Careers Employment Application Step 1 of 7 - Applicant Information 14% Co’ya Development Partners, LLC. is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative. Please fill out all of the sections below:APPLICANT INFORMATIONApplicant Name:* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Email Address* Date of Application: MM slash DD slash YYYY EMPLOYMENT POSITIONPosition(s) applying for: (full time)* How did you hear about this position?* What days are you available for work?* What hours or shift are you available for work?* If needed, are you available to work overtime?* YES NO On what date can you start working, if you are hired?* MM slash DD slash YYYY Do you have reliable transportation to and from work?* YES NO Salary desired: PERSONAL INFORMATIONHave you ever applied to or worked for Co’ya Development Partners, LLC. before?* YES NO Have you ever used Paychex?* YES NO If yes, when? Do you have any friends, relatives, or acquaintances working for Co’ya Development Partners, LLC.* YES NO If yes, state name & relationship: Are you 18 years of age or older?* YES NO Are you a U.S. citizen or approved to work in the United States?* YES NO What document can you provide as proof of citizenship or legal status? Do you have any condition which would require job accommodations?* YES NO If yes, please describe accommodations required below: JOB SKILLS & QUALIFICATIONSPlease list below the skills and qualifications you possess for the position for that which you are applying:* (Note: Co’ya Development Partners, LLC. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants / employees to perform essential functions.)EDUCATION & TRAININGHigh SchoolName Location (City, State) Year Graduated Degree Earned College / UniversityName Location (City, State) Year Graduated Degree Earned Vocational School / Specialized TrainingName Location (City, State) Year Graduated Degree Earned MilitaryAre you a member of the Armed Services?* YES NO What branch of the military did you enlist? What was your military rank when discharged? How many years did you serve in the military? PREVIOUS EMPLOYMENT #1Employer Name:* Job Title:* Supervisor Name:* Employer Address: Street Address City State / Province / Region ZIP / Postal Code Employer Phone*Dates Employed:*Reason for leaving:* PREVIOUS EMPLOYMENT #2 (Optional)Employer Name: Job Title: Supervisor Name: Employer Address: Street Address City State / Province / Region ZIP / Postal Code Employer PhoneDates Employed:Reason for leaving: PREVIOUS EMPLOYMENT #3 (Optional)Employer Name: Job Title: Supervisor Name: Employer Address: Street Address City State / Province / Region ZIP / Postal Code Employer PhoneDates Employed:Reason for leaving: ADDITIONAL INFORMATIONAre you able to work remotely?* YES NO In what type of work environment do you prefer to work?* Tell us three things that you loved about a past job / jobs:* Tell us three things that you did not like about a past job / jobs?* What interests / hobbies do you have outside of work?* AT-WILL EMPLOYMENTThe relationship between you and the Co’ya Development Partners, LLC. is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Co’ya Development Partners, LLC. No representative of Co’ya Development Partners, LLC. has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and our Management Team.
