Privacy Statement: Unless required by law, subpoena, or other authority, information collected through forms on this website is for the private use of the Sutter-Yuba Mosquito & Vector Control District and its contractors where there is need or responsibility for its review. Sensitive information requested on web forms is encrypted and transmitted in 256 bit SSL. For individuals that are uncomfortable or have concerns about using digital/electronic forms requiring sensitive information, please contact our office to communicate directly or for other alternatives.
Required *
Note: Hire may be subject to passing a criminal background check, physical examination, and to skill and agility tests.
Please give an accurate and complete full-time and part-time employment record for the last ten (10) years. Start with your most recent employer. Include all gaps in employment.
List below three persons who have first-hand knowledge of your work performance within the last three years.
Please Read Below. This application is not complete until all statements below have been read and checked 'Yes'.
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I hereby authorize Sutter-Yuba Mosquito & Vector Control District to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment and, further, authorize my former employers to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation.
I understand that nothing contained in the application or conveyed during any interview which may be granted is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company's designated representative.
