CAV ON-LINE JOB APPLICATION
Email address *
Name *
Your answer
Address: Mailing Address/City/Town/Zip
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
What number is best to contact you and when? *
Your answer
What position are you interested in at the CAV? *
Your answer
Why do you want to work at the CAV? *
Your answer
What would be one of your major contributions? *
Your answer
CAV Requires absolute confidentiality and respect for client privacy. Can you fulfill this obligation? *
MISSION
The CAV mission is "...to foster and support a community free from all forms of domestic and sexual violence." Please choose ONE of the following three questions and answer it in two to three (2-3) paragraphs: 1) What does this mission statement mean to you? Or, 2)Why do you think this mission is important in Taos County? Or, 3)What does a mission statement have to do with an organization? *
Your answer
EDUCATION
Please check the last completed *
Required
If circling college levels please identify your degree(s) major(s), minor(s) and year graduated
Your answer
Please note any other certifications, graduate courses or relevant training
Your answer
WORK EXPERIENCE
(start with the most recent first)
Position #1
Job Title *
Your answer
Start Date - End Date *
Your answer
Agency/Business *
Your answer
Address *
Your answer
Supervisor (full name) and phone number *
Your answer
Describe your duties *
Your answer
Reason for leaving *
Your answer
Position #2
Job Title
Your answer
Start Date - End Date
Your answer
Agency/Business
Your answer
Supervisor and phone number
Your answer
Describe your duties
Your answer
Reason for leaving
Your answer
Position #3
Job Title
Your answer
Stare Date - End Date
Your answer
Agency/Business
Your answer
Address
Your answer
Supervisor and phone number
Your answer
Describe your duties
Your answer
Reason for leaving
Your answer
VOLUNTEER EXPERIENCE
(List most recent first)
Agency #1
Name of agency and phone number
Your answer
Agency address
Your answer
Supervisor/Contact and phone number
Your answer
Start Date- End Date
Your answer
Type of work and responsibilities
Your answer
Agency #2
Name of agency and phone number
Your answer
Agency address
Your answer
Supervisor/Contact and phone number
Your answer
Start Date - End Date
Your answer
Type of work and responsibilities
Your answer
Agency #3
Name of agency and phone number
Your answer
Agency address
Your answer
Supervisor/Contact and phone number
Your answer
Start Date - End Date
Your answer
Type of work and responsibilities
Your answer
REFERENCES
Please list three (3) people that can speak to your work abilities/skills. Do not list current employer as the will be contacted anyway.
1. Name/Phone/Address *
Your answer
2. Name/Phone/Address *
Your answer
3. Name/Phone/Address *
Your answer
SKILLS
How would you describe your computer skill level? *
Please name all the programs you can use:
(If you do not know any programs in a section just put N/A)
Word Processing: *
Your answer
Spread Sheet: *
Your answer
Data Management: *
Your answer
Presentation: *
Your answer
Art/Formatting: *
Your answer
LANGUAGE
Are you multi-lingual? *
If you are multi-lingual, Fill in the below questions, indicating what languages and your ability to read/write/speak/sign/understand and fluency.
Language #1:
What language?
Your answer
For the above language, check off all that apply:
Language #2:
What language?
Your answer
For the above language, check off all that apply:
Language #3:
What language?
Your answer
For the above language, check off all that apply:
Language #4:
What language?
Your answer
For the above language, check off all that apply:
ADDITIONAL INFO
Please describe (in just a few words) what actions or qualities you are looking for in a supervisor *
Your answer
Tell us how you feel about multi-tasking *
Your answer
What additional experience and/or qualifications do you have that pertain to the job you are applying for?
Your answer
FOR YOUR INFORMATION: Before employment, CAV policy requires a background clearance (obtained through background fingerprints check by CYFD and FBI) a drug test and a TB test both with negative outcomes and a five (5) year driving history. The agency pays for and will coordinate all testing.
Have you ever been convicted of a crime? *
If YES, please tell us: What crime(s), when convicted, location of conviction, outcome of conviction
Your answer
Although it is not required for you to do so, we would appreciate your answer to the following question for purposes of reporting to our various granting agencies:
How did you hear about this position? *
Required
To certify that all information recorded in this document is true and accurate, please type in your name below to act as your digital signature
Signature of Applicant *
Your answer
Date *
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