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Open Positions

DLC Employment Application

Name*

First Middle Last

Email | Phone | Address

Country*

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Business Phone

Home Phone

Mobile Phone

Email*

Availability | Desired Salary

Are you available for work on weekends?*

Yes

Would you be available to work overtime, if necessary?*

Yes

If hired, on what date can you start?*

Base Salary Desired*

Personal Information

Have you ever applied to work for DLC before?*

Yes

If yes, when?*

Do you have any friends or relatives working for DLC?*

Yes

Friend/Family Working at DLC

Name	Relationship	Actions

There are no Friends/Relatives.

Were you referred by an internal employee?*

Yes

Please indicate name.*

Why are you applying for work at DLC?*

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?*

Yes

If hired, would you have a reliable means of transportation to and from work?*

Yes

Are you at least 18 years old? (If under 18, hire is subject to verification that you are a minimum legal age.)*

Yes

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

Yes

If no, describe the functions that cannot be performed.*

Are you currently employed?*

Yes

Education, Training, and Experience

College/University	Degree Awarded	Actions

There are no Entries.

Undergraduate

Education, Training, and Experience

College/University	Degree Awarded	Actions

There are no Entries.

Certification

Are you a licensed CPA or Chartered Accountant in the US?*

Yes

Are you a licensed CPA or Chartered Accountant outside of the US?*

Yes

License/Certification #*

Issuing State*

Issuing Country*

Issuing Country

Country

Has your license ever been revoked or suspended?*

Yes

If yes, state reason(s), date of revocation or suspension, and date of reinstatement.*

Employment History

List below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume.

Employment History

Company	Your Title	From	To	Reason for Leaving	Actions

There are no Entries.

References

Please provide references as specified below:

A minimum of 2 Direct Supervisors within the last 5-7 years.
A minimum of 2 Peers and/or Superiors in other cross-functional areas familiar with your work.
If appropriate, 1 or more subordinates at a professional level.

For each reference, please include the name, contact information, title, their relationship to your role, and the length of your acquaintance. Please contact your references and give them a “heads-up”.

Reference

Name Current Company Current Title Relationship Email Additional Information Actions

There are no Entries.

Maximum number of entries reached.

DISCLOSURE TO JOB APPLICANTS PURSUANT TO THE CALIFORNIA CONSUMER PRIVACY ACT (CCPA)*
DISCLOSURE TO JOB APPLICANTS PURSUANT TO THE CALIFORNIA CONSUMER PRIVACY ACT (CCPA)

As part of your job application and DLC, Inc’s evaluation of your candidacy, DLC, Inc collects, receives, maintains, and uses the following types of Personal Information about you for the business purposes identified for each category:

Category: Personal Identifiers
Examples: Name, alias, postal or mailing address, email address, telephone number, social security number, driver’s license or state identification card number, passport number
Business Purpose:
1. To comply with state and federal law and regulations requiring; employers to maintain certain records;
2. To evaluate your job application and candidacy for employment;
3. To obtain and verify background check and references; and
4. To communicate with you regarding your candidacy for employment.
5. To provide a client company with sufficient information to determine whether to retain your services for a project or program.

Category: Pre-Hire Information
Examples: Job application, resume, background check results, drug test results, job interview notes, and candidate evaluation records
Business Purpose:
1. To comply with state and federal law and regulations requiring; employers to maintain certain records;
2. To evaluate your job application and candidacy for employment;
3. To obtain and verify background check and references; and
4. To communicate with you regarding your candidacy for employment.
5. To provide a client company with sufficient information to determine whether to retain your services for a project or program.

Category: Employment History
Examples: Information regarding prior job experience, positions held, names of prior supervisors, and when permitted by applicable law your salary history or expectations
Business Purpose:
1. To comply with state and federal law and regulations requiring; employers to maintain certain records;
2. To evaluate your job application and candidacy for employment;
3. To obtain and verify background check and references; and
4. To communicate with you regarding your candidacy for employment.
5. To provide a client company with sufficient information to determine whether to retain your services for a project or program.

Category: Education Information
Examples: Information from resumes regarding educational history; transcripts or records of degrees and vocational certifications obtained
Business Purpose:
1. To comply with state and federal law and regulations requiring; employers to maintain certain records;
2. To evaluate your job application and candidacy for employment;
3. To obtain and verify background check and references; and
4. To communicate with you regarding your candidacy for employment.
5. To provide a client company with sufficient information to determine whether to retain your services for a project or program.

Except as set forth above, DLC, Inc does not share personal information with any third party. If you become employed by DLC, Inc you will be notified of additional categories of Personal Information that it collects, receives, and maintains for business purposes.
I acknowledge and confirm that I have received and read and understand this disclosure; and I hereby authorize and consent to the Company’s use of the personal information it collects, receives or maintains for the business purposes identified above.

Signature*

DLC, an Addison Group Company, is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.