| First Name |
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| Middle Name |
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| Last Name |
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| Current Address |
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| Phone Number |
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| Email Address |
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| 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? |
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| Have you ever worked or attended school under another name? |
Yes
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| Do you have a Valid Driver's License? |
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| Driver's License Number: |
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| Are you eligible to work in the United States and can you provide evidence of your eligibility upon hire? |
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| Have you ever served in the Armed Forces? |
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| Have you ever been discharged from or forced to resign from a position because of misconduct or unsatisfactory service? |
No
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| Aside from English, are you proficient in any other languages? |
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| 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. |
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| 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. |
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| 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. |
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| 1. This position involves implementation of the Coachella Valley Multiple Species Habitat Conservation Plan. What do you know about this plan and the goals and purposes of habitat conservation plans? |
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| 2. This position will require a lot of collaboration with public agencies, elected officials, members of the public, and stakeholders. Tell us about your experience in fostering coordination and collaboration among diverse groups. Give an example of your experience in bringing disparate people together to develop a common approach to a problem.. |
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| 3. The Director of Environmental Resources is generally involved in multiple projects at the same time. Describe how you manage your time on a daily or weekly basis, particularly in situations where you have pressing deadlines while maintaining a work-life balance. |
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| 4. As a Director, you will be required to give presentations to various CVAG committees, community groups, and at conferences. What do you consider to be key elements of a good public presentation, and how do you prepare for your presentations? |
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| 5. How do you work to boost camaraderie at work and motivate people to perform? |
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