Test Job Application Step 1 of 16 - Position 6% Which Position Are You Applying For?Position What's Your Name?Name First Last How Can We Reach You?Email Phone Where Do You Live?Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you legally eligible to work in the US?Eligibility Yes No Do You Have a Valid Driver's License?Driver's License Yes No Work ExpectationsPlease let us know what you're willing and able to do for CIAA.OvertimeIf necessary, are you available to work overtime? Yes No Non-standard hours?Are you willing to work hours outside a traditional 9-5 work day? Yes No AccomodationAre you able to perform the essential functions of the position with or without accommodations? With Without Physical LaborAre you able to lift 50 pounds repeatedly and carry distances up to 100 yards? Yes No AvailabilityI will be able to work within _____ days after being notified that I am hired.AgeIf necessary for the position, are you over...? 16 18 21 Resume and Cover LetterUpload both documents here.Upload your resume and cover letter Drop files here or Select files Max. file size: 256 MB. Tell Us About Your Educational BackgroundEducation School Name Type of School Field of Study Diploma, Degree, or Certificate Earned Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. ReferencesName three references who are not relatives.Add A Reference Name Occupation Phone Email Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Where Have You Worked?List up to five recent jobs, last employment first. Include summer or temporary jobs. Be sure to include all experience or employers related to this job. You will have an opportunity to submit your resume or CV to tell us about additional employment history.Add an Employer Employer Name Employer's Phone Number Your Job Title Supervisor Supervisor's Job Title Supervisor's Phone Supervisor's Email Date Hired Date Left Reason for Leaving Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. What Can You Do?Technical SkillsTypes of computers, other electronic or mechanical equipment you are qualified to operate or repair. ProfessionalList licenses, certifications, or registrations. Other SkillsAdditional skills including supervision, other languages, or information you wish to bring to the employer's attention. Everything Here Is TrueA part of our procedure for processing your application, your references may be contacted. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. If necessary for employment, you may be required to supply your birth certificate or other proof of authorization to work in the US, have a physical examination and/or drug test, or to sign a conflict of interest agreement and abide by its terms.AgreementTo the best of my knowledge, all information on this application is true and verifiable. I understand and agree Review Your SubmissionUse the "Previous" button to make changes to your application{all_fields}
