CANDO - Employment Application

CANDO Employment Application

Personal Information

Date:
Name:
Address:
Phone Number:
Email:

Employment Information

Position applying for:
Date you can start:
Salary Desired
Are you employed now?	Yes No
If so, may we inquire of your present employer?	Yes No
Have you previously applied to CANDO?	Yes No

Education

Name & Location of School:	Number of Years Attended:	Did You Graduate?	Major & Degree (if applicable)
		Yes No
		Yes No
		Yes No
		Yes No
		Yes No

General Information

List other job related qualifications and skills. Include computer skills, skills with machines, typing, shorthand, etc.

Skills:

Military Service

Dates of Service:
Branch of Service:

Special Accomodations

Do you need any special accomodations to work here? Please describe:

Employment History

Former Employers:

Date: (M/Y)	Name & Location of Employer:	Salary	Position	Reason for Leaving

References

Give the names of three persons not related to you, and whom you have known at least one year.

Name	Address & Phone Number	Occupation	Years Acquainted

Emergency Contact

In case of emergency, notify:

Name:
Address:
Phone Number:

By pressing the below submit button, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all inforation concering 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 and agree that, if hired, I am subject to the CANDO personnel policies and I will be an at-will employee.

This form has been designed to strictly comply with state and federal fair employment practice laws prohibiting employment discrimination. CANDO is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, sex, national origin, age or disability.

TDD/EOP

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CANDO Employment Application

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