ࡱ>  0bjbj &PD  xx$&&&PvT,& x n+n+n++{.E4$i7$Olr:.^{.r:r:x  n++_OOOr:dR++Or:OO̅T"+%tC: :u0Zm; mtm|8>;9,Og9$9888*F 888r:r:r:r:m888888888 >:  Monaco Enterprises, Inc. Employment Application  Name (Last): FORMTEXT       Please review these important features of our hiring process: Applications are only accepted if a current vacancy exists. You may be asked to review information about our mission, our high standards for employees and specific job requirements, and certify your understanding, before applying. Your application is active only for 60 days (or until the current hiring process closes, whichever is later). To be considered for openings after that, an updated application will be required. We may conduct background checks, drug testing, job related testing, and team interviews to learn about you and your abilities before any hiring decisions are made. Hiring is a two way process We encourage you to ask questions and we will do our best to answer them. Due to the number of applicants we often have, we cannot notify each and every applicant not selected. Only those selected for further interview will be called. Sometimes internal candidates are being considered along with outside applicants. Our employees deserve the best co-workers possible. Therefore we reserve the right to hire the best qualified person for the job. Monaco participates in eVerify. Please initial this after reading above:  FORMTEXT       First: FORMTEXT      Please Return Application to: Monaco Enterprises, Inc. Human Resources Department PO Box 14129 Spokane, WA 99214-0129 Fax (509) 924-4980 Personnel@monaco.com Position Applied for: FORMTEXT      All qualified applicants considered regardless of ethnicity, nationality, gender, veteran or disability status, religion, age, sexual orientation or gender identity, or other protected status. Date: FORMTEXT      Non-Smoking Facility Drug Free Work Environment Confidential Employment Information WE ARE AN EQUAL OPPORTUNITY EMPLOYER All qualified applicants considered regardless of ethnicity, nationality, gender, veteran or disability status, religion, age, sexual orientation or gender identity, or other protected status.INSTRUCTIONS: This is a general employment application required for all jobs. If a job vacancy exists, you may also be asked to complete a more detailed survey of your qualifications as they relate to a specific job in our company. Answer all items, even if you have a resume. Check over your final application for accuracy, especially important numbers like phone number, etc. Please sign and date the application where indicated.Today s Date: Last Name  FORMTEXT      First Name  FORMTEXT      Middle Initial  FORMTEXT      Present Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Home Phone  FORMTEXT      Cell Phone  FORMTEXT      E-mail Address  FORMTEXT      Date Available  FORMTEXT      Position applying for?  FORMTEXT      Are you over 18 years of age?  FORMDROPDOWN If under 18, do you have a work permit?  FORMDROPDOWN Can you provide proof that you can be lawfully employed in the U.S.?  FORMDROPDOWN How were you referred to us?  FORMCHECKBOX  Newspaper  FORMCHECKBOX  Employee referral (name)  FORMTEXT        FORMCHECKBOX  School (name)  FORMTEXT        FORMCHECKBOX  Walk-in  FORMCHECKBOX  Agency (name)  FORMTEXT        FORMCHECKBOX  Other (explain)  FORMTEXT       Have you applied for work here before?  FORMDROPDOWN  If yes, for what job?  FORMTEXT      Have you ever been bonded?  FORMDROPDOWN  Were you ever denied a bond?  FORMDROPDOWN Can you stay late on short notice if required?  FORMDROPDOWN Your Preferred Schedule:  FORMDROPDOWN Can you, with or without accommodation, perform the essential functions of the job?  FORMDROPDOWN Other names you have used and dates:  FORMTEXT       EDUCATION: School Name and Full AddressGraduated? (Yes or No)Degree & Major AreaGPAHigh School FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      College/University FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      College/University FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Vocational School FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Other (Specify) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Are you currently a student?  FORMDROPDOWN  If yes, Explain:  FORMTEXT      Scholastic honors achieved:  FORMTEXT      Outside activities while in school which you feel reflect your abilities:  FORMTEXT      Plans for future education/training:  FORMTEXT       EXPERIENCE IN: Give years of experience if you are qualified:Blue Print Reading FORMTEXT      Engineering FORMTEXT      Accounting FORMTEXT      Drafting FORMTEXT      Word Processing FORMTEXT      Purchasing FORMTEXT      Ten Key Touch FORMTEXT      Data Entry FORMTEXT      Electronic Testing FORMTEXT      Electronic Assembly FORMTEXT      Sales FORMTEXT      Software - specify type FORMTEXT      Other Skills & Qualifications: Please mention any other skills, qualifications or experience pertinent to the career you seek (e.g.  computers, software, machines, tools, special certifications, etc.):  FORMTEXT       MILITARY HISTORY: Branch of Military Service:  FORMTEXT      Employment Dates (Month & Year)Rank at discharge:  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      List duties in Service, including special training:  FORMTEXT       WORK HISTORY: Start with PRESENT or most recent employer. Include volunteer work if full time or your major activity. Name of Organization  FORMTEXT      Employment Dates (Month & Year)Type of Business or Industry  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Supervisor Name and Title:  FORMTEXT      Phone Number  FORMTEXT      Employment Status (FT, PT, Contract)  FORMTEXT      Your Job Title(s), Duties, Skills Used  FORMTEXT      Reason for Leaving  FORMTEXT       Name of Organization  FORMTEXT      Employment Dates (Month & Year)Type of Business or Industry  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Supervisor Name and Title:  FORMTEXT      Phone Number  FORMTEXT      Employment Status (FT, PT, Contract)  FORMTEXT      Your Job Title(s), Duties, Skills Used  FORMTEXT      Reason for Leaving  FORMTEXT       Name of Organization  FORMTEXT      Employment Dates (Month & Year)Type of Business or Industry  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Supervisor Name and Title:  FORMTEXT      Phone Number  FORMTEXT      Employment Status (FT, PT, Contract)  FORMTEXT      Your Job Title(s), Duties, Skills Used  FORMTEXT      Reason for Leaving  FORMTEXT       Name of Organization  FORMTEXT      Employment Dates (Month & Year)Type of Business or Industry  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Supervisor Name and Title:  FORMTEXT      Phone Number  FORMTEXT      Employment Status (FT, PT, Contract)  FORMTEXT      Your Job Title(s), Duties, Skills Used  FORMTEXT      Reason for Leaving  FORMTEXT       Name of Organization  FORMTEXT      Employment Dates (Month & Year)Type of Business or Industry  FORMTEXT      From:  FORMTEXT      To:  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Supervisor Name and Title:  FORMTEXT      Phone Number  FORMTEXT      Employment Status (FT, PT, Contract)  FORMTEXT      Your Job Title(s), Duties, Skills Used  FORMTEXT      Reason for Leaving  FORMTEXT       VOLUNTEER ACTIVITIES AND EXPERIENCE: Describe your involvement in volunteer activities which may help assess your abilities.  FORMTEXT       OTHER ACTIVITIES: Professional memberships, certificates, or licenses held (Exclude those indicating race, color, religion, sex, national origin or age):  FORMTEXT      In what extracurricular, civic, or cultural activities have you been or are you currently active? Include office held. (Exclude those listed above):  FORMTEXT      Principal Hobbies:  FORMTEXT       CAREER GOALS: Write a paragraph or two about your career goals and how the position you are applying for will help you reach those goals.  FORMTEXT       I hereby affirm that the information provided on this application, and accompanying letters or resume, is true and complete. I also agree and understand that any false or misleading information or significant omissions may disqualify me from consideration for employment or result in my immediate dismissal. I understand and specifically authorize Monaco Enterprises to investigate my background thoroughly, including a full credit report, and agree to assist in such investigation. I understand and authorize an investigative agency or bureau of your choice to be used in the investigation of this information. I release and hold harmless, and promise not to claim damages from any of my prior employers listed above for providing information. I agree to submit to any drug or alcohol test that may be required by the employer for my hiring or continued employment. I understand that refusal to take such tests may be cause for denial of employment or my termination. I also understand that employment may be conditioned upon an investigation into criminal convictions on record with local, State or Federal law enforcement authorities. I understand that, if hired, my employment is not for any specific period or duration and is terminable at will by the employer or me at any time with or without cause or notice. I understand this application is NOT A CONTRACT. I agree to present personal photo identification and proof of U.S. citizenship or documentation of my authorization to work and reside in the United States, promptly upon confirmation of hiring, and that failure to do so voids any offer of employment. 1) I acknowledge that these rules and regulations may be changed, interpreted, or edited by the Company at any time at the Company's sole option. 2) I understand that no representative of the Company has any authority to enter into any agreement for employment for any specified period of time or to make other commitments or promises or assure any benefit or terms and conditions of employment unless such promises are made in writing and signed by the Chief Executive Officer of the Company.  FORMTEXT       FORMTEXT       FORMTEXT      Applicant s SignatureToday s dateWitness Signature VOLUNTARY APPLICANT or EMPLOYEE IDENTIFICATION AFFIRMATIVE ACTION EMPLOYER REQUIREMENT REQUIRED: Name Phone Address Job applied for, or your specific skill area: Who referred you to us? Name Agency: Federal law requires that you have the opportunity to voluntarily provide this information if you wish. Your name and contact information above is required. VOLUNTARY INFORMATION: You may volunteer, but you are NOT REQUIRED, to tell us your ethnicity, race or gender. Presidential Executive Order 11246, as amended, requires us to present this to you. The information is used to study efforts to attract diverse pools of qualified applicants and ensure equal employment opportunity. We do not send your response to the government. We report only group totals. However, it may be viewed by federal auditors or other officials. This is NOT part of your employment file. Hiring is always based on individual job qualifications. The law prohibits quotas, preferences or any consideration of your sex, race or ethnicity in employment decisions. We invite you to VOLUNTARILY identify yourself in the categories below, now or at any time in the future. If you decline, it will not subject you to adverse treatment. 1. GENDER: _____ Male _____ Female ETHNIC AND RACIAL BACKGROUND (Please answer both a. and b. if applicable) a. Hispanic or Latino? ( ) Yes ( ) No If you selected No, please also consider volunteering the following: b. Racial Background - Non-Hispanic: ( ) White/Caucasian, Non-Hispanic or Latino ( ) Black or African American, Non-Hispanic or Latino ( ) Asian, Asian American Non-Hispanic or Latino ( ) Native Hawaiian or Other Pacific Islander, Non-Hispanic or Latino ( ) American Indian/Alaska Native, Non-Hispanic or Latino ( ) 2 or more races, Non-Hispanic or Latino The Veterans Readjustment and Assistance Act of 1974 and the Rehabilitation Act of 1973, and their regulations effective March 24, 2014 require additional offerings of voluntary self-ID to applicants and those offered employment ___ I decline to answer. 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Please sign here: Date Employer Use Only: EEO-1 Occup: 1.1 = Top/Executive Managers, 1.2 = All other managers/supervisors, 2 = Professionals, 3 = Technicians, 4 = Sales, 5 = Adm.Support/ Clerical, 6 = Skilled Crafts, 7 = Operators, 8 = Labor, 9 = Service (guards, janitors) JOB GROUP CODE: ________ If current opening, Job Applied For: Rev. 1/2014 VETERANS VOLUNTARY SELF-ID US GOVERNMENT REQUIREMENT FOR EMPLOYERS WITH FEDERAL VETERANS AFFIRMATIVE ACTION PLANS - 41 CFR 60-300.42(a) This employer is a Government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows: A  disabled veteran is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A  recently separated veteran means any veteran during the three-year period beginning on the date of such veteran s discharge or release from active duty in the U.S. military, ground, naval, or air service. An  active duty wartime or campaign badge veteran means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An  Armed forces service medal veteran means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor s Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL. If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. [ ] I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE [ ] I AM NOT A PROTECTED VETERAN Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. If you receive a job offer, the US government requires us to invite further voluntary identification of your veteran status at that time, as you enter employment, and at any time you wish to disclose said status. PLEASE ENTER YOUR NAME HERE TODAY S DATE A Special Note From _Monaco Enterprises, Inc._________ - Affirmative Action under these US laws means facilitating equality of job opportunities and targeted recruiting, not quotas or preferences, which are prohibited. It also means reasonable accommodation to make our application and selection process accessible to persons with disabilities. If you would like to discuss a potential accommodation during this process please let us know. Employer Use Only: Job Group Code: ________ If current opening, Job Applied For:  Voluntary Self-Identification of Disability Form CC-305 OMB Control Number 1250-0005 Expires 1/31/2020 Page 1 of 2 Why are you being asked to complete this form? Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way. If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier. How do I know if I 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: BlindnessAutismBipolar disorderPost-traumatic stress disorder (PTSD)DeafnessCerebral palsyMajor depressionObsessive compulsive disorderCancerHIV/AIDSMultiple sclerosis (MS)Impairments requiring the use of a wheelchair Diabetes EpilepsySchizophrenia Muscular dystrophyMissing limbs or partially missing limbsIntellectual disability (previously called mental retardation)    Please check one of the boxes below: &YES, I HAVE A DISABILITY (or previously had a disability)&NO, I DON T HAVE A DISABILITY&I DON T WISH TO ANSWER __________________________ __________________ Your Name Today s Date  Voluntary Self-Identification of Disability Form CC-305 OMB Control Number 1250-0005 Expires 1/31/2020 Page 2 of 2 Reasonable Accommodation Notice Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.      Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor s Office of Federal Contract Compliance Programs (OFCCP) website at  HYPERLINK "http://www.dol.gov/ofccp" www.dol.gov/ofccp. 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. 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