Employment Application

CUCollaborate, LLC is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, gender, age, sexual orientation, sexual identity, national origin, disability, genetic information, pregnancy, or any other protected characteristics as outlined by federal, state, or local laws.

CUCollaborate is committed to ensuring a lawful and compliant hiring process. As part of this commitment we participate in the E-Verify program, which is a federal system used to verify the employment eligibility of our new hires. For more information on E-Verify, please visit:

E-Verify's website

E-Verify Participation Poster English and Spanish (usverify.com)

Applicant Information

Last name*

First name*

Middle initial

Phone number*

Email*

Date*

Month/Day/Year

Date available*

Month/Day/Year

Salary desired*

Position applied for*

Have you served in the military?*

Yes

Will you now or in the future require sponsorship for employment visa status?*

Yes

Are you able to perform essential functions of the job you seek with or without reasonable accommodation?*

Yes

What reasonable accommodation, if any, would you request?

Education

High School*

Address*

Did you graduate?*

Yes

Diploma/GED*

College/University*

Address*

Did you graduate?*

Yes

Degree*

Other

Address

Did you graduate?

Yes

Degree

Work Experience

Company*

Phone*

Address*

Job title*

From*

Month/Day/Year

To*

Month/Day/Year

Company*

Phone*

Address*

Job title*

From*

Month/Day/Year

To*

Month/Day/Year

References

List any two non-relatives who would be willing to provide a reference for you

Name*

Phone*

Relationship*

Name*

Phone*

Relationship*

Were you referred by anyone?*

Yes

Accompanying Documents

Upload your resume and a cover letter

Resume*

Cover Letter (optional)

Disclaimer

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

If an employment relationship is created, I understand that the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or CUCollaborate, LLC, will be able to terminate the employment relationship at any time, with or without cause or advance cause.

I HAVE CAREFULLY READ THE ABOVE AND I UNDERSTAND AND AGREE TO ITS TERMS.*