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Click here or scroll down to respond to this candidateState of DelawareEmployment l Application li iDepartment of Human ResourcesStreet Address
(( PHONE NUMBER AVAILABLE,,http:: //www.. delawarepersonnel.l l. com/Job J Title: i l : Practice i application li iJob J Number: : PRPHONE NUMBER AVAILABLEEasyID: I : BEN-06-8001Personal l and Contact Information I ihttps://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 1 of 8First i Name MICHAEL ILast Name BENSONMiddle i l Initial I i i l APreferred First iNamePreferredPronounsHe/Him/i His iPrexSu!xMailing ili AddressNumber, Street andApt.70 STEVENSON DRCity i DOVERState DEZip i 19901Personal l Email ilAddressEMAIL AVAILABLE l . comHome Phone PHONE NUMBER AVAILABLEOK to leave msg? Yes NoBusiness i Phone May we call you at work? Yes NoCell ll Phone PHONE NUMBER AVAILABLE (( Cell ll Phone required i in i order to receive i Text/SMS alerts.l .) ) OK to leave msg? Yes NoText/SMS Send Text/SMS alert l to my Cell ll Phone when a notication i i is i sent to me. . U.. S. . and Canada only. l . Message and data rates may apply. l . Additional i i l Materials i lNo items are required to be sent by mail, fax or e-mail. The following materials are required to support the Employment Application. Each indicates the selected submission method.https://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 2 of 8Location i PreferencesI I am willing illi toconsider iemployment l in ithe following ll ilocations l iCurrent and Previous i State of Delaware l Employment l Present State ofDelaware lemployee l orcontractor?Yes NoMerit Other SeasonalHigher Education Contractor School District/Charter Past State ofDelaware lemployee? lYes NoMerit Other SeasonalHigher Education Contractor School District/Charter Have you everbeen discharged ifrom Stateemployment l orforced to resign iwithin i i the last l 3years?Yes NoIf yes, give details.Veteran Information I iCurrent AgencyState Email Address (@delaware.gov)School Email AddressLast Agency Worked ForState Email AddressSchool Email Addresshttps://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 3 of 8VeteranInformation I iAre you claiming preference as a Veteran of the armed forces of the United States who served as an active member and was honorably discharged; as a member of Delaware National Guard or a Delaware Reserve unit with at least 20 years of membership; or as an unremarried widow or widower of a deceased veteran, a spouse of any member of the armed forces serving on active duty who, at the time of application for the priority, is listed in one or more of the following categories and has been so listed for a total of more than 90 days: 1. Missing in action; 2. Captured in line of duty by a hostile force; or 3. Forcibly detained or interned in line of duty by a foreign government or power; or a spouse of a veteran who has a disability resulting from a service connected disability? Yes NoIf yes, please refer to "Veteran's Preference" listed under the Disclosure Information. Additional i i l Information I iAre you lawfully l llpermitted i towork in i this icountry?Yes NoThe State requires verication of identity and eligibility for employment in the United States.If I you are a male, l,born afterJanuary J 1,, 1960,,have youregistered i forSelective l i Service iif i required i toregister? iYes NoProof of registration may be required.How did i you ndout about this ijob? jBasic i Education ihttps://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 4 of 8Have yougraduated fromhigh i school l orpassed theG.. E.. D.. ?Yes NoHave youattended avocational i l orbusiness i school? lYes NoIf yes, give complete information in table below:Did i you attendcolleges, ll,universities, i i i, orother technical i lschools l beyondhigh i school? lYes NoIf yes, give complete information in table below:Colleges ll GraduateName, Location No school records to display.*A degree, as part of the Job Requirements, must have been issued from an accredited college or university in order to meet the Job Requirements.Professional i lLicense Type Class D Driver's LicenseLicense Number 1098508Issuing Agency DelawareDate Issued 1/20/23Date Expires 10/26/30Business iCourse TitleCourse ProviderCourse TitleCourse Providerhttps://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 5 of 8Course TitleCourse ProviderEmployment l RecordBeginning with your current or most recent position, state your employment record for the last ten years or last ve positions. Please provide all of your relevant experience. List all positions you have held with any agency. A RESUME DOES NOT SUBSTITUTE I for this section of the application. This section MUST BE COMPLETED. . 1From (( Mo// Yr) ) To (( Mo// Yr) ) Job J Title itl 10/30/2022 06/13/2024 Machine operator/ laborNo. . Supervised i Average Hours Per Week Full/ll/ Part-t-time ti 25 50 Full-timeEmployer's l ' Name Telephone l No. . Still till employed? l Tri State UndergroundAddress,, City, it, State t t and Zip i4369 DuPont Parkway, Townsend, DE 19734Reason for f Leaving iLack of transparencyDuties tiMainly trench, digging backlling gas pipeAccommodations: i : Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call the Department of Human Resources(302) 739-5458 . TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance. Application: li i : A completed application submitted in response to a job posting is required to be considered for the position. Applicant must meet all job requirements. Failure in any one area will result in a rating of "not qualied." Applications will not be accepted after the closing date. Any misrepresentation or falsication may result in rejection of application, dismissal and disqualication of future applications. Resumes without an application are not accepted.Application li i Deadline: li : Applications must be received by 11:59:00 p.m. (Eastern Standard Time) on the date indicated on the announcement.Attachments to Applications: li i : Do not submit copies of evaluations, letters of reference, training certicates, or college transcripts. Such information may be provided at the time of interview if requested by hiring agency. Child il Support Compliance: li : State law requires that information on all hires (i.e., Name, Address, SSN: XXXXXXXXX 8/19/24, 3:28 PM Page 6 of 8information under specied circumstances. Applicants will not be disqualied from employment based on this information.Direct i Deposit: i : As a Condition of Employment, direct deposit of paychecks is required for all new employees. Immigration I i i Law: : At the time of hire, State employees must meet the documentation requirements of the Immigration Reform and Control Act of 1986.Reference Check: : Prior to appointment, education and employment history is subject to verication. At the time of a selection interview, candidates may be required to provide copies of certicates, licenses, diplomas, and course transcripts.Veterans' ' Preference: : Veterans who successfully meet the minimum qualications and any special qualications for the position, will be granted the appropriate preference points which will be added to their total ranking score.Preference will be given to applicants who:1. Are veterans of the armed forces of the United States (Army, Navy, Air Force, Marine Corps, and Coast Guard), who served as an active member of the armed forces of the United States and were honorably discharged.2. Are members of Delaware National Guard or a Reserve unit located within Delaware, with at least 20 years of membership.3. Are a Spouse of any of the following:a. Any veteran or member who qualies under section 1. or 2. of this section who has died, so long as the widow or widower has not remarried;b. Any member of the armed forces serving on active duty who, at the time of application for the priority, is listed in 1 or more of the following categories and has been so listed for a total of more than 90 days:i. Missing in action;ii. Captured in line of duty by a hostile force; or iii. Forcibly detained or interned in line of duty by a foreign government or power; or c. Any veteran or member who qualies under 1 or 2 of this section who has a disability resulting from a service connected disability.Preference shall be conned to original entrance to State Merit employment and shall not be applied to promotion within the classied service or to retention in case of reduction in force. Veterans, Delaware Reservists (who served active duty), widows or widowers who have not remarried, and spouses of veterans with a disability, must submit a legible copy of Form DD214 . If applicable, evidence of disability must also be submitted (a VA letter indicating disability). Form 1300 must be submitted for spouses of any member of the armed forces serving on active duty who, at the time of application for the priority, is listed in one or more of the following categories and has been so listed for a total of more than 90 days: 1. Missing in action; 2. Captured in line of duty by a hostile force; or 3. Forcibly detained or interned in line of duty by a foreign government or power. Form NGB-- 22 must be submitted for Delaware National Guard members and widows or widowers who have not remarried, and spouses of Delaware National Guard members with a disability. Form DD256 must be submitted by Delaware Reservists who did not serve active duty. https://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 7 of 8All forms must be dropped o# at one of the Department of Human Resources o!ces or faxed to (302) 739-2327 by 4:30 p.m. on the business day following the closing date on the posting. The State of Delaware l is i an Equal l Opportunity i Employer l and values l a diverse i workforce. . We strongly l encourage and seek out a workforce representative i of Delaware l including i l i race,, color, l, religion, li i, age,, sex,, national i l origin, i i, disability i ili status,, genetics, i, protected veteran status,, sexual l orientation, i i, gender identity i i or expression. i . E-mail Phone: (302) 739-5458 8am - 5pm M-F FAX (302) 739-2327 Powered by https://www.jobapscloud.com/DE/applicationprint.asp?PrintOne=Y&scram=8896469539942546224907 8/19/24, 3:28 PM Page 8 of 8 |
