Action Center / Application for Employment / Portales, NM

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Application for Employment

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The purpose of this application is to gather information about your experience and qualifications. This information will help us to understand how you may best fit into our organization. We are an Equal Opportunity Employer and will not discriminate on the basis of age, gender, religion, race color, national origin, or disability.

* Denotes a required field

Today's Date*

MonthDay Year,

Personal Data

Full Name (First, Middle, Last)*

Address 1*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Is this a mailing or permanent address?*

Current Address

Mailing Address

Permanent Address

Best Contact Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Please Do Not Complete The Following Field

Position Applying For*

Position Opening Number

Contact Us

100 W. First Street
Portales, NM 88130
Get Directions

Telephone: (575)356-6662
Personnel Directory

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Portales, New Mexico

Gateway to a Good Life

Application for Employment

Personal Data

Contact Us

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