CACi: Training Strong Teams for Superior Results

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Thank you for your interest in pursuing a possible career opportunity with CACi. CACi will contact applicants should there be a current match of qualifications to openings existing at the time application is received. Additional information may be required if an interview is scheduled. Please carefully check that all fields have been completed before submitting.

CF871-5 APPLICATION FOR EMPLOYMENT

Completion of this application is to determine your qualifications for hire. This document is not a contract. Please thoroughly fill this application out. Even if you submit a resume with the application, please complete all areas of the application.

How did you hear about CACi? *

Referred by: *

PERSONAL INFORMATION

First Name *

Middle Initial *

Last Name *

Last 4 of SSN *

Street Address *

City *

State *

Zip Code *

How long have you lived there? *

Home Phone *

Cell Phone Number *

Alternate Number *

Email address *

Alternate Email Address *

If you have resided at your current residence for less than 2 years, please list your previous address.

Previous Address

Previous City

Previous State

Previous Zip Code

Do you have reliable transportation? *

Yes

Have you ever applied at CACi before? *

Yes

If so, when:

Have you ever worked for CACi before? *

Yes

If so, start date:

End date:

Position:

For what position are you applying? *

Full time collector

Part time collector

Other (specify)

Specify other position:

Desired starting pay: *

Per *

Are you willing to work:

Evenings

Weekends

Desired work hours:

Monday *

Tuesday *

Wednesday *

Thursday *

Friday *

Saturday *

Sunday *

When can you begin work? *

Do you have any military experience? *

Yes

Branch:

Dates of Service:

Do you speak English fluently? *

Yes

Do you speak any other languages? If so, specify. *

Are you legally authorized to work in the United States? *

Yes

Will you now or in the future require sponsorship by CACi to maintain your employment eligibility status? *

Yes

Have you ever been convicted of a felony? *

Yes

If "Yes" please explain:

Have you ever convicted of a misdemeanor? *

Yes

If "Yes" please explain:

EDUCATION

Are you a high school graduate? *

Yes

Do you have your GED? *

Month & Year of Graduation

Name of high school: *

City/State *

Phone # of High School or GED Office *

High School grade completed *

Are you a college graduate? *

Yes

Degree/Major area of study

Name of College

City/State

Phone Number of College

College grade complete

List additional training such as certifications earned and/or seminars attended

What computer programs have you used? *

How many words per minute can you type? *

PROFESSIONAL REFERENCES

(Include only past employers or business associates. Please do not include friends or family.)

First Reference:

Name: *

Phone Number: *

Employer: *

Adress: *

City: *

State: *

Zip Code: *

Second Reference:

Name: *

Phone Number: *

Employer: *

Adress: *

City: *

State: *

Zip Code: *

Third Reference:

Name: *

Phone Number: *

Employer: *

Adress: *

City: *

State: *

Zip Code: *

WORK EXPERIENCE

May we contact your current employer? *

Yes

Current Employer *

Type of Business *

Employer Address, City and State *

Direct Supervisor *

Phone Number *

Start Date (Mo/Yr) *

End Date (Mo/Yr) *

Position *

Rate of Pay *

Are you satisfied with your present earnings? *

Brief Job Description: *

What elements do you like about this position? *

What elements do you dislike about this position? *

Why are you considering leaving your current position? *

If we contact this employer, would they say they would rehire you? *

Yes

Previous Employer *

Type of Business *

Employer Address, City and State *

Direct Supervisor *

Phone Number *

Start Date (Mo/Yr) *

End Date (Mo/Yr) *

Position *

Rate of Pay *

Are you satisfied with your present earnings? *

Brief Job Description: *

What elements do you like about this position? *

What elements do you dislike about this position? *

Reason for leaving. *

If we contact this employer, would they say they would rehire you? *

Yes

Previous Employer *

Type of Business *

Employer Address, City and State *

Direct Supervisor *

Phone Number *

Start Date (Mo/Yr) *

End Date (Mo/Yr) *

Position *

Rate of Pay *

Are you satisfied with your present earnings? *

Brief Job Description: *

What elements do you like about this position? *

What elements do you dislike about this position? *

Reason for leaving. *

If we contact this employer, would they say they would rehire you? *

Yes

Previous Employer *

Type of Business *

Employer Address, City and State *

Direct Supervisor *

Phone Number *

Start Date (Mo/Yr) *

End Date (Mo/Yr) *

Position *

Rate of Pay *

Are you satisfied with your present earnings? *

Brief Job Description: *

What elements do you like about this position? *

What elements do you dislike about this position? *

Reason for leaving. *

If we contact this employer, would they say they would rehire you? *

Yes

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ACKNOWLEDGEMENT OF ACCURACY

I certify that all of the information submitted by me on this application is true and complete. I understand that if any of this information is found to be false, incomplete, or misrepresented in any way, my application may be rejected, or if employed, my employment may be terminated at any time.

I understand and agree that in the course of determining employment eligibility, certain provided references may be contacted as well as background information obtained and reviewed which may include, but is not limited to, personal credit history, criminal background investigation, previous location information, previous and current employment information, and personal and professional character information.

In consideration of my employment, I agree to conform to the company’s rules and regulations. I further understand that if employed my employment and compensation can be terminated, with or without cause, with or without notice, at any time. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative other than its president has the authority to enter into any agreement for employment for any specific period of time, or make any agreement to the foregoing.

Print Full Legal Name *

Date *

Applicant’s Full Legal Signature *

Reset Signature

Signature is required.

CACi: Training Strong Teams for Superior Results

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