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APPLICATION FOR EMPLOYMENT
 
NOTE: Completing this online application may facilitate our consideration of your qualifications for employment. You will be required to sign a printed copy of this application as well as an Applicant Statement and background form before you will be considered for an available position. You may view the Applicant Statement by downloading a copy of the employment application.
Click here to download the Employment Application.
Click here to download the Background Form.
 
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, citizenship, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
 
Position(s) applied for
Referred Source
Other Source
Last Name
First Name
Middle Name
Street Address
City
State Zip
Social Security #
Phone
E-Mail Address
If you are under 18 and it is required, can you provide a work permit? Yes No
Have you submitted an application here before? Yes No
If yes, give dates/positions:
Have you ever been employed here before? Yes No
If yes, give dates: From     To  
Are you legally eligible for employment in this country? Yes No
Date available for work
Desired salary range
Type of employment desired
Will you travel if job requires it? Yes No
Can you meet the attendance requirements of the position? Yes No
Will you work overtime if required? Yes No
Have you ever been bonded? Yes No
Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? Yes No
If yes, please provide date(s) and details:
NOTE: Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
If driving is an essential job function, provide the following information:
Driver's license #: State
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer (1)

From Date

    To Date  
Address
Phone
Job Title
Supervisor
Starting Salary     Final Salary  
Work performed
Reason for Leaving
Employer (2)

From Date

    To Date  
Address
Phone
Job Title
Supervisor
Starting Salary     Final Salary  
Work performed
Reason for Leaving
Employer (3)

From Date

    To Date  
Address
Phone
Job Title
Supervisor
Starting Salary     Final Salary  
Work performed
Reason for Leaving
Employer (4)

From Date

    To Date  
Address
Phone
Job Title
Supervisor
Starting Salary     Final Salary  
Work performed
Reason for Leaving
Comments: Explain gaps in employment.
SKILLS AND QUALIFICATIONS
Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
EDUCATIONAL BACKGROUND (if job-related)
List last three (3) schools attended, starting with most recent.
School # Years Completed
Degree GPA / Class Rank
Major Field of Study
Minor Field of Study
School # Years Completed
Degree GPA / Class Rank
Major Field of Study
Minor Field of Study
School # Years Completed
Degree GPA / Class Rank
Major Field of Study
Minor Field of Study
REFERENCES
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 to you.
Name
Phone #       Years Known  
Name
Phone #       Years Known  
Name
Phone #       Years Known  
ADDITIONAL INFORMATION
Organizations: List professional, trade, business or civic associations and any offices held. Exclude memberships that would reveal race, color, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similar protected status.
Organization Offices Held
Accomplishments: List special accomplishments, publications, awards, etc. Exclude memberships that would reveal race, color, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similar protected status.
Other Information: List any additional information you would like us to consider.
SELF-IDENTIFICATION OF RACE/ETHNICITY
Calico Industries, Inc., by virtue of its federal contracts, is subject to the equal employment opportunity and affirmative action obligations of Executive Order 11246, as amended, and its implementing regulations which require the company to conduct statistical analysis using data on the race and sex of applicants for employment, to be included in its Affirmative Action Program for Minorities and Women. Additionally, the company is required to submit this information to the U.S. Department of Labor's Office of Federal contract Compliance Program upon request.

Completion of this form is voluntary. Any information you provide will be used by the company only to comply with its equal employment opportunity and affirmative action obligations under the law. Neither the information provided nor the failure to provide such information will adversely affect your consideration for employment or subject you to any other adverse treatment. This form will be maintained in a file separate from your application for employment and no one involved in the hiring process will have access to this information.

American Indian or Alaskan Native - A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

Black or African American - A person having origins in any of the Black racial groups of Africa.

Hispanic or Latino (White race only) - A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, and of the White race.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White - A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

Decline - I do not wish to provide this information at this time.
IDENTIFICATION OF SEX
Male
Female
Decline - I do not wish to provide this information at this time.
By submitting this online form, you certify that all information you have provided in order to apply for and secure work with Calico Industries, Inc. is true, complete and correct.

You understand that in order to be considered for a position with Calico, you will be required to sign a printed copy of this application as well as an Applicant Statement.
 
 
P.O. Box 2005, Annapolis Junction, MD 20701-2005
Phone (800) 638-0828 Fax (301) 498-2056