Nevada Driver`s License Number:
Expiration Date (MM / DD / YYYY):
ARE YOU CURRENTLY EMPLOYED BY WASHOE COUNTY? *
- Yes - No
If Yes, which Department?
HAVE YOU EVER BEEN EMPLOYED BY WASHOE COUNTY? *
- Yes - No
ARE YOU A VETERAN?
- Yes - No
SHIFT AVAILABILITY * (you may check more than one item)
- Day
- Graveyard
- Swing
- Weekend
- Holiday
Have you ever been convicted of a felony or misdeanor other than minor traffic violations? Note: a conviction is not necessarily a bar to employment, but lack of requested information is basis for rejecting an application and / or withdrawal of any offer of employment. *
- Yes - No
If yes, please explain. Include type of offense, date and a detailed explanation:
List Job-related Certificates, Licenses and Special Qualifications. Include the State in which it was earned and the expiration date:
Did you graduate from High School? *
- Yes - No
If not, have your passed a G.E.D. test?
- Yes - No
List all Colleges or Trade School Attended. Include the Name of the School, Dates attended, Major, Credits earned, Degrees and Certificates earned: *
Provide complete, accurate and detailed information regarding your employment history. This information is used to determine if you meet the minimum qualifications for an On-Call Youth Advisor position.
1. From (MM / DD / YYYY): *
To (MM/DD/YYYY): *
Employer Name and Location: *
Your Title: *
Immediate Supervisor and Phone Number: *
Duties: *
Reason for Leaving: *
2. From (MM / DD / YYYY):
To (MM/DD/YYYY):
Employer Name and Location:
Your Title:
Immediate Supervisor and Phone Number:
Duties:
Reason for Leaving:
3. From (MM / DD / YYYY):
To (MM/DD/YYYY):
Employer Name and Location:
Your Title:
Immediate Supervisor and Phone Number:
Duties:
Reason for Leaving:
4. From (MM / DD / YYYY):
To (MM/DD/YYYY):
Employer Name and Location:
Your Title:
Immediate Supervisor and Phone Number:
Duties:
Reason for Leaving:
5. From (MM / DD / YYYY):
To (MM/DD/YYYY):
Employer Name and Location:
Your Title:
Immediate Supervisor and Phone Number:
Duties:
Reason for Leaving:
6. From (MM / DD / YYYY):
To (MM/DD/YYYY):
Employer Name and Location:
Your Title:
Immediate Supervisor and Phone Number:
Duties:
Reason for Leaving:
1. I declare that all statements in this application or information provided by me whether verbal or written is true and complete. I understand that if I provide false information, it shall be sufficient cause for disqualification, withdrawal of employment offer, or dismissal.
2. I attest that I have the legal right to reside and work in this country (proof required upon offer of employment).
3. In connection with this application, I authorize Washoe County and any agent acting on its behalf to conduct an inquiry into any information related to my potential or continued employment and authorize the release of any such information, including, but not limited to, statements from prior employers and any criminal conviction on my record. Moreover, I hereby release Washoe County and any agent acting on its behalf from any liability by reason of requesting such information from any persons and its subsequent release as provided herein:
I have read, understand and accept the above conditions: *
- Yes - No
You may contact my current employer: *
- Yes - No
List any other names that you have used: