Language
  • English (US)
  • APPLICATION FOR EMPLOYMENT

  • It is our policy to deal with all applicants and employees without regards to race, color, religion, sex, national orgin, marital status, age, disability or status community as a Vietnam era or qualified disabled veteran.  Community Aciton Region VI is an equal opportunity employer.  Please inform the Human Resources Manager if you require an accommodation in order to particiapte in the application process.

    IMPORTANT NOTICE:  This is a very significant document.  Be very careful as you complete it.  Answer each item accuratley and completely.  Failure to do so may result in not being considered for the position or in termination, if inaccurate or omitted information is discovered after employment has begun.

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  • PERSONAL INFORMATION

  • Please provide the below information if applying for a position that will require the use of a motor vehicle:

  • EMPLOYMENT DESIRED

  • EDUCATION

  • MISCELLANEOUS JOB-RELATED INFORMATION

  • Note:  We comply with the ADA, and consider reasonable accmmodation measures that may be necessary for eligible applicants/employees to perform essential functions.  Hire my be subject to passing a medical examination in addition to a skill and agility test.

  • PROFESSIONAL REFERENCES

    Please list three professional references (individuals who have worked with you and are able to comment on your performance, skills and abilities).
  • FORMER EMPLOYERS

    You must complete this section in full. The comment, "Please see resume." is not an acceptable response. Begin with the most present employer. Include any job-related military service assignment and volunteer activities. You may exclude organizations, which indicate race, color, religion, gender, national origin, disability, or other protected status.
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  • We require that you read the information below.  Your application will not be considered if the signature has been omitted.  Furthermore, a photographic copy of this application will be considered the equivalent of the original and can be used as such.

    Please read carefully, initial each paragraph and sign below:

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