Page 1 of 5

List education or training related to the position, including high school diploma or equivalent

Additional education / training

Work Experience

Describe all work experience for last 10 years and any other job experience you consider relevant, starting with your present or last job (additional sheets may be attached if needed).

A cover letter and resume must be submitted for consideration.

A cover letter and resume must be submitted for consideration.


Under Oregon law, veterans who meet minimum qualifications for a position may be eligible for preference. If you think you may qualify, please read the following checklist carefully. Check the box for each item that is appropriate. If you have questions you may wish to contact the Oregon Department of Veterans Affairs. 503-373-2000 or 800-828-8801. This completed form and the required documentation must be submitted at the time you submit your application.

You may be eligible to claim veterans’ preference if you check at least one of the boxes below, and provide proof of eligibility by submitting a copy of your DD‐214 or 215. ORS 408.225 (1) (f)

"Active duty" does not include attendance at a school under military orders, except schooling incident to an active enlistment or a regular tour of duty, or normal military training as a reserve officer or member of an organized reserve or a National Guard unit.

You may claim additional employment preference if you can check at least one box in the section below and provide proof of eligibility by submitting both of the following documents: 1. A copy of your DD‐214 or 215, Certificate of Release or Discharge, Copy 4, and 2. A public employment preference letter from the United States Department of Veterans Affairs. To order the letter, call 1‐800‐827‐1000 and request a public employment preference letter. ORS 408.225 (1) (c)

I hereby claim veteran's preference and certify that the above information is true and correct. I understand that any false statements may be cause for my disqualification or dismissal, regardless of when discovered.

Preference may not be awarded without the appropriate documentation. You must submit your DD‐214 or 215 in all cases. If you are claiming disabled veteran preference you must also submit the public employment preference letter from the Department of Veterans Affairs. You will not receive preference without these accompanying documents.

I hereby certify that I understand that I will have to produce documentation verifying identity and employment eligibility in the U.S. I understand that I may be required to verify any and all information given on this application. I certify that all the information provided in this application is true and accurate and I have not withheld any information relative to my application. I understand that any misrepresentation or omission, as well as any misleading statements or omissions of application information, attachments or supporting documents may result in denial of employment or immediate termination. I understand that an in-depth background check may be conducted prior to employment with McMinnville Water and Light. Depending on the job, this may include, but is not limited to, successfully completing a drug test, a Criminal History check, a DMV check, education and certification verification, and contact with previous employers and references in order to determine suitability for employment and ability to qualify for employment with McMinnville Water and Light. I understand that a criminal conviction does not necessarily automatically bar me from employment. Except where indicated otherwise above, I authorize representatives of McMinnville Water and Light to contact the employers and references provided by me, as well as any other person as developed through these contacts, in order to determine my suitability for employment. I understand that as the process progresses I may be required to provide additional information in order that a thorough background check be completed. I understand and agree that, if hired, my employment relationship with McMinnville Water and Light will be "at-will," meaning for no definite period and the relationship may be terminated at any time and without prior notice by either party. I understand that this completed application is the property of McMinnville Water and Light, and will not be returned. I understand that I must notify the Human Resources representative of McMinnville Water and Light of any changes in my name, address, or phone number.