Provide requested information on all employers for last ten years. List most recent
employer first. (If more than three employers, fax additional pages to 334-953-9906.)
Duties (limit to 750 characters)
Reason for Leaving? (limit to 750 characters)
Please include any computer software knowledge (i.e. Microsoft Word, Excel, Outlook, etc.). Also, summarize any special training, skills, licenses,
certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position which you are
applying. (limit to 750 characters)
List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable,
list three school or personal references who are not related Sto you. Three references are required to submit this application.
Applicants are considered for employment without regard to race, color, sex, age,
religion or national origin, citizenship status, disability, or any other legally
An Equal Opportunity Employer 105 South Hansell Street Maxwell AFB, AL 36112 334-953-7750
- Office 334-953-9906 - Fax Applicants are considered for employment without regard
to race, color, sex, age, religion or national origin, citizenship status, disability,
or any other legally protected status. Please complete this information to assist
us in complying with equal opportunity/affirmative action record keeping and reporting
requirements. Providing this information is voluntary and refusal to provide the
information will not result in any adverse treatment. Please be advised that this
survey is not part of your official application for employment. It is not for interview
purposes and it will be kept in a confidential file separate from your application.
(Completion of information below is voluntary)
Vietnam Era Veteran (Served 1964-1975)
Please read this section carefully and acknowledge your understanding by clicking the "Submit" button below.
I understand and agree that any misrepresentation by me on this application may be sufficient cause for cancellation of this application and/or
separation from the employer's service if I have been employed.
I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby agree to hold
harmless and release from all liability the employer and its representative for seeking such information and all other persons, corporations or
organizations for furnishing such information.
Civil Air Patrol is an Equal Opportunity Employer. Civil Air Patrol does not discriminate in employment and no question on this application is used for the
purpose of limiting or excusing my consideration for employment on a basis prohibited by local, state and federal law.
I understand and agree that this application is not a contract and that acceptance of employment is not a contract of employment for a specified
term. I understand that my employment and compensation can be terminated, with or without cause, at any time, at the option of either the Company
or myself. I understand that no representation of the Civil Air Patrol, other than the Chief Operating Officer, has the authority to enter into any
agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. To be valid, any such agreement must
be in writing, designated as an employment agreement, and signed by the Chief Operating Officer.
I understand it is Civil Air Patrol's policy not to refuse to hire a qualified individual with a disability because of the individual's need for an
accommodation that would be required by ADA.
Employment is subject to verification that I meet legal age and U.S. work permit requirements.
I hereby affirm that my statements and answers to these questions are true and correct to the best of my knowledge.
I have not knowingly withheld any fact or circumstance that would, if disclosed, unfavorably affect my application.