Employment Application

We are an Equal Opportunity Employer

Applicant Information

(If hired, you will be required to provide proof of work authorization.)

Position Information

Education

High School

(city, state)

College

(city, state)

Graduate

(city, state)

Other (specify)

(city, state)

Employment History

Start with most recent

Employer #1

Employer #2

Employer #3

Employer #4

Employment References

List individuals familiar with your job qualifications (no relatives or personal friends)

Reference #1

Reference #2

Reference #3

Certification of Authorization Statement

I understand that this employment application and any other documents presented to me in the course of applying for employment with MNRAAA are not contracts or promises of employment. If employed, I understand the duration, hours, nature, compensation and benefits of my employment may be changed and modified from time to time without limitation or condition. Employment is at-will in nature, meaning that MNRAAA or the employee may terminate employment at any time, with or without notice.

I understand that if I am chosen as a finalist for this position a criminal background investigation, driver’s record and credit check will be performed.

I authorize MNRAAA to investigate all statements on this application, including work history and education. I authorize my previous employers and work references to release any and all personnel data, including performance evaluations and complaints against me, to MNRAAA as it relates to my application for employment at MNRAAA. Specifically, I release and waive any and all claims, including but not limited to claims for defamation, libel and slander, that I may have against any such individual or company as a result of their compliance with MNRAAA’s request for information.

I authorize all schools, colleges, universities and other education institutions I have attended to provide MNRAAA with all information which it seeks related to the dates of my attendance, the degrees I have earned, the courses I have taken, my grade point average and related matters. I waive and release any and all claims I may have against these institutions as a result of their compliance with MNRAAA’s request for information.

I certify that the information I have provided in this application is true and correct to the best of my knowledge and belief. I understand that any false statements or omissions in this employment application form, or made in the course of applying for employment with MNRAAA, may disqualify me for employment or cause my subsequent dismissal from employment.

(Type your full name)

MNRAAA does not discriminate in employment and no question on this is used for the purpose of limiting or excluding any applicant’s consideration for employment on the basis prohibited by local, state or federal law.

In accordance with the Minnesota Government Data Practices Act, MNRAAA is required to inform you of your rights as they pertain to the private information collected from you. Private data is that information which is available to you, but not the public. The personal information we collect about you is private. The information collected from you or from other agencies or individuals authorized by you is used to determine your qualification. You are not required to provide this information; however, it is necessary to determine if you are qualified for employment. If you do not supply the required information, MNRAAA will not be able to consider you for employment. The use of the data we collect is limited to that necessary for the administration and management of MNRAAA’s employment practice. Persons or agencies with whom this information may be shared include: MNRAAA Executive Director, Finance Director, directors or supervisors in a department
where the job openings occur. Unless otherwise authorized by state statute or federal law, other government agencies utilizing the reported private data must also treat the information as private. You may exercise your rights as contained in the Minnesota Government Data Practices Act. These rights include: the right to see and obtain copies of the data maintained on you; the right to be told the contents and meaning of the data; and the right to contest the accuracy and completeness of data. To exercise these rights, contact the Finance Director of MNRAAA.

Disclosure of Intent to Obtain a Consumer Report

In compliance with the Fair Credit Reporting Act (“FCRA”) and Minn. Stat. 13c.02, we hereby notify you that for employment purposes, Minnesota Area Agency on Aging (the “Agency”) or its agents (including the coordinating agency for the Senior LinkAge Line Program) may request a consumer report and/or an investigative consumer report in connection with your application for employment or employment purposes. Consumer reports include any written, oral, or other communication of information by a consumer reporting agency bearing on your credit standing, character, general reputation, and other personal characteristics that is expected to be used for employment purposes. Consumer reports may include, but are not limited to the following, to the extent permitted by applicable state law: credit reports, social security trace, criminal records checks, civil records, any court records, driving records, including citations and insurance records, and/or summaries of educational and employment records and histories, including GPA and salary. Investigative consumer reports include similar information as consumer reports, which are obtained through personal interviews with those who are acquainted with you or who may have knowledge of any relevant information about you. You have the right to request information from the Agency about the nature and scope of any investigative consumer report on you that is requested by the Agency. The request must be made in writing and within a reasonable period of time after you have received this disclosure.

I acknowledge that I have received, read, and fully understand the above
Disclosure of Intent to Obtain a Consumer Report.

(Type full legal name)

Cover Letter and Resume

MNRAAA requires a cover letter, resume and completed employment application for consideration of our openings. Please upload your cover letter and resume here.

Online Upload

Your cover letter must highlight three things you can contribute to the position you are applying for and be signed.

Mail or Fax

You may also fax your cover letter and resume to 507.387.6223 or mail them to: MNRAAA; Attn: Office Manager; 201 N Broad Street, Suite 102; Mankato, MN 56001

Thank you for your interest in the Minnesota River Area Agency on Aging.

Submit Via

Online:
Fill out Employment Application to the left and attach resume and cover letter.

Download:
You may also download the Employment Application and mail, fax or email it with your cover letter and resume back to MNRAAA at the contact information below.

Download Employment Application

Mail:
MNRAAA
Attn: Office Manager
201 N Broad Street, Suite 102
Mankato, MN 56001

Fax:
507.387.6223

Email:
eschott@mnraaa.org

Required Items

  • Signed Cover Letter (upload)
  • Resume (upload)
  • Employment Application (to the left)

You must complete the entire application.

Special Instructions

  • MNRAAA requires a cover letter, resume and completed employment application for consideration of our openings.
  • Your cover letter must highlight three things you can contribute to the position you are applying for.
  • Read and sign Certification of Authorization Statement
  • Read and sign Disclosure of Intent to Obtain a Consumer Report before submitting the required information.
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