Present Address Permanent Address (if different from above)
Employment Desired Desired Work(Required) Desired Work Regular full-time Regular part-time Temporary work
If necessary, are you available to work on weekends:(Required) If necessary, are you available to work on weekends? Yes No
Overtime?(Required) Overtime? Yes No
Personal Information Have you ever applied to or worked for this company before?(Required) Have you ever applied to or worked for this company before? Yes No
Why are you applying to work at Cavignac?(Required)
Do you have a reliable means of transportation to/from work?(Required) Do you have a reliable means of transportation to/from work? Yes No
Are you 18 or older?(Required) Are you 18 or older? Yes No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?(Required) Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation? Yes No
Education, Training and Experience If applying for a professional position, are you licensed or certified for the job you are applying for?(Required) If applying for a professional position, are you licensed or certified for the job you are applying for? Yes No
Has your license or certification ever been revoked or suspended? Has your license or certification ever been revoked or suspended? Yes No
What actions are you currently taking to improve your business acumen and skill development? (books, podcasts, etc.)(Required)
What certifications and/or training programs would you like to complete in the future?(Required)
Educational History High School – Did you Graduate?(Required) Did you Graduate? Yes No
College/University – Did you Graduate? Did you Graduate? Yes No
Vocational/Business – Did you Graduate? Did you Graduate? Yes No
Other (incl. graduate) – Did you Graduate? Did you Graduate? Yes No
What achievement are you most proud of during these academic years?
Do you have any other experience, or skills that you feel make you especially suited for this position? If so please explain.
Employment History List your last three employers (starting with your most recent) and provide the requested information.
May we contact for a reference? May we contact for a reference? Yes No
If you were to ask your supervisor to review your performance during your employment, what would they say?
If you were to ask your supervisor to review your performance during your employment, what would they say? – Strengths(Required)
If you were to ask your supervisor to review your performance during your employment, what would they say? – Areas of Improvement(Required)
On a scale of 1-10, how do you think your supervisor would rate your overall performance?(Required) On a scale of 1-10, how do you think your supervisor would rate your overall performance? 1 2 3 4 5 6 7 8 9 10
What circumstances contributed to your leaving?(Required)
May we contact for a reference? May we contact for a reference? Yes No
If you were to ask your supervisor to review your performance during your employment, what would they say?
If you were to ask your supervisor to review your performance during your employment, what would they say? – Strengths
If you were to ask your supervisor to review your performance during your employment, what would they say? – Areas of Improvement
On a scale of 1-10, how do you think your supervisor would rate your overall performance? On a scale of 1-10, how do you think your supervisor would rate your overall performance? 1 2 3 4 5 6 7 8 9 10
What circumstances contributed to your leaving?
May we contact for a reference? May we contact for a reference? Yes No
If you were to ask your supervisor to review your performance during your employment, what would they say?
If you were to ask your supervisor to review your performance during your employment, what would they say? – Strengths
If you were to ask your supervisor to review your performance during your employment, what would they say? – Areas of Improvement
On a scale of 1-10, how do you think your supervisor would rate your overall performance? On a scale of 1-10, how do you think your supervisor would rate your overall performance? 1 2 3 4 5 6 7 8 9 10
What circumstances contributed to your leaving?
Career Questions On a scale of 1-10, how would you rate your overall performance throughout the roles detailed above (in your Employment History)?(Required) On a scale of 1-10, how would you rate your overall performance throughout the roles detailed above (in your Employment History)? 1 2 3 4 5 6 7 8 9 10
On a scale of 1-10, how would you rate your overall performance throughout the roles detailed above (in your Employment History)?(Required)
What has been the greatest achievement of your career? Why was this achievement meaningful to you?(Required)
What is the most important lesson you’ve learned throughout your career?(Required)
What’s the vision for your career (your goals and dream)?(Required)
References List three people who we can reach (other than the supervisors mentioned above) who have knowledge of your work
performance within the last three years.
Acknowledgements – Please read carefully, initial each paragraph and sign below I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I hereby authorize Cavignac (the “Company”) to thoroughly investigate my references, work record, education and other matters related to my suitability for employment unless otherwise specified above. I further, authorize the references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, 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 nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
