Cardi Companies Employment Application

Cardi Companies Employment Application
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
General Information
What position are you applying for?*
If "Other," please state position here.
Are you currently in a union?*
Please state what union.
How did you hear about this position?*
Please specify.
How did you hear about this position? Please be specific.
YesNo

Education & Training
Please enter last grade completed*
Last high school attended.*
Some collegeAssociates DegreeBachelors DegreeMasters DegreeDoctorateNot Applicable
College attended.
Other schooling (technical, vocational, graduate, etc.)
Please list any scholarships, academic honors, awards, or special achievements.

Skills
Please list any skills you have that are appropriate to the position for which you are applying.

0/1000
Please describe any academic, professional, or other accomplishments you feel may be useful to you in this position.

0/1000
SaturdaysSundaysOvertimeRotating Shifts
Part-timeFull-time
Salary Requirements (per hour or per year)
Why do you believe you are qualified for this position?

0/1000
If applicable, please attach resume and cover letter here.

Browse Files

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If applicable, please attach photos of documents and credentials relevant to the position you are applying for, such as licenses, OSHA Certifications, union card, etc.

Browse Files

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Date you can start

MonthDayYear
Date

Employment History

Starting with your PRESENT or MOST RECENT employer, please list in consecutive order all employment for your past three (3) employers.
Full name of company*
Company address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone*

Area CodePhone Number
Position you held*
YesNo
Start Date

MonthDayYear
Date
Dates of Employment
YesNo
Starting salary*
Ending salary*
Please briefly list duties performed, skills used, and promotions gained while employed at this company.*
Reason for leaving*
Second Prior Employer
Prior employer
Prior employer address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prior employer phone number

Area CodePhone Number
Position you held
Dates of Employment
Starting salary
Ending salary
Please briefly list duties performed, skills used, and promotions gained while employed at this company.
Reason for leaving
Third Prior Employer
Prior employer
Prior employer address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prior employer phone number

Area CodePhone Number
Position you held
Dates of Employment
Starting salary
Ending salary
Please briefly list duties performed, skills used, and promotions gained while employed at this company.
Reason for leaving

Voluntary Self-Identification of Disability
Why Am I Being Asked To Complete This Form?

As a federal contractor, the Cardi Companies are required by law to provide equal employment opportunity to qualified people with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary. Your answer
will be remain confidential and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing this form will not negatively impact you in any way, regardless of whether you have self-identified in the past.

How Do I Know If I Have A Disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

• Autism
• Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
• Blind or low vision
• Cancer
• Cardiovascular or heart disease
• Celiac disease
• Cerebral palsy
• Deaf or hard of hearing
• Depression or anxiety
• Diabetes
• Epilepsy
• Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
• Intellectual disability
• Missing limbs or partially missing limbs
• Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple Sclerosis (MS)
• Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Yes, I have a disability, or have a history/record of having a disability.No, I do not have a disability, or have a history/record of having a disability.I do not wish to answer.

Voluntary Self-Identification of Protected Veteran Status
Why Am I Being Asked to Complete This Form?

The Cardi Companies are a government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212. VEVRAA requires government contractors to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA.

Completing this form is completely voluntary and any answer you give will be kept private and will not be used against you in any way.

How Do I Know If I Am a Veteran Protected by VEVRAA?

Contrary to the name, VEVRAA does not just cover Vietnam Era veterans. It covers several categories of veterans from World War II, the Korean conflict, the Vietnam era, and the Persian Gulf War which is defined as occurring from August 2, 1990 to the present.

“Protected” veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans.

If you believe you belong to any of the categories of protected veterans please indicate by checking the appropriate box below.

YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
I identify as one or more of the classes of protected veteran.I am not a protected veteran.I do not wish to answer.

READ CAREFULLY:

I certify that the information contained in this application is correct to the best of my knowledge. I authorize any references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I understand that any misstatement or omission of information may result in denial of employment or discharge. I also understand that I am required to abide by all rules and regulations of the Company.
Using your mouse or finger (if on a touch screen device), please sign on the line below.*

Clear
DateTime
Should be Empty:

Cardi Companies Employment Application

General Information

Education & Training

Skills

Employment History

Second Prior Employer

Third Prior Employer

Invitation for Self-Identification

Voluntary Self-Identification of Disability

Voluntary Self-Identification of Protected Veteran Status