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Thank you for considering a career at Southeast New Mexico Community Action Corporation. Please complete this application as fully as possible and to the best of your abilities.
Please be prepared to provide information about your personal background, education and employment history. We will also request three professional references, a cover letter and resume. This application must be completed in one sitting period as progress cannot be saved.

An Equal Opportunity Employer, SNMCAC considers applicants for all positions without regard to race, color, national origin, age, religion, sex, marital, veteran status, sexual orientation, gender identity, or the presence of a medical condition, or handicap that is not job related, or any other legally protected status.
What job are you applying for?*
Personal Information
Name*

First

Middle

Last
List any other names used that are different from this application
Address*

Street Address

Address Line 2

City

State

ZIP Code
Daytime Phone Number*
Work or Alternate Phone Number
Email*

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SNMCAC Relations
Are you a current or former SNMCAC employee?*
- Yes
- No
If yes, please describe your position, department and dates of employment
Please note any name changes that may have been used during this time.
Are you related by blood or marriage to any member(s) of the SNMCAC Board of Directors, Head Start Policy Council or to any current employee of SNMCAC?*
- Yes
- No
If yes, please describe any relations below.
Relations

Name Relationship to you

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Education
Highest grade completed in High School*
- 9
- 10
- 11
- 12
High School graduate?*
- Yes
- No
GED?*
- Yes
- No
High School Name & Address

Name

Address

City

State

ZIP
Post-secondary Schools Attended

College/University Course of Study Major/Minor Fields Diploma, Degree, or Certificate Earned
Please list (by title) relevant workshops or training sessions that you have attended in the last five years
Please list computer software programs in which you are proficient

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Employment History

Please list previous work experience, beginning with the most recent.
Position/Title*
Employer*
Are you presently employed by this employer?*
- Yes
- No
Please describe your work responsibilities*
Start Date*

Date Format: MM slash DD slash YYYY
End Date*

Date Format: MM slash DD slash YYYY
Employer Phone*
Employer Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code
Final Salary*
Was this position full-time or part-time?*
- Full-time
- Part-time
Reason for leaving*
May we contact this employer?*
- Yes
- No
Please list additional past employment*

Position/Title Employer Dates Employed
Were there any gaps in your employment history (i.e. student, stay-at-home parent, volunteer, etc.)? If so, please describe.*
Please list three professional references*

Name Title Phone Years Known

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Upload a cover letter*
Accepted file types: pdf, doc, docx.
Upload your resume
Accepted file types: pdf, doc, docx.
How did you hear about this position?
- Our website
- Newspaper or advertisement
- Social media
- Friend or family member
- Other
Application Statement*
I certify that all information I have provided in this application is true, complete and correct to the best of my knowledge.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application, or immediately discharge me from the employer's service, whenever it is discovered.

I understand that any offer of employment tendered me is contingent upon my agreement to abide by the rules and regulations of SNMCAC.

I expressly authorize, without reservation, the employer, SNMCAC, its representative, employees or agents, to contact and obtain information from all references (personal and/or otherwise), employers, public agencies, licensing authorities and educational institutes and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the corporations or organizations for furnishing such information about me.

I understand that SNMCAC does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state, or federal law.

If I am hired, I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with SNMCAC is of an "at will" nature, which means that I am free to resign at any time, with or without prior notice and SNMCAC reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. It is further understood that this "at will" employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing and signed by the SNMCAC Board of Directors and/or the SNMCAC Executive Director.

This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral, or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the SNMCAC Board of Directors and/or the SNMCAC Executive Director.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.

I understand that if I am hired, all information included on this application, including academic credentials will be verified.

I certify that I have read, fully understand and accept all terms of the foregoing Application Statement.

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Careers

Step 1 of 6

Personal Information

Driving History & Background

SNMCAC Relations

Education

Employment History

Name	Relationship to you

College/University	Course of Study Major/Minor Fields	Diploma, Degree, or Certificate Earned

Position/Title	Employer	Dates Employed

Name	Title	Phone	Years Known