Employment Application - New Applicants

Basic Information Part I
(Hold CTRL key to select multiple positions to apply for)
Please be as specific as possible.
Basic Information Part II
If yes please provide the date and position of your first application.
If you selected full time please provide the shifts you are available. (1st, 2nd, 3rd) If you selected part time please provide the times you are available. (Morning, Afternoon, Evening).

What language(s) are you fluent in?

Employment History

**PLEASE DO NOT ATTACH OR PASTE RESUME. IF CALLED FOR AN INTERVIEW, YOU MAY SUBMIT RESUME AT THAT TIME.**

PLEASE GIVE ACCURATE, COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD. START WITH YOUR PRESENT OR MOST RECENT EMPLOYER.

Employer

COMMENTS: Include explanation of any gaps in employment (please do not include medical or personal information)
Education

Your Submission will not be accepted if you do not complete the following section.

High School

NOTE: Official/Sealed Transcripts/Diploma will be required at time of hire if you are selected for employment.

Specialized Skills, Other Training, Certifications or Licenses

Please provide a brief description of your skills and list any other training, certifications or licenses held. Note: you must fill out the appropriate fields on this application.

**Please do not divulge personal, medical, or sensitive information and please do not attach or paste a resume.**

**INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED. IF CALLED FOR AN INTERVIEW, YOU MAY SUBMIT RESUME AT THAT TIME.**

Please provide us information regarding your specialized skills. (i.e. WI Registry level, Early Education Classes, Computer programs you are proficient with, Typing {WPM}, Equipment you have used, Other Languages, etc...) If you have a WI Department of Public Instruction license, please state your license number. If you are registered with The Registry, please state your Registry level and identification number.
Electronic Signature

BY TYPING YOUR NAME IN THIS BOX YOU AGREE TO THE FOLLOWING: I CERTIFY THAT ANSWERS GIVEN HEREIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE LA CAUSA, INC TO INVESTIGATE ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION. I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION IS OF AN “AT WILL” NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISCHARGE EMPLOYEE AT ANY TIME WITH OR WITHOUT CAUSE. IT IS NOT CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION. I UNDERSTAND THAT EMPLOYMENT OR CONTINUED EMPLOYMENT IS DEPENDENT UPON RECEIPT OF SATISFACTORY EMPLOYMENT/CHARACTER REFERENCES, DRUG TEST, GANG ACTIVITY STATEMENT, DRIVER'S RECORD, RESULTS OF A CRIMINAL HISTORY BACKGROUND CHECK AND ANY OTHER REQUIRED DOCUMENTATION. IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION GIVEN IN MY APPLICATION OR INTERVIEW(S) AND/OR BACKGROUND DISCLOSURES MAY RESULT IN DISCHARGE. I ALSO UNDERSTAND THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THE EMPLOYER.

La Causa, Inc. is an AA/EEOC/LEP: No otherwise qualified person shall be excluded from employment, be denied the benefits of employment or otherwise be subject to discrimination in employment in any manner on the basis of sex, color, ancestry, disability or association with a person with a disability, marital status, race, creed (religion), age (over 40), arrest or conviction record, honesty testing, national origin, pregnancy or childbirth, sexual orientation, genetic testing, military service membership, political belief or use or non-use of lawful products. Limited English Proficiency: The right to qualified interpreter services at no cost to applicant, the right not to be required to rely on minor children, other relatives, or friends as interpreters and the right to file a grievance about the language access services provided to them.

**INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR EMPLOYMENT**

This Employer Participates in E-Verify.

After you complete the application and click on the SUBMIT button, a "CONFIRMATION OF APPLICATION RECEIVED" page will appear on your screen. You will also receive a confirmation email from La Causa, Inc., which will serve as confirmation that your application has been received. Due to the large volume of applications we receive, we ask that you PLEASE DO NOT CALL OR EMAIL TO CONFIRM THAT YOUR APPLICATION HAS BEEN RECEIVED. EMAILS/PHONE CALLS WILL NOT BE RESPONDED TO.

EEOC/AA Section

THIS SECTION IS SOLELY USED FOR EQUAL EMPLOYMENT OPPORTUNITY AND AFFIRMATIVE ACTION (EEO/AA) CONTRACT COMPLIANCE INFORMATION PURPOSES. La Causa, Inc. is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, La Causa, Inc. invites applicants to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual. *THIS INFORMATION IS NOT SEEN BY THE HIRING SUPERVISOR* ****CHECK ONLY ONE BOX PER SECTION****

Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

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.

American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.


Race/ethnic designations as used by the EEOC do not denote scientific definitions of anthropological origins. For the purposes of this report, an individual may be included in the group to which he/she appears to belong, identifies with, or is regarded in the community as belonging. However, no person should be in more than one race/ethnic group. Definitions are as defined in U.S. Department of Commerce, Office of Federal Statistical Policy and Standards' Directive No. 15. The definitions also appear in the EEO-1 Instruction Booklet.


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