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Online Application for Employment

Please complete all applicable fields.

Applicant Information
Name *
(Last, First, Middle):
Day Phone: *
Evening Phone: *
Email: *
Are you legally authorized to work for any employer in the US? *   Yes    No
Are you over the age of 18? *   Yes    No
Have you served in the Military?   Yes    No
If yes, which branch?
Are you currently a member of the National Guard or Reserves?   Yes    No
If yes, which branch?


Employment Information

Position you are applying for:
Date you can start:
Referred by:
Have you ever been employed by CIA&D (Co-Operative Industries)?
  Yes    No
Salary Desired:

To be considered for employment, a resume must be included with your submission.

(Allowable file types are pdf,doc,docx,xls,csv,txt,rtf,html,zip,jpg,jpeg,png,and gif)

Upload Resume: *
Maximum file size: 8 MB
Upload Cover Letter (Optional):
Maximum file size: 8 MB

Have you ever been convicted of any misdemeanor or felony in any county? *
  Yes      No

Answering yes will not automatically disqualify you from employment. Every case will be reviewed based on the position you are applying for and the conviction received. Do not include minor traffic violations.
If yes, please list any and all convictions:


Drug and Alcohol Abatement Program

Have you ever tested positive, or refused to test, any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years?*
  Yes    No
Co-Operative Industries Aerospace & Defense is a drug and alcohol free workplace. A pre-employment drug test will be required.


Equal Employment Opportunity Commission (EEOC)

The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. Completion of this data is voluntary and will not effect your opportunity for employment or terms or conditions of
Veteran Status:
Are you disabled?   Yes   No


Submitting Your Information

By clicking on the SUBMIT button you are authorizing the investigation of all statements and attachments contained in this application. Any misrepresentation or omission of facts called for is cause for dismissal.
Further, you will be agreeing that employment is for no definite period and may, regardless of date of payment of wages and salary, be terminated without previous notice.
Please review your information carefully to make sure it is correct before submitting. After submission, information cannot be edited or revised through this form.
You may wish to print this page for your records before submitting.
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