ACTUARY, STATE COMPENSATION INSURANCE FUND

Size: px
Start display at page:

Download "ACTUARY, STATE COMPENSATION INSURANCE FUND"

Transcription

1 ACTUARY, STATE COMPENSATION INSURANCE FUND (DEPARTMENTAL PROMOTIONAL) Recruitment # D Department(s): Opening Date: Closing Date: Type of Recruitment: State Compensation Insurance Fund-HDQTRS 11/10/2011 8:00:00 AM 12/2/ :59:00 PM Departmental Promotional Salary: MONTHLY-RANGED-SALARY - $6, to $8, Employment Type: Exam Type: Location(s): Permanent Full-time Permanent Part-time Permanent Intermittent Limited Term Full-time Limited Term Part-Time Limited Term Intermittent SPOT Exam Single Selection San Francisco INTRODUCTION This is a DEPARTMENT PROMOTIONAL SINGLE SPOT examination for State Compensation Insurance Fund. EEO State Compensation Insurance Fund is an equal opportunity employer to all regardless of race, color, creed, national origin, ancestry, sex, marital status, disability, religious or political affiliation, age, or sexual orientation. DRUG FREE STATEMENT It is an objective of the state of California to achieve a drug-free state work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the state, the rules governing civil service and the special trust placed in public servants. WHO SHOULD APPLY? This is a departmental promotional examination for the State Compensation Insurance Fund. Applicants must meet one of the following criteria to participate in this examination: 1. Applicants must have a permanent civil service appointment with State Compensation Insurance Fund as of December 2, 2011, the final filing date, in order to participate in this examination; or 2. Must be a current or former employee of the Legislature for two or more years as defined in Government Code Section 18990; or 3. Must be a current or former non-elected exempt employee of the Executive Branch for two or more consecutive years as defined in Government Code Section 18992; or 4. Must be a person retired from the United States military, honorably discharged from active duty with a serviceconnected disability, or honorably discharged from active duty as defined in Government Code Section (Note: Veterans must provide a copy of their DD214 for entrance requirement.)

2 FILING INSTRUCTIONS FINAL FILING DATE: DECEMBER 2, 2011 Completion of a Standard State Application (STD 678) is required for this examination. The application can be found at Online applications must be submitted by 11:59 p.m. on the final filing date. Applications may also be filed by mail to the address below. State Compensation Insurance Fund Human Resources P.O. Box 8192 Pleasanton, CA Standard State Applications (STD 678) must be submitted online or postmarked no later than the final filing date. FAXED OR ED APPLICATIONS WILL NOT BE ACCEPTED. Applications postmarked or received via interoffice mail after the final filing date will not be accepted for any reason. SPECIAL TESTING ARRANGEMENTS If you have a disability and need special testing arrangements mark the appropriate box in question #2 on the Examination and/or Employment Application form. The Testing and Certification Services Unit will contact you to make special testing arrangements. REQUIRED IDENTIFICATION Accepted applicants are required to bring either a photo identification card or two forms of signed identification to each phase of the examination. ELIGIBLE LIST INFORMATION A department promotional eligibility will be established for State Compensation Insurance Fund for the San Francisco location. The list will be abolished twelve months after being established, unless the needs of the service and/or conditions of the list warrant a change in this period. REQUIREMENTS FOR ADMITTANCE TO THE EXAMINATION It is your responsibility to make sure you meet the experience requirements stated on this announcement on the date you submit your application. NOTE: All applicants must meet the education and/or experience requirements as stated on this examination announcement by the final filing date, DECEMBER 2, MINIMUM QUALIFICATIONS EITHER I Three years of experience in a responsible actuarial position or in consulting actuarial practice, at least one year of which shall have been in the compensation insurance field. OR II Two years of experience performing the duties of a Senior Actuarial Statistician, in State service. OR III One year of experience performing the duties of a Supervising Actuarial Statistician, in State service. Education: Either AND 1. Equivalent to graduation from college, preferably with specialization in mathematics, insurance or accounting. (Additional qualifying experience may be substituted for the required education on a year for-year basis.) Or 2. Possession of an associateship or fellowship in the Casualty Actuarial Society.

3 POSITION DESCRIPTION The Actuary, State Compensation Insurance Fund, analyzes and interprets periodic financial and statistical reports, quarterly and annual financial statements, the annual report to the Insurance Commissioner, the annual dividend plan on policies, reports and analysis of premiums, losses and dividends, forecasts of earnings, expenses and losses, and comparisons with other carriers; prepares studies of reserves, including the testing of their adequacy, basic and merit rating plans, medical costs, and service charges; makes special actuarial studies, investigations, and analysis; analyzes and review financial statements of other insurance carriers; formulates improved actuarial methods and discusses such methods with the President or Executive Vice President; prepares, analyzes, and interprets risk experience ratings; analyzes enacted or proposed legislation for its effect on operations of the State Compensation Insurance Fund. EXAMINATION INFORMATION This examination will consist of a qualifications appraisal panel interview weighted %. The interview will include a number of predetermined job related questions. In order to obtain a position on the eligible list, a minimum rating of 70.00% must be attained in the interview. All interviews will be recorded. COMPETITORS WHO DO NOT APPEAR FOR THE QUALIFICATIONS APPRAISAL PANEL INTERVIEW WILL BE DISQUALIFIED. It is anticipated that interviews will be held during the month of January QUALIFICATIONS APPRAISAL PANEL INTERVIEW - WEIGHTED % SCOPE OF EXAMINATION In addition to evaluating the competitors' relative abilities as demonstrated by quality and breadth of experience, emphasis in the examination will be measuring competitively, relative to job demands, each competitor's knowledge and abilities as outlined below. KNOWLEDGE AND ABILITIES Knowledge of: 1. Principles and practices of actuarial statistics and accounting with emphasis on compensation insurance. 2. Compensation insurance risk analysis, ratemaking, and rating systems. 3. Principles, practices, and problems of worker s compensation insurance. 4. The California Workers Compensation Insurance Manual. 5. The California Retrospective, Experience and other rating plans, the California Workers Compensation Insurance and Safety Laws, the United States Longshoremen s and Harbor Workers Compensation Act, and other statutes related to the field of workers compensation. 6. Trends in decision of the Workers Compensation Appeals Board and the courts on compensation cases. 7. Statistical equipment, methods and procedures. Ability to: 1. Make complex actuarial and statistical computations. 2. Interpret and apply the California Workers Compensation Insurance Manual, the California Retrospective, Experience and other rating plans, the California Workers Compensation Insurance and Safety Laws, the United States Longshoremen s and Harbor Workers Compensation Act, and other statutes related to the field of workers compensation. 3. Prepare difficult and technical actuarial and statistical reports and correspondence. 4. Analyze situations accurately and adopt an effective course of action. VETERANS PREFERENCE Veterans' Preference credits will not be granted in the examination as it does not meet the requirements to qualify for Veterans' Preference credit.

4 CAREER CREDITS Career Credits will not be added to the final score of this examination. CONTACT INFORMATION State Compensation Insurance Fund Human Resources 5890 Owens Drive, 3rd Floor (925) (925) TDD For more information regarding this examination, please contact State Compensation Insurance Fund by phone, , or apply online via DISCLAIMER Please click on the link below to review the official California State Personnel Board class specification: GENERAL INFORMATION It is the candidate's responsibility to contact the State Compensation Insurance Fund, Human Resources at (925) , three days prior to the written test date if he/she has not received a notice. For an examination without a written feature, it is the candidate's responsibility to contact State Compensation Insurance Fund, Human Resources at (925) three weeks after the final filing date if he/she has not received a progress notice. If a candidate's notice of oral interview, EDA, PRE, or performance test fails to reach him/her 3 days prior to their scheduled appointment due to a verified postal error, he/she will be rescheduled upon written request. Examination Locations: When a written test is part of the examination, it will be given in such places in California as the number of candidates and conditions warrant. However, locations of interviews or performance evaluations may be limited or extended as conditions warrant. Applications are available at State Personnel Board offices, local offices of the Employment Development Department and the State Compensation Insurance Fund. If you meet the requirements stated on this bulletin, you may take this examination, which is competitive. Possession of the entrance requirement does not assure a place on the eligible list. Your performance in the examination will be compared with the performance of the others who take this test, and all candidates who pass will be ranked according to their scores. State Compensation Insurance Fund reserves the right to revise the examination plan to better meet the needs of the service, if the circumstances under which this examination was planned change. Such revision will be in accordance with civil service laws and rules and all competitors will be notified. Examination Locations: When a written test is part of the examination, it will be given in such places in California as the number of candidates and conditions warrant. Locations of interviews may be limited or extended as conditions warrant. General Qualifications: Candidates must possess essential personal qualifications including integrity, initiative, dependability, good judgment, and ability to work cooperatively with others; and a state of health consistent with the ability to perform the assigned duties of the class. A medical examination may be required. In open examinations, investigation may be made of employment records and personal history and fingerprinting may be required. Eligible Lists: Eligible lists established by competitive examination, regardless of date, must be used in the following order: 1) subdivisional promotional, 2) departmental promotional, 3) multi-departmental promotional, 4) service-wide promotional, 5) departmental open, 6) open. When there are two lists of the same kind, the older must be used first. Eligible lists will expire in one to four years unless otherwise stated on the bulletin.

5 Promotional Examinations Only: Competition is limited to employees who have a permanent civil service appointment and military veterans that meet all the minimum qualifications. Under certain circumstances, other employees may be allowed to compete under provisions of Rules 234, 235, and State Personnel Board Rules 233, 234, 235, 235.2, and 237 contain provisions regarding civil service status and eligibility for promotional examinations. These rules may be reviewed at departmental personnel offices, at the State Personnel Board office or High School Equivalence: Equivalence to completion of the 12th grade may be demonstrated in any one of the following ways:1) passing the General Educational Development (GED) Test; 2) completion of 12 semester units of college work; 3) certification from the State Department of Education, a local school board, or high school authorities that the candidate is considered to have education equivalent to graduation from high school; 4) for clerical and accounting classes, substitution of business college work in place of high school on a year-for-year basis. STATE COMPENSATION INSURANCE FUND OFFICES Redding Regional Offic e 2175 Shasta View Drive Redding, CA Customer Service Center Monterey Park 900 W. Corporate Center Drive Monterey Park, CA Orange County Claims Services Santa Ana 1750 East Fourth Street Santa Ana, CA Sacramento Regional Offic e 2275 Gateway Oaks Drive Sacramento, CA Customer Service Center Vacaville 1020 Vaquero Circle Vacaville, CA Orange County Polic y Services Santa Ana 1750 East Fourth Street Santa Ana, CA Stockton Regional Offic e 3247 West March Lane Stockton, CA Bay Area Claims Services 5880 Owens Drive Riverside 6301 Day Street, Suite 200 Riverside, CA Central Valley South Bakersfield Regional O ffice 9801 Camino Media Bakersfield, CA Bay Area Policy Services 5880 Owens Drive Sacramento 2450 Venture Oaks Drive, Suite 500 Sacramento, CA Central Valley South Fresno Regional Office 10 River Park Place East Fresno, CA Eureka Regional Office 2440 Sixth Street Eureka, CA Rohnert Park 5900 State Farm Drive, Suite 200 Rohnert Park, CA Chatsworth 9419 Mason Avenue Chatsworth, CA Inland Empire Claims Services Riverside 6301 Day Street Riverside, CA Fresno 7370 N. Palm Avenue Fresno, CA Los Angeles Tri-County Region Chatsworth 9419 Mason Avenue Chatsworth, CA Vacaville 1030 Vaquero Circle Vacaville, CA Los Angeles Tri-County Region Monterey Park 900 Corporate Center Drive Monterey Park, CA Contact Information for California State Personnel Board 801 Capitol Mall, Sacramento, CA (916) TDD: (916)

CITY OF GRAIN VALLEY.

CITY OF GRAIN VALLEY. CITY OF GRAIN VALLEY EMPLOYMENT APPLICATION DEPARTMENT OF HUMAN RESOURCES 711 Main Street Grain Valley, Missouri 64029 Phone: 816.847.6210 Fax: 816.847.6202 Website: www.cityofgrainvalley.org NOTICE TO

More information

City of Becker Employment Application

City of Becker Employment Application Date Received: Received By: City of Becker Employment Application Return to: Becker Community Center PO Box 250 Becker, MN 55308 Ph: 763-200-4271 Fax: 763-261-2018 Applicant Name: Last First Middle Initial

More information

Application for Employment

Application for Employment Application for Employment We welcome you as an applicant for employment with the City of St. Michael. It is the City of St. Michael s policy to provide equal opportunity in employment. The City of St.

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Applicant: We deeply appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background

More information

This posting is currently closed. Please check back for future updates.

This posting is currently closed. Please check back for future updates. TOLEDO POLICE DEPARTMENT 525 N. ERIE TOLEDO, OHIO 43604 https://www.toledopolice.com/ Updated: January 02, 2018 Job Classification: Police Officer This posting is currently closed. Please check back for

More information

Application for Employment

Application for Employment Application for Employment We welcome you as an applicant for employment with the City of Red Wing. It is the City of Red Wing s policy to provide equal opportunity in employment. The City of Red Wing

More information

Clerical Assistant $13 - $15 per hour DOQ TEMPORARY/PART-TIME / NO BENEFITS

Clerical Assistant $13 - $15 per hour DOQ TEMPORARY/PART-TIME / NO BENEFITS Close Date: April 29, 2016 Salary: 13.00-15.00 hourly depending on qualifications Clerical Assistant 13-15 per hour DOQ TEMPORARY/PART-TIME / NO BENEFITS DEFINITION: The position is temporary and no benefits

More information

Management Analyst I/II Finance Department Budget and Treasury

Management Analyst I/II Finance Department Budget and Treasury Management Analyst I/II Finance Department Budget and Treasury Are you passionate about public policy? Do you enjoy financial planning? Then consider putting your analytical skills to work for our dynamic

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION CITY OF DETROIT LAKES EMPLOYMENT APPLICATION 1025 Roosevelt Avenue, PO Box 647, Detroit Lakes, MN 56502 (218)847-5658 POSITION APPLYING FOR: DATE: PERSONAL INFORMATION NAME: (First/Middle Initial/Last)

More information

Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY Phone: (270) Fax: (270)

Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY Phone: (270) Fax: (270) Employment Application Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY 42701 Phone: (270) 765-2612 Fax: (270) 234-0116 APPLICANT INFORMATION Today s Date: Position Applied For:

More information

2013 Recruitment Information Packet for: POLICE OFFICER Trainee, Pre-Service-Entry and Lateral-Entry

2013 Recruitment Information Packet for: POLICE OFFICER Trainee, Pre-Service-Entry and Lateral-Entry Inglewood Police Department Inglewood CA 90301 Phone: (310) 412-5238 Website: www.inglewoodpd.org 2013 Recruitment Information Packet for: POLICE OFFICER Trainee, Pre-Service-Entry and Lateral-Entry SALARY:

More information

City of Shorewood Application for Employment

City of Shorewood Application for Employment City of Shorewood Application for Employment We welcome you as an applicant for employment with the City of Shorewood. It is the City of Shorewood s policy to provide equal opportunity in employment. The

More information

RINEHART OIL, INC. Employment Application Petroleum Transportation Driver

RINEHART OIL, INC. Employment Application Petroleum Transportation Driver RINEHART OIL, INC. Employment Application Petroleum Transportation Driver Thank you for your interest in working for Rinehart Oil. At Rinehart Oil, our mission is to provide safe, dependable and efficient

More information

Trinity County Employment Opportunity

Trinity County Employment Opportunity Trinity County Employment Opportunity DEPARTMENT OF BUILDING AND DEVELOPMENT SERVICES ENVIRONMENTAL HEALTH SPECIALIST I $3,730.68 - $4,534.64 / Monthly OR ENVIRONMENTAL HEALTH SPECIALIST II $4,121.00 -

More information

Last Name First Name MI Social Security Number. City State Zip Code Home Phone. Previous Address (if less than 3 years at the above address)

Last Name First Name MI Social Security Number. City State Zip Code Home Phone. Previous Address (if less than 3 years at the above address) EMPLOYMENT APPLICATION DOT DRIVERS 701 24 th Avenue Southeast Minneapolis, MN 55414 Phone: (612) 623-1200 Fax: (612) 623-9108 Murphy Warehouse Company does not discriminate in hiring or employment on the

More information

Previous Address (If at current address less than five years) Daytime, Cellphone, Message, or Pager Number

Previous Address (If at current address less than five years) Daytime, Cellphone, Message, or Pager Number APPLICATION FOR EMPLOYMENT WE ARE AN EQUAL OPPORTUNITY EMPLOYER Thank you for your interest in employment opportunities with our company. Please complete all sections of this application to assist us in

More information

Mailing Address (Street) (Apt) Telephone Numbers: Work: ( ) - Home: ( ) - (City) (State) (Zip Code) Other: ( ) -

Mailing Address (Street) (Apt) Telephone Numbers: Work: ( ) - Home: ( ) - (City) (State) (Zip Code) Other: ( ) - CITY OF ORANGE CITY HUMAN RESOURCES AN EQUAL OPPORTUNITY EMPLOYER 205 EAST GRAVES AVENUE ORANGE CITY, FL 32763 (386-775-5457) THE CITY OF ORANGE CITY ONLY ACCEPTS APPLICATIONS FOR OPEN POSITIONS Instructions:

More information

Application for Employment

Application for Employment Application for Employment 221 E. Clark St. Albert Lea, MN 56007 We welcome you as an applicant for employment with the City of Albert Lea. It is the City s policy to provide equal opportunity in employment.

More information

Yes No. To: (Mo./Yr.) (Mo./Yr.) Other Education Training (including business, trade, or military service schools, etc.)

Yes No. To: (Mo./Yr.) (Mo./Yr.) Other Education Training (including business, trade, or military service schools, etc.) APPLICATION FOR EMPLOYMENT/INDEPENDENT CONTRACTOR 7761 Garden Grove Blvd. Garden Grove, CA 92841 Phone: (714) 898-8888 Fax: (714) 908-8097 Nhan Hoa Comprehensive Health Care Clinic ( Nhan Hoa ) provides

More information

245 E. Bonita Avenue, San Dimas California

245 E. Bonita Avenue, San Dimas California 245 E. Bonita Avenue, San Dimas California 91773-3002 www.cityofsandimas.com CODE COMPLIANCE OFFICER Development Services Department $4,634 - $5,597 per month, plus benefits DEADLINE TO APPLY: Friday November

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT BERKELEY COMMUNITY FEDERAL CREDIT UNION 600 MAIN STREET EXT. MONCKS CORNER, SC 29461 PERSONAL: Berkeley Community Federal Credit Union is an equal opportunity employer and does

More information

You are being provided with the background, explanation, and instructions for the Reciprocal Self-Certification Form (PERS-CASD 801).

You are being provided with the background, explanation, and instructions for the Reciprocal Self-Certification Form (PERS-CASD 801). California Public Employees Retirement System P.O. Box 942709 Sacramento, CA 94229-2709 888 CalPERS (or 888-225-7377) TTY: (877) 249-7442 Fax: (916) 795-4166 www.calpers.ca.gov Employer Account Management

More information

Submit proposals electronically to:

Submit proposals electronically to: REQUEST FOR PROPOSAL Property Management Services Notice is hereby given that proposals will be accepted by Hartnell Community College District until 3:00 p.m., Pacific Time, on Friday, February 19, 2016

More information

Have you ever applied for employment with us before: Yes No If yes, when? PERSONAL DATA Last Name First Name Middle Home Phone Number With area code

Have you ever applied for employment with us before: Yes No If yes, when? PERSONAL DATA Last Name First Name Middle Home Phone Number With area code City of Greenbush 244 Main Street rth PO Box 98 Greenbush, MN 56726 (218) 782-2570 Employment Application It is our policy to provide equality of opportunity in employment. This policy prohibits discrimination

More information

City of Staples Application for Employment

City of Staples Application for Employment City of Staples Application for Employment We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related

More information

Office Coordinator Community Development Department $4,169 - $5,040 per month DEADLINE TO APPLY: Friday March 22, 2019 AT 5:00 p.m.

Office Coordinator Community Development Department $4,169 - $5,040 per month DEADLINE TO APPLY: Friday March 22, 2019 AT 5:00 p.m. 245 E. Bonita Avenue, San Dimas California 91773-3002 www.cityofsandimas.com Office Coordinator Community Development Department $4,169 - $5,040 per month DEADLINE TO APPLY: Friday March 22, 2019 AT 5:00

More information

CITY OF LOS ANGELES REQUEST FOR QUALIFICATIONS RISK MANAGEMENT CONSULTANT SERVICES

CITY OF LOS ANGELES REQUEST FOR QUALIFICATIONS RISK MANAGEMENT CONSULTANT SERVICES CITY OF LOS ANGELES REQUEST FOR QUALIFICATIONS RISK MANAGEMENT CONSULTANT SERVICES MAY 31, 2017 1 I. INTRODUCTION AND BACKGROUND 1. Invitation The City of Los Angeles is seeking qualified consultants to

More information

Check type of job(s) you are applying for: Clerical Dispatcher Part-time driver Full-time driver

Check type of job(s) you are applying for: Clerical Dispatcher Part-time driver Full-time driver APPLICATION FOR EMPLOYMENT Ripley County Transit, Inc. P. O. Box 541 ** RR2 BOX 1121 Doniphan, MO 63935 Ripley County Transit is an Equal Opportunity Employer We consider applicants for all positions without

More information

APPLICATION FOR SCHOOL BUS DRIVER FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A CRIMINAL CHECK AS A CONDITION OF EMPLOYMENT

APPLICATION FOR SCHOOL BUS DRIVER FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A CRIMINAL CHECK AS A CONDITION OF EMPLOYMENT APPLICATION FOR SCHOOL BUS DRIVER Schley County Board of Education 161 Perry Drive PO Box 66 Ellaville, Georgia 31806 FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A CRIMINAL CHECK AS A CONDITION OF

More information

EMPLOYMENT POLICY SECTION I EMPLOYEES AND CONDITIONS OF EMPLOYMENT

EMPLOYMENT POLICY SECTION I EMPLOYEES AND CONDITIONS OF EMPLOYMENT EXHIBIT A LOCAL AGENCY FORMATION COMMISSION OF SANTA CRUZ COUNTY RESOLUTION NO. 2016-12 EMPLOYMENT POLICY SECTION I EMPLOYEES AND CONDITIONS OF EMPLOYMENT A. INTRODUCTION This policy applies to the employees

More information

CARSON COUNTY GIN SEASONAL/PART-TIME APPLICATION FOR EMPLOYMENT

CARSON COUNTY GIN SEASONAL/PART-TIME APPLICATION FOR EMPLOYMENT CARSON COUNTY GIN SEASONAL/PART-TIME APPLICATION FOR EMPLOYMENT Carson County Gin is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race,

More information

APPLICATION FOR EMPLOYMENT MTR Construction Inc.

APPLICATION FOR EMPLOYMENT MTR Construction Inc. APPLICATION FOR EMPLOYMENT MTR Construction Inc. MTR Construction Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed,

More information

CONTRACT FOR SERVICES RECITALS

CONTRACT FOR SERVICES RECITALS CONTRACT FOR SERVICES THIS AGREEMENT is entered into between the (hereinafter Authority ) and [INSERT NAME] (hereinafter Contractor ) and sets forth the terms of this Agreement. Authority and Contractor

More information

California Public Employees Retirement System 888 CalPERS 888 Employer Account Management Division

California Public Employees Retirement System 888 CalPERS 888  Employer Account Management Division California Public Employees Retirement System P.O. Box 942709 Sacramento, CA 94229-2709 888 CalPERS (or 888-225-7377) TTY: (877) 249-7442 Fax: (916) 795-4166 www.calpers.ca.gov Employer Account Management

More information

MARSHALL POLICE DEPARTMENT Police Officer Civil Service Examination

MARSHALL POLICE DEPARTMENT Police Officer Civil Service Examination WRITTEN EXAMINATION Saturday, March 16, 9:00 a.m. (PHYSICAL ABILITIES TEST to follow exam) 2101 East End Blvd. North Marshall, TX 75670 REGISTRATION FORM Registration deadline: Thursday, March 7, 2019

More information

INDIANA COUNTY Employment Application

INDIANA COUNTY Employment Application INDIANA COUNTY Employment Application Mailing Address: 825 Philadelphia Street Indiana, PA 15701 Phone: 724-465-3805 Fax: 724-465-3953 Indiana County is an equal opportunity employer, dedicated to a policy

More information

PENSION BENEFIT GUARANTY CORPORATION CHIEF INSURANCE PROGRAM OFFICE STANDARD TERMINATION COMPLIANCE DIVISION (STCD) COMPLIANCE AND AUDITS BRANCH (CAB)

PENSION BENEFIT GUARANTY CORPORATION CHIEF INSURANCE PROGRAM OFFICE STANDARD TERMINATION COMPLIANCE DIVISION (STCD) COMPLIANCE AND AUDITS BRANCH (CAB) PENSION BENEFIT GUARANTY CORPORATION CHIEF INSURANCE PROGRAM OFFICE STANDARD TERMINATION COMPLIANCE DIVISION (STCD) COMPLIANCE AND AUDITS BRANCH (CAB) FEDERAL CAREER INTERN PROGRAM ANNOUNCEMENT NUMBER:

More information

IOS - Recruitment and Testing Services

IOS - Recruitment and Testing Services Northwest Suburban Consortium Police Officer Application The Northwest Suburban Police Testing Consortium is: Morton Grove * Niles * Northbrook * Park Ridge * Roselle Thank you for your interest in the

More information

Santa Ana Watershed Project Authority

Santa Ana Watershed Project Authority Santa Ana Watershed Project Authority Request for Proposals For Drought-Tolerant Landscaping Services Friday, August 7, 2015 Santa Ana Watershed Project Authority 11615 Sterling Avenue Riverside, CA 92503

More information

Application for Employment

Application for Employment Application for Employment PLEASE PRINT PERSONAL Name: Date: Address: City: State: Zip Code: Phone Number: ( ) Position desired? Can you perform the essential functions of the position for which you are

More information

HOW TO APPLY FOR LCO MANAGEMENT POSITIONS

HOW TO APPLY FOR LCO MANAGEMENT POSITIONS U.S. DEPARTMENT OF COMMERCE Bureau of the Census Denver Regional Census Center http://www.census.gov/roden/www/emply.html (cut and paste) HOW TO APPLY FOR LCO MANAGEMENT POSITIONS The Census Bureau will

More information

Sample Request For Proposals

Sample Request For Proposals Sample Request For Proposals California Education Coalition for Health Care Reform A Joint Labor-Management Committee NOTICE TO BIDDERS HEALTH CARE INSURANCE NOTICE IS HEREBY GIVEN that the (name of district>.

More information

Employment Application

Employment Application Energy Trust is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national

More information

Employment Application

Employment Application In compliance with Federal and State Equal Employment Opportunity (EEO) laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital

More information

CALIFORNIA COMMUNITY COLLEGES CHANCELLOR S OFFICE

CALIFORNIA COMMUNITY COLLEGES CHANCELLOR S OFFICE CALIFORNIA COMMUNITY COLLEGES CHANCELLOR S OFFICE Equal Employment Opportunity & Equity in Faculty Hiring Regional Trainings January 8, Moorpark College January 14, MiraCosta College January 25, North

More information

To: The Alpena News. From: Alpena County Parks and Recreation Commission

To: The Alpena News. From: Alpena County Parks and Recreation Commission : The Alpena News : Alpena County Parks and Recreation Commission Please run the following as printed on February 20 th, 21 st, 23 rd, 24 th 2015 The Alpena County Parks and Recreation Commission will

More information

Employment Application

Employment Application Employment Application Please return your completed application to the Security Entrance or the Welcome Center in the Box Office. Applications can also be mailed to: Human Resources One Sports Parkway,

More information

Bronze 60 EnhancedCare PPO Plan Overview

Bronze 60 EnhancedCare PPO Plan Overview California Individual & Family Plans Health Net Life Insurance Company (Health Net) Bronze 60 EnhancedCare PPO Plan Overview Your Provider Network The Bronze 60 EnhancedCare PPO health plan utilizes the

More information

SACRAMENTO COUNTY EMPLOYEES RETIREMENT SYSTEM IS SEEKING AN EXPERIENCED INVESTMENT PROFESSIONAL TO SERVE AS DEPUTY CHIEF INVESTMENT OFFICER

SACRAMENTO COUNTY EMPLOYEES RETIREMENT SYSTEM IS SEEKING AN EXPERIENCED INVESTMENT PROFESSIONAL TO SERVE AS DEPUTY CHIEF INVESTMENT OFFICER SACRAMENTO COUNTY EMPLOYEES RETIREMENT SYSTEM IS SEEKING AN EXPERIENCED INVESTMENT PROFESSIONAL TO SERVE AS DEPUTY CHIEF INVESTMENT OFFICER EXCELLENT OPPORTUNITY FOR A MANAGER WITH EXTENSIVE INVESTMENT

More information

Administration Services Estimate Credit Debit Tying Cases - Supplemental Notification

Administration Services Estimate Credit Debit Tying Cases - Supplemental Notification EXHIBIT 1 Administration Services Estimate Credit Debit Tying Cases - Supplemental Notification August 17, 2012 Dan Rosenthal; drosenthal@kccllc.com; 415.798.5901 Key Assumptions Used in Estimate Preparation

More information

WHY WE JOINED CDHA... AND YOU SHOULD, TOO! It s All Included in Your CDHA Membership: Broaden Your Knowledge & Continuing Education

WHY WE JOINED CDHA... AND YOU SHOULD, TOO! It s All Included in Your CDHA Membership: Broaden Your Knowledge & Continuing Education WHY WE JOINED CDHA... 2018 Membership Brochure AND YOU SHOULD, TOO! Meet the CDHA Legislative Advocates Page Two CDHA Legislative Advocacy and Government Affairs Page Three Group Disability Insurance Program

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Return by mail or fax to: Fort Sill Federal Credit Union Attn: Human Resource Officer PO Box 1527 Lawton, OK 73502-1527 580-353-2124 Fax 580-250-8177 We consider applicants for

More information

Civil Service Budget Analyst Practice Exam

Civil Service Budget Analyst Practice Exam Budget Analyst Practice Exam Free PDF ebook Download: Practice Exam Download or Read Online ebook civil service budget analyst practice exam in PDF Format From The Best User Guide Database May 17, 2010

More information

Thomas Transport Delivery: APPLICATION FOR DRIVERS

Thomas Transport Delivery: APPLICATION FOR DRIVERS Thomas Transport Delivery: APPLICATION FOR DRIVERS You Must answer every question. If any question does not apply to you, answer with Not Applicable (NA). In compliance with local, state, and federal equal

More information

Your Workers Compensation Benefits

Your Workers Compensation Benefits Your Workers Compensation Benefits CALIFORNIA This form should be given to all newly hired employees in the State of California. Its content applies to industrial injuries on or after January 1, 2013.

More information

QLF Transportation, Inc. supports marketing and distribution of QLF products throughout the United States and portions of Canada.

QLF Transportation, Inc. supports marketing and distribution of QLF products throughout the United States and portions of Canada. Application Packet Thank you for choosing QLF Transportation, Inc. as a potential employer. We carefully evaluate each application and select the best qualified candidates for further consideration. Those

More information

AN EQUAL OPPORTUNITY EMPLOYER

AN EQUAL OPPORTUNITY EMPLOYER AN EQUAL OPPORTUNITY EMPLOYER Page 1 of 6 (401) 568-4300 X115 APPLICATION FOR EMPLOYMENT TOWN OF BURRILLVILLE OFFICE OF THE TOWN MANAGER 105 Harrisville Main Street Harrisville, RI 02830 (401) 568-0490

More information

PUBLIC WORKS MAINTENANCE SUPERVISOR Public Works Department $5,597 6,773 per month DEADLINE TO APPLY: Open until filled (No s or faxes accepted)

PUBLIC WORKS MAINTENANCE SUPERVISOR Public Works Department $5,597 6,773 per month DEADLINE TO APPLY: Open until filled (No  s or faxes accepted) 245 E. Bonita Avenue, San Dimas California 91773-3002 www.cityofsandimas.com PUBLIC WORKS MAINTENANCE SUPERVISOR Public Works Department $5,597 6,773 per month DEADLINE TO APPLY: Open until filled (No

More information

APPLICATION FOR EMPLOYMENT [ Co. Logo and Address]

APPLICATION FOR EMPLOYMENT [ Co. Logo and Address] APPLICATION FOR EMPLOYMENT [ Co. Logo and Address] [Company] is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion,

More information

Name: Last First Middle. Present Address: Street City State. Permanent Address: Street City State. Phone No: Referred by:

Name: Last First Middle. Present Address: Street City State. Permanent Address: Street City State. Phone No: Referred by: APPLICATION FOR EMPLOYMENT SUMTER COUNTY PROPERTY APPRAISER We are an equal opportunity employer dedicated to non discrimination in employment on the basis of race, color, age, religion, sex, national

More information

TOWN OF GUTTENBERG COUNTY OF HUDSON, STATE OF NEW JERSEY

TOWN OF GUTTENBERG COUNTY OF HUDSON, STATE OF NEW JERSEY TOWN OF GUTTENBERG COUNTY OF HUDSON, STATE OF NEW JERSEY SEEKS PROPOSALS FOR FINANCIAL ADVISORY CONSULTANT SERVICES FOR THE PERIOD JANUARY 1, 2018 TO DECEMBER 31, 2018 Introduction Pursuant to the Fair

More information

LYON GRILL. Employment Desired PONTIAC TRAIL SOUTH LYON MICHIGAN P F E

LYON GRILL. Employment Desired PONTIAC TRAIL SOUTH LYON MICHIGAN P F E LYON GRILL Application for Employment Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry,

More information

CITY OF SANTA ANA selection process, salary & benefits for Police officer Lateral transfer

CITY OF SANTA ANA selection process, salary & benefits for Police officer Lateral transfer CITY OF SANTA ANA selection process, salary & benefits for Police officer Lateral transfer (Bilingual & Non Bilingual) The following step-by-step instructions are designed to explain the selection procedure

More information

Prisma - Employment Application

Prisma - Employment Application Prisma - Employment Application Prisma is an equal opportunity employer, dedicated to a policy of non- discrimination in employment on any basis including age, sex, color, race, creed, national origin,

More information

Silver 94 EnhancedCare PPO Plan Overview

Silver 94 EnhancedCare PPO Plan Overview California Individual & Family Plans Available through Covered California Health Net Life Insurance Company (Health Net) Silver 94 EnhancedCare PPO Plan Overview Your Provider Network The Silver 94 EnhancedCare

More information

RONDOUT VALLEY CENTRAL SCHOOL DISTRICT Classified Employment Application Personnel * P.O. Box 9 * Accord, New York * Phone: (845)

RONDOUT VALLEY CENTRAL SCHOOL DISTRICT Classified Employment Application Personnel * P.O. Box 9 * Accord, New York * Phone: (845) RONDOUT VALLEY CENTRAL SCHOOL DISTRICT Classified Employment Application Personnel * P.O. Box 9 * Accord, New York 12404 * Phone: (845)687-2400 Date(s) of Interview Job(s) Applied for: [ ] Full Time [

More information

Cement Mixer. The SCHOLARSHIP INFORMATION. Year 2010 in Review. Comprehensive Medical Benefits

Cement Mixer. The SCHOLARSHIP INFORMATION.   Year 2010 in Review. Comprehensive Medical Benefits www.norcalcementmasons.org Cement Mixer The A Quarterly Newsletter for Northern California Cement Masons Winter 2011 #47 Year 2010 in Review Health and Welfare Plan Direct Payment Plan - Active Plan Only

More information

(PLEASE PRINT) DATE OF APPLICATION

(PLEASE PRINT) DATE OF APPLICATION IF AN INTERVIEW IS NECESSARY WE WILL CONTACT YOU. TEXAS CRANE SERVICES APPLICATION FOR EMPLOYMENT TEXAS CRANE SERVICES CONSIDERS ALL APPLICANTS FOR POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED,

More information

INDIVIDUAL ENROLLMENT REQUEST FORM INSTRUCTIONS

INDIVIDUAL ENROLLMENT REQUEST FORM INSTRUCTIONS Start here - Tear and separate pages along the perforated edge before completing Kaiser Permanente Senior Advantage (HMO) or Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan (HMO SNP) INDIVIDUAL

More information

APPLICATION FOR PART TIME EMPLOYMENT

APPLICATION FOR PART TIME EMPLOYMENT APPLICATION FOR PART TIME EMPLOYMENT Position: Desired Hourly Rate: Last Name First Name Date Address Street City State Zip Code Phone Number Email Address Are you at least 18 years of age or older? Yes

More information

Bronze 60 HDHP EnhancedCare PPO Plan Overview

Bronze 60 HDHP EnhancedCare PPO Plan Overview California Individual & Family Plans Available through Covered California Health Net Life Insurance Company (Health Net) Bronze 60 HDHP EnhancedCare PPO Plan Overview Your Provider Network The Bronze 60

More information

Angert s Hydrographics LLC. 342 Carbon Center Road Butler, PA

Angert s Hydrographics LLC. 342 Carbon Center Road Butler, PA Angert s Hydrographics LLC. 342 Carbon Center Road Butler, PA 16002 724-991-4712 Zangert22@hotmail.com Angert s Hydrographics LLC. is an equal opportunity employer and does not discriminate against otherwise

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION 1361 Glory Road Green Bay, WI 54304 Phone: 920 632 7929 Fax: 920 632 7928 Print Name: Position Applying For: Date: EMPLOYMENT APPLICATION Energis High Voltage Resources, Inc. is an equal opportunity/affirmative

More information

Table of Contents MISSION STATEMENT... 2 DEPARTMENT HISTORY... 2

Table of Contents MISSION STATEMENT... 2 DEPARTMENT HISTORY... 2 Careers Alabama Department of An introduction for prospective employees to the career opportunities available with the Alabama Department of. Revised March 2005 Careers 1 Table of Contents MISSION STATEMENT...

More information

To become an Amador Rides Volunteer Driver, you must provide:

To become an Amador Rides Volunteer Driver, you must provide: Become an Volunteer Driver! Amador Rides is a collaborative effort from several organizations who want to make sure that Amador County residents can get to their medical, dental, and mental health appointments.

More information

Reeves Construction Company, Inc. And subsidiaries

Reeves Construction Company, Inc. And subsidiaries Reeves Construction Company, Inc. And subsidiaries Employment Application Disclaimer THE EMPLOYMENT RELATIONSHIP BETWEEN REEVES CONSTRUCTION COMPANY, INC. AND ITS EMPLOYEES IS AT-WILL AND VOLUNTARY. THIS

More information

CREATING & IMPROVING YOUR BACKGROUND CHECK POLICY

CREATING & IMPROVING YOUR BACKGROUND CHECK POLICY STEP BY STEP GUIDE: CREATING & IMPROVING YOUR BACKGROUND CHECK POLICY PRESENTED BY Curt Schwall, CCEP VP of Compliance & Regulatory Affairs Curt Schwall Vice President of Compliance & Regulatory Affairs

More information

Page 2 FTB 3805Z Booklet 2017

Page 2 FTB 3805Z Booklet 2017 2017 Instructions for Form FTB 3805Z Enterprise Zone Businesses References in these instructions are to the Internal Revenue Code (IRC) as of January 1, 2015, and to the California Revenue and Taxation

More information

Summary Of Benefits. January 1, December 31, Blue Shield Promise Coordinated Choice Plan (HMO)

Summary Of Benefits. January 1, December 31, Blue Shield Promise Coordinated Choice Plan (HMO) Summary Of Benefits Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association Care1st is an independent licensee of the Blue Shield Association January 1,

More information

Educational Background Education School Name, City, State Major Area of Study High School

Educational Background Education School Name, City, State Major Area of Study High School Morris Police Department 400 Colorado Avenue P.O. Box 245 Morris, MN 56267 Phone: 320-208-6500 Fax: 320-589-1157 www.ci.morris.mn.us/pd mpd@co.stevens.mn.us APPLICATION FOR EMPLOYMENT General Information

More information

California Public Employees Retirement System 888 CalPERS 888 Employer Account Management Division

California Public Employees Retirement System 888 CalPERS 888  Employer Account Management Division Employer Account Management Division Dear Member, You are being provided with the background, explanation, and instructions for the Reciprocal Self-Certification Form (PERS-EAMD 801). Reciprocity among

More information

Hoover Institution Golden State Poll Fieldwork by YouGov April 14-28, List of Tables

Hoover Institution Golden State Poll Fieldwork by YouGov April 14-28, List of Tables List of Tables 1. Confidence in job mobility................................................................ 2 2. Homeownership..................................................................... 3 3.

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT MILLER of DENTON, Ltd. APPLICATION FOR EMPLOYMENT As an equal opportunity employer, our Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, national origin,

More information

Applicant Information. Street Address Apartment/Unit # City State ZIP Code. Date Available: Social Security No.: Desired Salary:$ If yes, when?

Applicant Information. Street Address Apartment/Unit # City State ZIP Code. Date Available: Social Security No.: Desired Salary:$ If yes, when? Flanagan State Bank Employment Application Applicant Information Last First M.I. Date: Street Address Apartment/Unit # City State ZIP Code Email Date Available: Social Security No.: Desired Salary:$ Position

More information

This form may be printed out and completed, then mailed or delivered to: Human Resources City of Scottsbluff 2525 Circle Dr. Scottsbluff, NE 69361

This form may be printed out and completed, then mailed or delivered to: Human Resources City of Scottsbluff 2525 Circle Dr. Scottsbluff, NE 69361 This form may be printed out and completed, then mailed or delivered to: Human Resources City of Scottsbluff 2525 Circle Dr. Scottsbluff, NE 69361 DO NOT FILL OUT AND SUBMIT ELECTRONICALLY. CITY OF SCOTTSBLUFF,

More information

City of Moline Career Opportunity

City of Moline Career Opportunity City of Moline Career Opportunity Firefighter/Paramedic Deadline: 4/24/2017 at 5 p.m. Position Title: Firefighter/Paramedic Department: Fire Starting Pay: $14.99 Hourly/$41,306.65 Annually Hours of Work:

More information

The Pennsylvania State University Voluntary Retirement Plan. Plan Document

The Pennsylvania State University Voluntary Retirement Plan. Plan Document The Pennsylvania State University Voluntary Retirement Plan Plan Document September 1, 2016 Non-Academic Employees The Pennsylvania State University Page 1 Table of Contents Introduction 3 Eligibility

More information

San Francisco Community College District

San Francisco Community College District San Francisco Community College District SMALL LOCAL BUSINESS ENTERPRISE (SLBE) PROGRAM FOR CONSTRUCTION-RELATED PROFESSIONAL SERVICES CONTRACTING RULES, REGULATIONS, REQUIREMENTS, AND FORMS 1.01 GENERAL

More information

FMG TRUCKING CLAIMS EMERGENCY RESPONSE TEAM

FMG TRUCKING CLAIMS EMERGENCY RESPONSE TEAM FMG TRUCKING CLAIMS EMERGENCY RESPONSE TEAM First in All Your Trucking, Garage and Warehouse Needs, Including Accident Litigation, Insurance Disputes, Freight Loss or Damage Claims, Environmental Claims,

More information

American River Commons Application Criteria Conventional

American River Commons Application Criteria Conventional American River Commons Application Criteria Conventional Thank you for choosing American River Commons as your potential new home. We are pleased that you have chosen to reside in our community, and the

More information

Employment Application

Employment Application Employment Application Applicant Information Last First M.I. Date: Street Address Apartment/Unit # City State ZIP Code Cell Home Email: Date Available Social Security # Desired Salary $ Position Applied

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Community and Economic Development Association of Cook County, Inc. (CEDA) is an equal opportunity employer. Community and Economic Development Association of Cook County, Inc.

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT MONTEREY COUNTY REGIONAL FIRE PROTECTION DISTRICT 19900 PORTOLA DRIVE, SALINAS, CA 93908 831.455.1828 fax 831.455.0646 www.mcrfd.org APPLICATION FOR EMPLOYMENT MONTEREY COUNTY REGIONAL FIRE PROTECTION

More information

D Job Fair D Community Organization D Employee Referral: D Other: Employment Application Safety Sensitive Positions

D Job Fair D Community Organization D Employee Referral: D Other: Employment Application Safety Sensitive Positions Transit Management of Montgomery 2318 W. Fairview Avenue Montgomery, AL 36108 Fax: 334 262-7366 Employment Application Safety Sensitive Positions Note to Applicant: Please advise us in advance if you require

More information

BOROUGH OF TOTOWA NOTICE AND SOLICITATION OF PROPOSALS FOR THE POSITION OF TAX APPEAL CONSULTANT FOR THE BOROUGH OF TOTOWA

BOROUGH OF TOTOWA NOTICE AND SOLICITATION OF PROPOSALS FOR THE POSITION OF TAX APPEAL CONSULTANT FOR THE BOROUGH OF TOTOWA BOROUGH OF TOTOWA NOTICE AND SOLICITATION OF PROPOSALS FOR THE POSITION OF TAX APPEAL CONSULTANT FOR THE BOROUGH OF TOTOWA The Borough of Totowa is soliciting proposals from professional real estate appraisal

More information

RESIDENT SELECTION PLAN. The income maximums and minimums are attached and will be posted in the Pacific Meadows Office.

RESIDENT SELECTION PLAN. The income maximums and minimums are attached and will be posted in the Pacific Meadows Office. PACIFIC MEADOWS 5315 CARMEL VALLEY ROAD, CARMEL, CA 93923 TELEPHONE (831) 624-9355 TDD (800) 545-1833 EXT 478 PM-ADMINISTRATOR@ABHOW.COM WWW.PACIFICMEADOWSCARMEL.COM RESIDENT SELECTION PLAN Pacific Meadows

More information

Application for Employment Driver

Application for Employment Driver 3720 River Rd. Suite 100 Franklin Park, IL 60131 (847) 616-1080 phone (630)766-6339 fax www.rmtrucking.com email: hr@rmtrucking.com 5120 S. International Drive Cudahy, WI 53110 (414) 294-5800 phone (414)

More information

Employment Application

Employment Application Employment Application mail to: Hope Village for Children P. O. Box 26 Meridian, MS 39302 the applicant: We appreciate your interest in Hope Village for Children and assure you that we are interested in

More information

All Bay Property Management Corp. Application Instructions

All Bay Property Management Corp. Application Instructions All Bay Property Management Corp. Application Instructions Thank you for your interest in renting property offered by All Bay Property Management Corp. To qualify for the property, you will need a minimum

More information

APPLICATION TO BOARD OF DIRECTORS

APPLICATION TO BOARD OF DIRECTORS APPLICATION DEADLINE: November 17, 2017 APPLICATION TO BOARD OF DIRECTORS NAME: DATE: ADDRESS: CITY: STATE: _ ZIP: WORK PHONE: HOME PHONE: MEMBER #: HOW LONG HAVE YOU BEEN A MEMBER OF THIS CREDIT UNION?

More information