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Palmdale Recycled Water Authority (PRWA) Public Member Application

  1. Palmdale Recycled Water Authority (PRWA)
    Public Member Application
  2. PRWA Logo Small
  3. Reasonable Accomodations:
  4. Based on your understanding of this PRWA position, will you require any special accommodations to apply and/or participate as a member? *
  5. In Case of Emergency:
  6. Name and Relationship to Applicant
  7. Agreement
    The City of Palmdale and Palmdale Water District are equal opportunity employers and do not discriminate in hiring or employment upon any basis prohibited by law, including race, color, creed, religion, age, sex (including pregnancy, childbirth and related medical conditions), cancer, national origin, genetic characteristics, genetic information, ancestry, sexual orientation, gender, gender identity, gender expression, marital status, veteran status, disability, or any other basis protected by applicable law. None of the questions or information sought in this application are intended to discriminate based upon any status protected by law. If you need reasonable accommodation in completing this application, or in any other part of the application process, please contact the Palmdale City Clerk’s Office at 661/267-5151. I certify that all statements on this application are true and complete to the best of my knowledge. I hereby authorize the City of Palmdale to investigate any information contained in this application. I understand that as part of the final selection process I will be required to pass a livescan fingerprint scan submission via the California Department of Justice. I understand that information collected during this background check will be limited to that appropriate to determining my suitability for particular types Page 3 of work and that such information collected during the check will be kept confidential. I understand that false or misleading statements shall be sufficient grounds for disqualification from this position.
  8. Attached Documents:
  9. Leave This Blank:

  10. This field is not part of the form submission.