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C-CAT APPLICATION FOR EMPLOYMENT

C-CAT, INC. 1726 W. 15th St Indianapolis, IN 46202 (317) 568-2899

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Your Personal Information

Your Name*
Your Email Address*
Address*
Have you ever applied with our Company before?*
Have you ever worked for our Company before?*
Do you have any relative(s) employed by our Company?*
Have you ever been convicted of a felony?*
*NOTE: A “YES” answer will not necessarily bar you from employment. The nature, severity and date of the offense in relation to the position for which you are applying are considered.
Do you have a valid driver’s license?*
Have you ever been denied a license, permit or privilege to operate a motor vehicle?*
Has your license, permit or privilege ever been suspended or revoked?*

Education

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How did you learn of the position?*

Position You're Applying For

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Position You're Applying For
Hours You Are Available for Work*
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Do you have transportation to and from work?*
If necessary, will you work overtime?*
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Employment History

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Have you ever been discharged or forced to resign from any position?*
Your Previous Employers*
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More About You

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Terms and Conditions*
Communications-Consulting and Technology is an Equal Opportunity Employer and as such will recruit and hire employees without regard to race, religion, color, national origin, sex, age, political affiliation or disability except when physical condition is a bona fide occupational qualification.

• This application must be filled out in detail. Failure to complete all sections, or to sign this form, may result in its being returned for completion, causing delay or possible disqualification.

• This application will remain active for six (6) months from the date submitted.

• I understand and agree that acceptance of this application in no way obligates
Communications-Consulting and Technology or its partners to employ me or that there are any positions available.

• As an applicant for employment with this company, I have furnished information for use in determining my qualifications for employment. I hereby authorize this company to conduct a thorough background investigation to further support the statement contained herein.

• I hereby release Communications-Consulting and Technology, current and past employers and references named herein (or in accompanying resume), from liability or damage resulting from providing information requested.

• If I request herein that my present employer not be contacted, an offer of employment will be conditioned upon acceptable information and verification from such employer prior to beginning work.

• I agree to submit to a urine drug screen if required for the position. The results of such analysis may be grounds for disqualifying me or terminating my employment.

• I understand and agree that if employed, I will be an employee “at will” and will have the right to terminate my employment at any time, with or without notice and with or without cause, and that this company and its partners shall have the same right.

• I understand that if hired, I must meet the eligibility verification requirements of the Federal Immigration and Naturalization Service and submit appropriate documentation to satisfy the requirements of completing INS Form I-9.

• I hereby affirm that all statements made herein are true and correct to the best of my knowledge and understand that any misrepresentation may result in my being disqualified from further consideration or being terminated should I already be employed by this company or its partners. My signature conveys that I have read, understand and agree to all statements listed above.

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Contact

C-CAT Inc
1726 W. 15th Street
Indianapolis, IN 46202

Phone

Tel: 317.568.2899
Toll Free: 866.568.2899
Fax: 317.568.3718

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Tax ID# 26-0609889
UEI# JVKNX6JCDKN6
DUNS# 829445431
Cage Code# 3BDA8
GSA MAS Schedule# 47QTCA24D0049
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