C.U.E. Employment Application

On-Line Application Form - C.U.E.

C.U.E., Inc. has developed on line employment application to facilitate applying for a position with C.U.E. Please complete all applicable and required fields listed below. At the end of the application form is a button allowing you to attach your resume to the application.

C.U.E., Inc. is an Equal Opportunity Employer. We adhere to the laws and to the principles of fair employment practices in all of our terms and conditions of employment for employees and qualified applicants. We do not discriminate on the basis of age, race, sex, color, national origin, religion, disability, veteran status. We do not allow harassment of any type, including sexual harassment.

This application will be given consideration for appropriate available positions as long as the applicant is qualified to perform the essential duties of the open position. Our receipt of the application does not in any way imply that the applicant will be employed. We are an at will employer.

Please complete the application fully and honestly. No action will be taken on applications that are incomplete and we will not consider applicants for any position if the information is not accurate and honest. We will terminate the employment of anyone who is employed if we subsequently find the application information was inaccurate or dishonest.

Personal Information

Name

Date:


Last Name	First Name	Middle Initial

Address


Street	City	State	Zip Code

Enter Email Address

Retype Email Address

Phone

Area Code

Social Security Number

Have you ever been convicted of a felony?

YESNO

If YES, give reason, dates, status:

Are you 18 or older?

YESNO

Are you a citizen or do you have legal right to be employed in the United States?

YESNO

If NO, What is your visa and status:

Position Applying for:

Date Available

I am applying for:

Full Time Part Time Specific Shift :

Have you applied to C.U.E. Before?

Yes No

If Yes When

Drivers License Information:
If applying for a position requiring use of C.U.E. vehicles:


License number	Date Issued	Expiration date

Education And Training Background

Elementary School

		to
School Name	Location	Dates

Highest level achieved

Diploma, Degree, Certificate Awarded:

High School

		to
School Name	Location	Dates

Highest level achieved

Diploma, Degree, Certificate Awarded:

Major and Minor Subjects:

Trade, Vocation School

		to
School Name	Location	Dates

Highest level achieved

Diploma, Degree, Certificate Awarded:

Major and Minor Subjects:

Please list any specialized training, education, credit and non-credit education in the box below. (Give topics, school or education provider, dates and certificate or recognition received:

Employment, Military, and Volunteer Background

Current or Most Recent Employer

Company Name


Street	City	State	Zip Code

Dates Employed

From to

Wages or Salary

Starting Ending

Title or Position

Starting Ending

Supervisor's Name / Title

Name Title

May we contact the supervisor?

Yes No - If Yes Phone Number

Reason for leaving: (Please be specific)

Duties:

Prior Employer

Company Name


Street	City	State	Zip Code

Dates Employed

From to

Wages or Salary

Starting Ending

Title or Position

Starting Ending

Supervisor's Name / Title

Name Title

May we contact the supervisor?

Yes No - If Yes Phone Number

Reason for leaving: (Please be specific)

Duties:

Prior Employer

Company Name


Street	City	State	Zip Code

Dates Employed

From to

Wages or Salary

Starting Ending

Title or Position

Starting Ending

Supervisor's Name / Title

Name Title

May we contact the supervisor?

Yes No - If Yes Phone Number

Reason for leaving: (Please be specific)

Duties:

Prior Employer

Company Name


Street	City	State	Zip Code

Dates Employed

From to

Wages or Salary

Starting Ending

Title or Position

Starting Ending

Supervisor's Name / Title

Name Title

May we contact the supervisor?

Yes No - If Yes Phone Number

Reason for leaving: (Please be specific)

Duties:

Military Experience

Branch of service

Dates of Service

Starting Ending

Skills, training and positions (Please list in box at right side)

Volunteer Experience or Activities

Volunteer experience or activities. Do not give any information that could reveal protected class status (age, race, sex, religion, national origin, disability, veteran), unless you believe the information strongly supports your qualifications and you give it voluntarily. We do not discriminate based on protected class status. Volunteer activity is often a good complement to work history. Please also give any leadership roles if you choose to respond.

Please describe the work and or leadership roles in the box at the right

References
Please list 3 references we may check who are not related to you.

1) Name


Street	City	State	Zip Code

Phone Number

Relationship and length of time

2) Name


Street	City	State	Zip Code

Phone Number

Relationship and length of time

3) Name


Street	City	State	Zip Code

Phone Number

Relationship and length of time

Please read the following information before you sign, date and submit this Application. Your signature and or agreement confirmation attests that you have read and understood the information and that you agree to what is stated.

The information in this Application is true and complete to the best of my knowledge. Falsification of information is reason to not hire an individual and reason for immediate termination of any employee.
Any offer of employment by C.U.E., Inc. may be withdrawn and any acceptance by myself may be withdrawn. I understand that C.U.E. Inc. is an at-will employer.
All offers of employment are conditional until successful passage of a drug and alcohol screen and preemployment physical and any other job-related required pre-employment testing or verification. Driver’s licenses will be verified for driving positions or where company vehicles are used. Employees also sign and agree to abide by privacy, patent, confidentiality and in some cases, non-competition policies.
I authorize C.U.E., Inc. to verify any and all information contained in this Application without any legal liability. C.U.E., Inc. abides by privacy regulations but has a definite need-to-know for this information.
Essential duties of some positions require being on call, being available to work different shifts, being able to work weekends, overtime or split shifts, certain capabilities (i.e. visual acuity and color perception,
communication and language abilities for sales and customers, physical capability to handle arduous positions, physical ability to operate company vehicles, and similar capabilities), etc. Where physical or mental limitations exist in applicants, C.U.E., Inc. recognizes the need to discuss reasonable accommodations for otherwise qualified applicants.
We are a private employer operating to serve our customers. We are ISO certified for high quality and we emphasize and practice benchmark safety and health. We also strive to be a best practices employer for our staff. We seek and employ candidates who meet or exceed our needs and standards.
I have read and understood these statements and have completed the Application fully and honestly.

I agree to the above information and statement above

Yes No

Name

Date

Resume' Attachment
Please use the button at the below to attach your resume from your.
We can only accept word document files less than 2MB in size.