Office Assistant

Initial Acknowledgment

Please read the job announcement completely to determine whether you meet the requirements of the position. Resume is required along with cover letter and application. Show clearly all previous work experience, education, and training which qualifies you for this position. False statements or incomplete application are cause for rejection of application or dismissal from employment.

I Understand

Applicant Personal Information

First Name	---
Last Name	---
Current Address	---
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?	No
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?	---

Education

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

Employment History

Employer Name	---
Employer Address	---
Employer Phone Number	---
To (Month/Year)	---
From (Month/Year)	---
Job Title	---
Annual Starting Salary $	---
Annual Ending Salary $	---
Job Description (if not listed in resume)	---
Number of Employees Supervised	---
Additional Employment History?	---

Employment History #2

Employer Name	---
Employer Address	---
Employer Phone Number	---
To (Month/Year)	---
From (Month/Year)	---
Job Title	---
Annual Starting Salary $	---
Annual Ending Salary $	---
Job Description (if not listed in resume)	---
Number of Employees Supervised	---
Additional Employment History?	---

Employment History #3

Employer Name	---
Employer Address	---
Employer Phone Number	---
To (Month/Year)	---
From (Month/Year)	---
Job Title	---
Annual Starting Salary $	---
Annual Ending Salary $	---
Job Description (if not listed in resume)	---
Number of Employees Supervised	---
Additional Employment History?	---

Required Documents

Cover Letter	---
Resume	---

References

Reference #1:	---
Reference #2	---
Reference #3	---

IMPORTANT - Certification of Applicant

The Coachella Valley Association of Governments (“CVAG”) takes very seriously false or misleading information provided by applicants on a job application, resume, and other application related materials, including statements made in job interviews. Any representation made by a job applicant that contains false or misleading information, or omits significant information, will result in CVAG’s refusal to hire the applicant based upon disqualification or, if discovered after employment commences, will be grounds for immediate, for-cause termination of employment. My initials below, and signature on this application, certify that this application was completed by me, and that all information contained in my application is true and correct.	---
I hereby authorize the references I have listed to provide information to CVAG relevant to my application for employment, including information regarding my current and/or previous employment. In addition, I hereby agree to release all persons, schools, and employers of any and all claims, demands or liabilities arising out of, or in any way related to such disclosure. If CVAG, in the course of conducting a background check, obtains information about me that is a matter of public record, I understand that I am entitled to a copy of the related public record(s), as required by California law.	---
I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and CVAG. In addition, I understand and agree that if I am employed, my employment is for not definite or determinable period, and that no promises or representations contrary to the foregoing are binding on CVAG unless made in writing and signed by me and CVAG’s designated representative.	---

Supplemental questions

1. Write about a time when you made a mistake within a previous role. What did you do once the mistake was identified?	---
2. Describe an experience where you were faced with an incredibly tight deadline. What did you do to make sure you could hand over the deliverables on time?	---
3. CVAG has several departments dealing with various projects. This position would assist staff from each department. How would you prioritize projects given to you by two or more different departments?	---

Application Completed

Thank you for applying for the Office Assistant position for the Coachella Valley Association of Governments. The application process is complete.

Laricza Navarro