SEICAA Employment Application

Thank you for your interest in SouthEastern Idaho Community Action Agency! Please complete the following form as accurately as possible.

Please email your resume to

For any technical issues with the application please contact Human Resources at 208-232-1114 (x113) or

Personal Data

SEICAA is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, national origin, religion, sex, veteran status or disability.

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity within three (3) days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Contact Information

Position Information

What position(s) are you applying for?

How were you referred to us?

If you selected "Employee," please enter his or her name below:

If you selected "other," please enter how you were referred to us below:


Check the highest level of education you have completed: *

If you selected "other," please specify your highest level of education completed:

Certifications & Training

List any relevant certifications earned/in-progress and any training programs not under education below:

Employment History

List your current or most recent employment first. Include work related internships, military experience, and volunteer work.

Current/Most Recent Employer

Next Most Recent Employer

Additional Information

Professional References

Please include: Name, contact information, and professional relationship for three (3) professional references.

Reference #1

Reference #2

Reference #3

Releases and Applicant's Signature

Verification: I verify that the information I have provided on this application is true and accurate. I understand that any false or misleading information that I furnish on or in connection with this application for employment may result in rejection of my application or termination of my employment.

Employment-at-Will: All hiring and employment at SEICAA is at-will. I understand this application is not an employment contract, nor can it be used to create one. Employment by SEICAA has no specific term and may be terminated by the employee or SEICAA with or without notice. I acknowledge that SEICAA has not made any promises or representations that differ from those contained in this paragraph.

Documentation: I understand I must provide satisfactory documents to establish my identity and right to work in the United States if I am offered a position with SEICAA, and that failure to provide this evidence will result in the termination of my employment.

Confidential Information: During and after any employment with SEICAA, I will not divulge or appropriate for my own use or for the use of others, except as SEICAA may authorize or direct, any knowledge or information obtained by me during my employment and considered by SEICAA confidential.