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Shelby Energy Cooperative
620 Old Finchville Road
Shelbyville, KY 40065
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*click the "education" ,"employment history" ,"and "review and sign" boxes to expand and complete these portions of the application*

 

  • Current Personal Information
  • Complete
Contact Information
Questions Y N
Most Recent
School Address
School Address
Name your three most recent employers.
Employer 1
Employer 2
Employer 3
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One file only.
20 MB limit.
Allowed types: txt, pdf, doc, docx, ppt, pptx, odp, xls, xlsx, ods.
Please review your answers carefully.  Every item on this form must be answered to the best of your ability. Your qualifications will be carefully reviewed and you will be given thorough consideration for the position(s) for which you have applied.  Upon employment, this application will become part of your permanent record at Shelby Energy Cooperative.  Keep this in mind as you complete it. 
Special Note:  You are not required to supply any information that is prohibited by Federal, State, or Local law.  We are an Equal Opportunity Employer.  Shelby Energy Cooperative  does not discriminate on the basis of race, color, religion, gender, national origin, pregnancy, marital status, citizenship, age, disability, veteran status, or any other legally protected class.   You may request assistance in completing this application.

Conditions of Employment

I.    The facts as stated on this application are true and correct.  I understand that, if employed, false statements on this application may cause my immediate dismissal.
II.    I authorize such background and personal reports as deemed necessary to verify that the information I have supplied is true and accurate and to determine my fitness for this job and hold harmless those who have the responsibility to develop such a report. A copy of this authorization is as valid as the original.
III.    I understand that I may be required to work overtime as a condition of being employed.
IV.    In consideration of my employment, I agree to conform to the rules and regulations for employees.  I understand I am an employee at-will, and that this application is not a contract of employment with Shelby Energy Cooperative, and that my employment and compensation can be terminated, with or without cause, at anytime, at the option of either Shelby Energy Cooperative, or me.  I understand that no representative of Shelby Energy Cooperative, has any authority to enter into any verbal agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and that no document, policy or practice of Shelby Energy Cooperative, may change the foregoing unless it is expressly titled
“Employment Agreement” and signed by both myself and the President of Shelby Energy Cooperative.
V.    I understand that I will be required to submit to a pre-employment, and/or  post-employment test for fitness and/or substance abuse, if not prohibited by law.
VI.    Upon separation of employment, I authorize Shelby Energy Cooperative, to withhold from my final pay check any monies owed to them by me (if not prohibited by law) for equipment, loans, products, services, materials or other assets in my possession not promptly returned or repaid as agreed.
VII.     As a condition of employment, I accept that any complaint or conflict that cannot be resolved internally may be referred to Alternative Dispute Resolution, unless prohibited by law.

Submitting your name below confirms that you have read the employment conditions and that all responses on this employment application are true and correct.
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