Center Against Sexual and Domestic Abuse, Inc., (CASDA) Application for Employment
Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, mental or physical disabilities, marital status, veteran status, sexual orientation, gender identity and/or expression, genetic information, or any other characteristics protected by applicable law. All employment decisions shall be consistent with the principles of equal opportunity employment. Accommodations to enable all individuals to participate in the application process may be provided upon advance request.
Date: *
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Position Applying For: *
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Full Name (First, Middle Name/Initial, Last) *
Your answer
Address: *
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City: *
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State: *
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Zip Code: *
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E-mail Address *
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Telephone Number(s): *
Please include area code and indicate if number is cell, home or work.
Your answer
Federal law requires that all employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, CASDA will verify the status of every individual offered employment with the agency. In this connection, proof of citizenship or immigration status will be required upon employment.
Are you legally eligible for employment in the United States? *
Are you over the age of 18 years? *
Have you filed an application or been employed here before? *
State any friends/relatives employed by CASDA: *
Your answer
How did you hear about this employment opportunity? *
Do you want to work: *
Specify days and hours available:
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Are you willing to travel for work? *
Are you willing to work overtime? *
Salary Requirements *
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If you are hired, on what date would you be available for work? *
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Have you reviewed the job description of the position for which you are applying? *
If yes, is there anything in the job description that you do not understand? *
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Are you licensed to drive? If yes, in what state? *
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What is your driver's license number:
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Is your license currently under suspension for any reason? If yes, please explain.
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Have you ever been convicted of a felony? (Conviction of a crime will not automatically disqualify you from employment, unless substantially related to the position for which you are applying.) *
If yes, please explain. A conviction record will only be used for job-related purposes and only to the extent permitted by law.
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