Date

APPLICATION INFORMATION

Last Name

First Name

Address

Phone

Position Applied For:

Desired Salary

Date Available

Are you authorized to work in the U.S.?

Yes

Do you have any birds?

Yes

If yes, what type of birds are they?

Have you ever worked for this company?

Yes

If yes, when?

Have you ever worked at CVE through a staffing agency?

Yes

If yes, when? Agency name?

Are you at Minimum 18 years of age?

Yes

How did you hear about us?

REFERENCES - PLEASE LIST THREE PROFESSIONAL REFERENCES.

Reference 1:

Company Name

Reference Full Name

Relationship

Phone

Address

Reference 2:

Company Name

Reference Full Name

Relationship

Phone

Address

Reference 3:

Company Name

Reference Full Name

Relationship

Phone

Equal Employment Opportunity Data

To be completed by the applicant:

This employer is subject to certain government recordkeeping and reporting requirements for the administration of civil right laws and regulations. Completion of this form is completely VOLUNTARY. You do not have to provide the information if you prefer. All information will remain confidential and will not affect your job application or subject you to any adverse treatment. It will not become part of your personnel record if you are hired by this company and will only be used as required by law. The data will not identify any specific individual.

Gender

Male

Female

Prefer not to answer

Race / Ethnicity (Definitions are on the next page as provided by The U.S. Equal Employment Opportunity Commission):

Hispanic or Latino

White (Not Hispanic or Latino)

Black or African American (Not Hispanic or Latino)

Native Hawaiian or Pacific Islander (Not Hispanic or Latino)

Asian (Not Hispanic or Latino)

Native American or Alaska Native (Not Hispanic or Latino)

Two or more races (Not Hispanic or Latino)

I do not wish to disclose.

Equal Employment Opportunity Data

The definitions of the EEO-1 and ethnic categories are as follows:

Hispanic or Latino – A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino) – A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

Black or African American (Not Hispanic or Latino) – A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Pacific Islander (Not Hispanic o Latino) – A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.

Asian (Not Hispanic or Latino) – A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

Native American or Alaska Native (Not Hispanic or Latino) – A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.

Two or more races (Not Hispanics or Latino) – All persons who identify with more than one of the above five races.

DISCLAIMER & SIGNATURE

Please make sure your resume has your education and previous employment history detailed

Upload Resume

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application, resume, or interview may result in my release.

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