1 2 3 4 5 6 7 0% Privacy Statement: Unless required by law, subpoena, or other authority, information collected through forms on this website is for the private use of the Sutter-Yuba Mosquito & Vector Control District and its contractors where there is need or responsibility for its review. Sensitive information requested on web forms is encrypted and transmitted in 256 bit SSL. For individuals that are uncomfortable or have concerns about using digital/electronic forms requiring sensitive information, please contact our office to communicate directly or for other alternatives. Required * Your Name * Email Address * Telephone Number * Example: (999)999-9999 Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Employment Desired Regular full-time work? * Yes No Regular part-time work? * Yes No Temporary work, e.g., summer or holiday work? * Yes No What days and hours are you available for work? * Example: Monday - Friday 8am - 5pm If applying for temporary work, during what period of time will you be available? Are you available for work on weekends? * Yes No Would you be available to work overtime, if necessary * Yes No If hired, on what date can you start work? * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202020212022 Salary desired * Have you ever applied to or worked for Sutter-Yuba MVCD before * Yes No If yes, when? CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
