ncbe-ovs.ncbex2.org Open in urlscan Pro
44.236.2.0  Public Scan

Submitted URL: https://8hw5bvj7.r.us-west-2.awstrack.me/L0/https:%2F%2Fncbe-ovs.ncbex2.org%2Femployver%3Fver_key=s5BpEs4G75uLxccG0arY3Exwv6jQ89kn/1/0101...
Effective URL: https://ncbe-ovs.ncbex2.org/employ/employment
Submission: On July 24 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /employ/employment

<form action="/employ/employment" method="post">
  <input type="hidden" name="role" value="Position Verification">
  <input type="hidden" name="jobIds" id="jobIds" value="125678">
  <input type="hidden" name="_token" value="LqXUz2AsG4vaRM6ddxfj0cXSfoqlXpxIAC0Z6k3e">
  <div id="page-wrapper">
    <div class="row">
      <div class="col-md-12">
        <h2 class="text-center">Position Verification</h2>
      </div>
    </div>
    <div class="row">
      <div class="col-md-12">
        <div class="panel panel-default">
          <div class="panel-heading">
            <div class="row">
              <div class="col-md-12">
                <h4>
                  <strong>BRANDON&nbsp;&nbsp;HANCOCK</strong>
                </h4>
              </div>
            </div>
            <div class="row">
              <div class="col-md-12">
                <strong>Submitting an application to: </strong>DISTRICT OF COLUMBIA
              </div>
            </div>
            <div class="row">
              <div class="col-md-12">
                <strong>Letter #: </strong>8096407
              </div>
            </div>
            <div class="row">
              <div class="col-xs-12">
                <!-- a&r link -->
                <div class="row">
                  <div class="form-group">
                    <div class="col-xs-12">
                      <div>
                        <a href="/employ/anr/8096407" target="_blank"><h4><strong>Link to Authorization and Release Form Provided by the Applicant</strong></h4></a>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-md-12">
        <div class="panel panel-default">
          <div class="panel-heading panel-heading-custom" style="text-align: center">
            <div class="panel-title emp-header">
              <strong>WASHINGTON STATE EMPLOYMENT SECURITY DEPARTMENT</strong><br>
              <strong>ATTN: TIM OSTERHOLM OR PERSONNEL RECORDS</strong><br>
              <strong>130 S ARTHUR ST</strong><br>
              <strong>SPOKANE, WA 99202</strong>
            </div>
          </div>
          <div class="panel-body">
            <div id="was_employed">
              <!-- iterate over positions-->
              <input type="hidden" id="125678_to_date" value="2021-09-01">
              <input type="hidden" id="125678_display_date" value="09/2021">
              <div class="panel panel-default">
                <!-- header start -->
                <div class="panel-heading panel-heading-custom" data-toggle="collapse" data-target="#125678_position_collapse_section">
                  <div class="panel-title">
                    <div class="row">
                      <div class="col-xs-12 col-sm-6 col-md-6 col-lg-6">
                        <div class="row">
                          <div class="col-xs-2 col-sm-2 col-md-2 col-lg-2">
                          </div>
                          <div class="col-xs-10 col-sm-10 col-md-10 col-lg-10" style="font-size: 18px;">
                            <strong>Position:</strong>&nbsp;UI SPECIALIST
                          </div>
                        </div>
                        <div class="row">
                          <div class="col-xs-2 col-sm-2 col-md-2 col-lg-2 text-center emp-collapse-icon">
                            <i id="icon_125678" class="fa fa-angle-up" style="float: top; font-size:22px;"></i>
                          </div>
                          <div class="col-xs-10 col-sm-10 col-md-10 col-lg-10">
                            <div>
                              <strong>Dates of Employment:</strong>&nbsp;<div class="keep-inline">05/2021 to 09/2021</div>
                            </div>
                          </div>
                        </div>
                        <div class="row">
                          <div class="col-xs-2 col-sm-2 col-md-2 col-lg-2"></div>
                          <div class="col-xs-10 col-sm-10 col-md-10 col-lg-10">
                            <div>
                              <strong>Supervisor/Associate Name:</strong>&nbsp;<div class="keep-inline">TIM OSTERHOLM</div>
                            </div>
                          </div>
                        </div>
                      </div>
                      <div class="col-xs-12 col-sm-6 col-md-5 col-lg-6">
                        <div class="row emp-addy-label">
                          <div class="col-xs-2 col-sm-2 col-md-1 col-lg-1"></div>
                          <div class="col-xs-10 col-sm-10 col-md-11 col-lg-11">
                            <strong>Address:</strong> Same Address As Above
                          </div>
                        </div>
                      </div>
                      <div class="col-xs-12 col-sm-6 col-md-1 col-lg-0"></div>
                    </div>
                  </div>
                </div>
                <!-- header end -->
                <div class="panel-body position-panel collapse  in " id="125678_position_collapse_section">
                  <!-- are these dates correct row -->
                  <div class="form-group ">
                    <div class="row">
                      <div class="col-sm-7 col-md-5">
                        <label class="control-label radio-question">Are the dates and position above correct?</label>
                      </div>
                      <div class="col-sm-5 col-md-7 employ-radio-pad">
                        <label class="radio-inline radio-label  first-radio emp-xs-radio-inline">
                          <input class="dates_correct_radio" type="radio" data-index="125678" name="125678_dates_correct" id="date_correct_Y_125678" value="Y"> <strong>Yes</strong>
                        </label>
                        <label class="radio-inline radio-label emp-xs-radio-inline">
                          <input class="dates_correct_radio" type="radio" data-index="125678" name="125678_dates_correct" id="date_correct_N_125678" value="N"> <strong>No</strong>
                        </label>
                        <label class="radio-inline radio-label emp-xs-radio-inline">
                          <input class="dates_correct_radio" type="radio" data-index="125678" name="125678_dates_correct" id="date_correct_U_125678" value="U"> <strong> No record of position during this period </strong>
                        </label>
                      </div>
                    </div>
                  </div>
                  <div>
                  </div>
                  <div id="disable_if_not_employed_dates_125678" class="125678_hide_if_no_record ">
                    <div class="row">
                      <div class="col-md-12">
                        <label class="control-label">If you selected No, please enter the correct information:</label>
                      </div>
                    </div>
                    <div class="row employ-element-indent">
                      <div class="form-group ">
                        <!-- FROM -->
                        <div class="col-xs-12 col-sm-12 col-md-12 col-lg-6">
                          <div class="form-group from-date " style="margin-top: 20px;">
                            <div class="row">
                              <!-- from month -->
                              <div class="col-xs-12 col-sm-5 col-md-5 col-lg-6 employ-month form-group ">
                                <label class="control-label employ-month-label">From Month <select class="form-control" id="125678_from_month" name="125678_from_month" disabled="">
                                    <option value="">Select Month</option>
                                    <option value="1">January</option>
                                    <option value="2">February</option>
                                    <option value="3">March</option>
                                    <option value="4">April</option>
                                    <option value="5">May</option>
                                    <option value="6">June</option>
                                    <option value="7">July</option>
                                    <option value="8">August</option>
                                    <option value="9">September</option>
                                    <option value="10">October</option>
                                    <option value="11">November</option>
                                    <option value="12">December</option>
                                  </select>
                                </label>
                              </div>
                              <!-- from day -->
                              <div class="col-xs-12 col-sm-3 col-md-3 col-lg-3 employ-day form-group ">
                                <label class="control-label">Day (optional) <input id="125678_from_day" name="125678_from_day" class="form-control employ-day-input" type="text" maxlength="2" size="2" placeholder="DD" value="" disabled="">
                                </label>
                              </div>
                              <!-- from year -->
                              <div class="col-xs-12 col-sm-4 col-md-4 col-lg-3 employ-year form-group ">
                                <label class="control-label">From Year <input id="125678_from_year" name="125678_from_year" class="form-control employ-year-input" type="text" maxlength="4" placeholder="YYYY" value="" disabled="">
                                </label>
                              </div>
                            </div>
                          </div>
                        </div>
                        <!-- TO -->
                        <div class="col-xs-12 col-sm-12 col-md-12 col-lg-6">
                          <div class="form-group to-date ">
                            <!-- PRESENT CHECKBOX -->
                            <div class="row">
                              <div class="col-sm-12 col-md-12">
                                <div>
                                  <label class="checkbox-inline" for="125678_present">
                                    <input class="present" id="125678_present" name="125678_present" data-index="125678" type="checkbox" value="Y" onclick="presentCheckbox(125678)" disabled=""> Present </label>
                                </div>
                              </div>
                            </div>
                            <div class="row">
                              <!-- to month -->
                              <div class="col-xs-12 col-sm-5 col-md-6 col-lg-6 employ-month form-group ">
                                <label class="control-label employ-month-label">To Month <select class="form-control emp-dropdown to-month" id="125678_to_month" name="125678_to_month" disabled="">
                                    <option value="">Select Month</option>
                                    <option value="1">January</option>
                                    <option value="2">February</option>
                                    <option value="3">March</option>
                                    <option value="4">April</option>
                                    <option value="5">May</option>
                                    <option value="6">June</option>
                                    <option value="7">July</option>
                                    <option value="8">August</option>
                                    <option value="9">September</option>
                                    <option value="10">October</option>
                                    <option value="11">November</option>
                                    <option value="12">December</option>
                                  </select>
                                </label>
                              </div>
                              <!-- to day -->
                              <div class="col-xs-12 col-sm-3 col-md-3 col-lg-3 employ-day form-group ">
                                <label class="control-label">Day (optional) <input id="125678_to_day" name="125678_to_day" class="form-control employ-day-input" type="text" maxlength="2" size="2" placeholder="DD" value="" disabled="">
                                </label>
                              </div>
                              <!-- to year -->
                              <div class="col-xs-12 col-sm-4 col-md-3 col-lg-3 employ-year form-group ">
                                <label class="control-label"> To Year&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<!-- non breaking spaces are to make the input the same width as From Year -->
                                  <input id="125678_to_year" name="125678_to_year" class="form-control employ-year-input to-year-input" type="text" maxlength="4" placeholder="YYYY" value="" disabled="">
                                </label>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                      <!-- POSITION -->
                      <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12" style="margin-top: 5px; width: 92%;">
                        <div>
                          <div class="col-xs-12 new-position-div">
                            <label class="control-label new-position">Position <input id="125678_new_position" name="125678_new_position" class="form-control" type="text" minlength="4" maxlength="50" size="90%" value="" disabled="">
                            </label>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div></div>
                  <div>
                  </div>
                  <div class="125678_hide_if_no_record">
                    <!-- question 2 -->
                    <div id="125678-why-position-ended" class="form-group  ">
                      <div class="row emp-md-top-pad">
                        <div class="col-md-12">
                          <label class="control-label"> If the position has ended, why/how did the position end? If you are unable to respond, please select a reason below. </label>
                          <textarea onclick="whyPosEnded(125678, 'comment')" id="125678_reason_ended_comment" class="form-control countable" style="resize: none;" rows="6" name="125678_reason_ended_comment" disabled=""></textarea>
                          <i style="">65,000 character max</i>
                        </div>
                      </div>
                      <div class="row">
                        <div class="col-md-12 employ-radio-pad why-ended-radio">
                          <label class="radio-inline radio-label md-radio-inline sm-radio-inline unable-why-ended">
                            <input type="radio" name="125678_pos_end_radio" class="" value="Unable to disclose due to policy" onclick="whyPosEnded(125678, 'radio');" disabled="">
                            <strong>Unable to disclose due to policy</strong>
                          </label>
                          <label class="radio-inline radio-label md-radio-inline sm-radio-inline">
                            <input type="radio" name="125678_pos_end_radio" class="" value="Unknown" onclick="whyPosEnded(125678, 'radio');" disabled="">
                            <strong>Unknown</strong>
                          </label>
                        </div>
                      </div>
                      <div class="row"><!-- this is here because question below shifts right with errors if not --></div>
                    </div>
                    <!-- question 3 -->
                    <div class="form-group ">
                      <div class="row">
                        <div class="col-xs-12 col-sm-12 col-md-6" style="float: left;">
                          <label class="control-label radio-question"> Was the position full time or part time? </label>
                        </div>
                        <div class="col-xs-12 col-sm-12 col-md-6 employ-radio-pad">
                          <label class="radio-inline radio-label first-radio md-radio-inline sm-radio-inline">
                            <input type="radio" name="125678_full_part_time" class="employ_time_radio" value="F">
                            <strong>Full Time</strong>
                          </label>
                          <label class="radio-inline radio-label md-radio-inline sm-radio-inline">
                            <input type="radio" name="125678_full_part_time" class="employ_time_radio" value="P">
                            <strong>Part Time</strong>
                          </label>
                          <label class="radio-inline radio-label md-radio-inline sm-radio-inline">
                            <input type="radio" name="125678_full_part_time" class="employ_time_radio" value="B">
                            <strong>Both</strong>
                          </label>
                          <label class="radio-inline radio-label md-radio-inline sm-radio-inline">
                            <input type="radio" name="125678_full_part_time" class="employ_time_radio" value="U">
                            <strong>Unknown</strong>
                          </label>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <!-- employer questions -->
              <div id="general_emp_questions">
                <!-- question 4 -->
                <div class="form-group ">
                  <div class="row">
                    <div class="col-md-12 col-lg-8">
                      <label class="control-label radio-question">
                        <strong>If a suitable position was available, would this person be eligible for rehire? If the answer is no, please comment in the Additional Comments section below.</strong>
                      </label>
                    </div>
                    <div class="col-md-12 col-lg-4 employ-radio-pad">
                      <label class="radio-inline radio-label first-radio sm-radio-inline md-radio-inline">
                        <input type="radio" name="rehire" value="Y">
                        <strong>Yes</strong>
                      </label>
                      <label class="radio-inline radio-label sm-radio-inline md-radio-inline">
                        <input type="radio" name="rehire" value="N">
                        <strong>No</strong>
                      </label>
                      <label class="radio-inline radio-label sm-radio-inline md-radio-inline">
                        <input type="radio" name="rehire" value="U">
                        <strong>Unknown/No Opinion</strong>
                      </label>
                    </div>
                  </div>
                  <div class="row"><!-- this is here because question below shifts right with errors if not --></div>
                </div>
                <!-- question 5 -->
                <div class="form-group ">
                  <div class="row">
                    <div class="col-md-12 col-lg-8">
                      <label class="control-label radio-question">
                        <strong> Do you believe this person possesses the character and fitness necessary for the practice of law? You may comment in the Additional Comments section below. </strong>
                      </label>
                    </div>
                    <div class="col-md-12 col-lg-4 employ-radio-pad nowrap">
                      <label class="radio-inline radio-label first-radio md-radio-inline">
                        <input type="radio" name="c_and_f" value="Y">
                        <strong>Yes</strong>
                      </label>
                      <label class="radio-inline radio-label md-radio-inline">
                        <input type="radio" name="c_and_f" value="N">
                        <strong>No</strong>
                      </label>
                      <label class="radio-inline radio-label md-radio-inline">
                        <input type="radio" name="c_and_f" value="U">
                        <strong>Unknown/No Opinion</strong>
                      </label>
                    </div>
                  </div>
                  <div class="row"><!-- this is here because question below shifts right with errors if not --></div>
                </div>
                <div class="form-group ">
                  <div class="row">
                    <div class="col-md-12 col-lg-8">
                      <label class="control-label radio-question">
                        <strong>Based on your personal experience, do you believe the applicant is honest, trustworthy, diligent, and reliable?</strong>
                      </label>
                    </div>
                    <div class="col-md-12 col-lg-4 employ-radio-pad">
                      <label class="radio-inline radio-label first-radio sm-radio-inline md-radio-inline">
                        <input type="radio" name="reputation" value="Y">
                        <strong>Yes</strong>
                      </label>
                      <label class="radio-inline radio-label sm-radio-inline md-radio-inline">
                        <input type="radio" name="reputation" value="N">
                        <strong>No</strong>
                      </label>
                      <label class="radio-inline radio-label sm-radio-inline md-radio-inline">
                        <input type="radio" name="reputation" value="U">
                        <strong>Unknown/No Opinion</strong>
                      </label>
                    </div>
                  </div>
                  <div class="row"><!-- this is here because question below shifts right with errors if not --></div>
                </div>
              </div>
            </div>
            <div>
              <!-- additional comments -->
              <div class="form-group no-bot-marg ">
                <div class="row">
                  <div class="col-md-12">
                    <label class="control-label" style="width: 100%;">Additional Comments:</label>
                    <textarea class="form-control countable" id="employed_add_comments" name="employed_add_comments" style="resize: none" rows="5"></textarea>
                    <i style="">65,000 character max</i>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="row" style="padding-bottom: 16px;">
      <div class="col-md-6">
        <button type="submit" class="btn btn-primary submit">Save and Next <i class="fa fa-arrow-right"></i>
        </button>
      </div>
      <div class="col-md-6"></div>
    </div>
    <!-- Modal -->
    <div class="modal fade" id="employModal" tabindex="-1" role="dialog" aria-labelledby="employModalTitle" aria-hidden="true">
      <div class="modal-dialog" role="document">
        <div class="modal-content">
          <div class="modal-body">
            <!-- This will remove any text entered for why the position ended.  Click 'Cancel' to keep the text you have entered. -->
            <!--input type="text" name="empModalText" id="empModalText" value="" style="border: none transparent;"-->
            <!--p id="empModalText" value=""></p-->
            <div id="empModalText"></div>
          </div>
          <div class="modal-footer">
            <button type="button" class="btn btn-secondary" data-dismiss="modal" id="employModalCancelBtn">Cancel</button>
            <button type="button" class="btn btn-primary" id="employModalOkBtn">OK</button>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

POSITION VERIFICATION

 * NCBE Website Home
   


POSITION VERIFICATION

BRANDON  HANCOCK

Submitting an application to: DISTRICT OF COLUMBIA
Letter #: 8096407

LINK TO AUTHORIZATION AND RELEASE FORM PROVIDED BY THE APPLICANT

WASHINGTON STATE EMPLOYMENT SECURITY DEPARTMENT
ATTN: TIM OSTERHOLM OR PERSONNEL RECORDS
130 S ARTHUR ST
SPOKANE, WA 99202
Position: UI SPECIALIST
Dates of Employment: 
05/2021 to 09/2021
Supervisor/Associate Name: 
TIM OSTERHOLM
Address: Same Address As Above

Are the dates and position above correct?
Yes No No record of position during this period

If you selected No, please enter the correct information:
From Month Select Month January February March April May June July August
September October November December
Day (optional)
From Year
Present
To Month Select Month January February March April May June July August
September October November December
Day (optional)
To Year     
Position


If the position has ended, why/how did the position end? If you are unable to
respond, please select a reason below. 65,000 character max
Unable to disclose due to policy Unknown

Was the position full time or part time?
Full Time Part Time Both Unknown
If a suitable position was available, would this person be eligible for rehire?
If the answer is no, please comment in the Additional Comments section below.
Yes No Unknown/No Opinion

Do you believe this person possesses the character and fitness necessary for the
practice of law? You may comment in the Additional Comments section below.
Yes No Unknown/No Opinion

Based on your personal experience, do you believe the applicant is honest,
trustworthy, diligent, and reliable?
Yes No Unknown/No Opinion

Additional Comments: 65,000 character max
Save and Next

Cancel OK