Coachella Valley Association Of Governments.
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Office Assistant

May 08, 2022
submission #98
Applicant Information

Applicant Personal Information

First Name ---
Middle Name ---
Last Name ---
Current Address ---
Phone Number ---
Cell Phone Number ---
Email Address ---
After reviewing the essential functions of the job description, are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations? ---
Have you ever worked or attended school under another name? Yes
Do you have a Valid Driver's License? ---
Driver's License Number: ---
Are you eligible to work in the United States and can you provide evidence of your eligibility upon hire? ---
Have you ever served in the Armed Forces? ---
Have you ever been discharged from or forced to resign from a position because of misconduct or unsatisfactory service? No
Aside from English, are you proficient in any other languages? ---

Other Name Detail

Please list any other names you have used in the past (maiden name etc.). ---

Education

High School Name ---
City, State ---
Did you graduate? Yes
College Name? ---
Degree/Certificate ---
Did you graduate? ---
Number of Units Completed ---
Have you completed any education beyond college? No

Employment History

Employer Name ---
Employer Address ---
Employer Phone Number ---
From (Month/Year) ---