CFNEIA Application for Employment

Application for Employment
Thank you for your interest in employment with the Community Foundation of Northeast Iowa. We are an equal opportunity employer and give employment and promotional consideration without regard to race, color, sex, religion, age, national origin, marital or veteran status, disability, sexual orientation, gender identity, or any other protected class as defined by local, state, or federal law. We seek applicants for employment who are qualified, dedicated, hardworking, and who seek fulfilling employment. In return, the Community Foundation of Northeast Iowa offers competitive income, benefits and an excellent working environment.

If you are selected for employment with the Community Foundation of Northeast Iowa, you will also be hired simultaneously by Oasis, as your co-employer. The Community Foundation of Northeast Iowa is your employer for the purposes of managing the day-to-day operations of the company and the employees; this includes responsibility for: the worksites, scheduling of work, safety, and the direction of the individual employees in their positions. Oasis is the co-employer for managing the administrative portion of employment, such as benefits, payroll, and workers’ compensation insurance.

Applicants seeking reasonable accommodation with the application and/or interview process should contact the Chief Executive Officer.

Applicants may be subject to a background check and drug testing. Employment is conditional based upon the results of the background and drug screenings.

Applications are active for 30 days, but remain on file for one year.
PERSONAL INFORMATION
Full Name*

First NameMiddle NameLast Name
Date of Application

MonthDayYear
Date
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Email Address*
Are you 18 years or older?*

YesNo
Upon employment, can you provide genuine documentation establishing your identity and employment eligibility?*

YesNo
EMPLOYMENT LOCATION - DIRECTOR OF CHARITABLE IMPACT
There is flexibility for the position to be located anywhere within our 20-county region, with the preference that at least one candidate work from our Black Hawk County location.
Please indicate your location preference and any additional relevant information.*
Not sure what Iowa counties are included in our region? Go to www.cfneia.org/localfoundations.
If you are not currently located in CFNEIA's region, are you willing to relocate for this position?

YesNoNeed more information
EMPLOYMENT DESIRED
Full TimePart TimeTemporaryWeekdaysWeekendsMorningsAfternoonsEveningsNights
Position*
Date You Can Start:*

MonthDayYear
Salary Desired:
Have you ever applied to CFNEIA before?*

YesNo
Where?
When?
Referred by:
EDUCATION
Did you graduate from High School or receive an equivalent degree?*

YesNo

Other Formal Education

	NAME OF SCHOOL, CITY AND STATE	DATES ATTENDED	DEGREE OBTAINED
Highest Level
Second Highest Level
Third Highest Level

GENERAL
List any special course, seminars, and/or training that relate to the position for which you are applying.
List any professional, trade, or civic organizations that relate to the position for which you are applying.
[Omit any organization which reflects your race, color, sex, religion, age, national origin, marital or veteran status, disability, sexual orientation, gender identity, or any other protected class as defined by local, state, or federal law.]
FORMER EMPLOYERS

List last three (3) Employers, starting with most recent first. These sections must be completed; "See Attached Resume" is NOT acceptable.
1. Name of Employer*
Dates of Employment:*

MonthDayYear
FROM
MonthDayYear
TO
Last Position Held:*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Employer Phone*

Area CodePhone Number
Wages:*
STARTING WAGES
ENDING WAGES
Supervisor's Name*
Reason for Leaving:*
List jobs held, duties performed, skills used or learned, and advancements or promotions while you worked at this company. Also list what you liked most and least about this job.*
2. Name of Employer*
Dates of Employment:*

MonthDayYear
FROM
MonthDayYear
TO
Last Position Held:*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Employer Phone*

Area CodePhone Number
Wages:*
STARTING WAGES
ENDING WAGES
Supervisor's Name*
Reason for Leaving:*
List jobs held, duties performed, skills used or learned, and advancements or promotions while you worked at this company. Also list what you liked most and least about this job.*
3. Name of Employer*
Dates of Employment:*

MonthDayYear
FROM
MonthDayYear
TO
Last Position Held:*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Employer Phone*

Area CodePhone Number
Wages:*
STARTING WAGES
ENDING WAGES
Supervisor's Name*
Reason for Leaving:*
List jobs held, duties performed, skills used or learned, and advancements or promotions while you worked at this company. Also list what you liked most and least about this job.*
PROFESSIONAL REFERENCES:

Give the names of three (3) non-relative Professional References, whom you have known for at least one (1) year.

	NAME	PHONE	BUSINESS/RELATIONSHIP	YEARS ACQUAINTED
1.
2.
3.

ADDITIONAL INFORMATION
List any additional information you feel may be helpful to us in considering your application:
I certify that the above information is true and correct and give authorization for investigation of all statements and information contained in this application, my resume, and other documents or verbally obtained during an employment interview. I voluntarily consent to allow the Community Foundation of Northeast Iowa or designated representatives of Oasis or any of its representatives or agents to check my references by contacting any persons, company of governmental entity they deem to be an appropriate reference. I understand these questions may pertain to my personal or educational background, work experience, character and behavior. I understand my employment is subject to satisfactory verification of this information and agree that deliberate falsification of this document or significant omissions shall be grounds for employment consideration disqualification or dismissal from employment, if discovered at a later date.

I understand that completion of this Application for Employment does not imply or guarantee employment by the Community Foundation of Northeast Iowa. All employment by the Community Foundation of Northeast Iowa is at-will and as such the relationship may be terminated by either Community Foundation of Northeast Iowa or myself, at any time, with or without notice and with or without cause. I understand that company policies, procedures, practices or statements made during an interview or employment do not create an employment contract by implication or otherwise.

This application will be active for thirty days. If not contacted during that period of time, it may be necessary to complete another application to receive further employment consideration
By entering your name in the signature line below, you certify that all information in this application is true and correct and give authorization for investigation of all statements and information contained in this application, your resume, and other documents or verbally obtained during an employment interview.
Applicant's Signature*
Today's Date:*

MonthDayYear
Date
Upload Resume and Cover Letter*

Upload Files

Cancelof
Should be Empty:

Application for Employment

PERSONAL INFORMATION

EMPLOYMENT LOCATION - DIRECTOR OF CHARITABLE IMPACT

EMPLOYMENT DESIRED

EDUCATION

GENERAL

FORMER EMPLOYERS

PROFESSIONAL REFERENCES:

ADDITIONAL INFORMATION