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  • EMPLOYMENT APPLICATION

  • AN EQUAL OPPORTUNITY EMPLOYER. Please answer all questions.
    Incomplete applications may not be considered.
    For Driver positions, you will be required to submit a copy of your drivers license and a three (3) year MVR.

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  • Job Interest

  • Educational Data

    • HIGH SCHOOL 
    • COLLEGE 
    • VOCATIONAL, TRADE SCHOOL, OTHER 
  • EMPLOYMENT EXPERIENCE

    Please list all former employers, with the most recent first. Account for all time periods, including unemployment, self-employment and military service.
    • Employment 1 
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    • Employment 2 
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    • Employment 3 
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    • Employment 4 
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  • EMPLOYMENT EXPERIENCE (cont.)

  • CHARACTER REFERENCES

    Please list three persons not related to you, whom you have know at least one year.

    • Reference #1 
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    • Reference #2 
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    • Reference #3 
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    • Additional Information 
    • ADDITONAL INFORMATION

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  • NOTICE TO APPLICANTS

    COASL complies with the Americans with Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history questionnaire and / or undergo a medical examination. If required, all entering employees in the same job category will be subject to the same medical questionnaire and / or examination and all information will be kept confidential and in separate files.

    COASL is an Equal Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, religion, national origin, disability or marital status. We assure you that your opportunity for employment at COASL depends solely on you qualifications.

    COASL is a Substance-Free Workplace. All new employees will be required to undergo breath or urinalysis screening for drug or alcohol use.

    APPLICANT’S STATEMENT

    I certify that the information given herein is true and complete to the best of my knowledge. I authorize the investigation of all matters concerned in this application and hereby give COASL permission to contact schools, previous employers, references and others, and hereby release COASL from any liability as a result of such.

    I further authorize my former employers to disclose to COASL any and all letters, reports and other information related to my work history and records, without giving me prior notice of such disclosure. In addition, I hereby release COASL, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

    I understand that any misrepresentations, omissions of facts or incomplete information requested in this application may remove me from further consideration for employment. In addition, if employed, any misrepresentations or omissions of facts called for in this application will be cause for dismissal without notice, regardless of the time elapsed before the discovery.

    I understand that my employment with COASL is for no specific term and may be terminated by either COASL or myself, with or without notice or cause, at any time. I further understand that no oral promise, COASL policy, custom business practice or other procedure (including any personnel or other manuals) constitutes and employment contract or modification of the at-will employment relationship between COASL and myself.

    I understand that the contents of any employee handbook or personnel manual, as well as other COASL policies and practices are subject to change or modification by COASL, solely at its discretion, without notice. I also understand that no supervisor or other COASL employee (except the President / CEO, in writing) has the authority to enter into any agreement with me or to make any agreement contrary to the foregoing.

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  • Voluntary Invitation to Employees to Self-Identify

    The Company is an Equal Opportunity/Affirmative Action employer, and as a federal contractor, we are required to take affirmative action to employ and advance females, minorities, and protected veterans. To comply with these laws, we invite you to voluntarily self-identify your race/ethnicity, gender, and protected veterans status. Please complete the information below and return as instructed. Submission of this information is voluntary and will not, in anyway, subject you to any adverse treatment. Responses will be kept confidential and will not be used in a manner that is inconsistent with any law.

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  • VOLUNTARY SELF-IDENTIFICATION DISABILITY

  • Form CC-305

    OMB Control Number 1250-0005

    Expires 05/31/2023

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  • Why are you being asked to complete this form?

    We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

    Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

  • How do you know if you have a disability?  

    You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

     

    • Autism
    • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
    • Blind or low vision
    • Cancer
    • Cardiovascular or heart disease
    • Celiac disease
    • Cerebral palsy
    • Deaf or hard of hearing
    • Depression or anxiety
    • Diabetes
    • Epilepsy
    • Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
    • Intellectual disability
    • Missing limbs or partially missing limbs

     

     

    • Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
    • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression
  • Please check one of the boxes below:

  • PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

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