Site Manager - Military veterans preferred

Please fill out the form below and click Submit to submit your application for consideration.

Fields with an asterisk (*) are required. Summary Title: Title:

Site Manager ID: ID:

049 - 021 Location: Location:

Joint Base Maguire Dix Lakehurst, New Jersey Resume *

Resume: Supported formats: Word, PDF, RTF, Text, and HTML. - or Upload from: Contact Information *

First Name: *

Last Name: *

Address 1: Address 2: *

City: *

State: *

Phone: *

Email: Incumbent:

Yes

No

Please check if you are an incumbent on the contract. Attachments You can type in a Cover Letter or Copy/Paste from an existing document. Application for Employment PERSONAL INFORMATION *

Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):

Yes

No *

Are you at least 18 years or older? (If no, you may be required to provide authorization to work):

Yes

No *

Have you ever worked for this Company before?:

Yes

No If Yes, please provide details (Where/When/Job Title): *

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

Yes

No If no, please explain: *

Do you currently have a relative employed by Pinnacle Solutions?:

Yes

No EMPLOYMENT DESIRED *

When would you be available to begin work?: *

Type of employment desired:

Full-Time Part Time Seasonal *

Hourly rate/salary desired: *

Are you currently employed?:

Yes

No If so may we inquire of your present employer?:

Yes

No If presently employed, why are you considering leaving?: EDUCATION Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location

Did you Graduate?

Degree Received

Subjects Studied/Major

Yes

No

Yes

No

Yes

No If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe: EMPLOYMENT HISTORY Give your full employment record, starting with your current or most recent employment

EMPLOYER 1 Dates Employed

Employer Name & Address

Employer Phone

From: To:

Job Title

Supervisor Name & Title

May we Contact?

Yes No

Responsibilities

Reason for Leaving EMPLOYER 2 Dates Employed

Employer Name & Address

Employer Phone

From: To:

Job Title

Supervisor Name & Title

May we Contact?

Yes No

Responsibilities

Reason for Leaving EMPLOYER 3 Dates Employed

Employer Name & Address

Employer Phone

From: To:

Job Title

Supervisor Name & Title

May we Contact?

Yes No

Responsibilities

Reason for Leaving REFERENCES

Please provide three references (not relatives). REFERENCES

Please provide three references (not relatives).

Name

Relationship

Phone Number

Email AUTHORIZATION The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

*

Signature (type name):

*

Date: Voluntary Self-Identification of Disability CC-305 Voluntary Self-Identification of Disability Form CC-305 OMB Control Number 1250-0005 Expires 01/31/2017 Why are you being asked to complete this form? Voluntary Self-Identification of Disability Form CC-305 OMB Control Number 1250-0005 Expires 01/31/2017 Why are you being asked to complete this form? Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. i

To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability? You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

Blindness Deafness Cancer Diabetes Epilepsy Autism Cerebal palsy HIV/AIDS Schizophrenia Muscular dystrophy Bipolar disorder Major depression Multiple sclerosis (MS) Missing limbs or partially missing limbs Post-traumatic stress disorder (PTSD) Obsessive compulsive disorder Impairments requiring the use of a wheelchair Intellectual disability (previously called mental retardation)

Please check one of the boxes below:

*

YES, I HAVE A DISABILITY (or previously had a disability) NO, I DON'T HAVE A DISABILITY I DON'T WISH TO ANSWER *

Signature (type name):

*

Date: Reasonable Accommodation Notice Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp .

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete. Equal Opportunity Employment We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation. Female Male I Choose Not to Respond American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment Black or African American (Not Hispanic or Latino) A person having origins in any of the Black racial groups of Africa Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race Asian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above races I Choose Not to Respond Veteran Status: (Please check all that apply)

Individual with a Disability An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.

Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.

Disabled Veteran 1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability

War/Campaign/Expedition Veteran A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized

Armed Forces Service Medal Veteran A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty

Recently Separated Veteran Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.

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