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APPLICATION FOR EMPLOYMENT

CAE is an Equal Opportunity Employer, M/F/D/V DATE OF APPLICATION _______________


LAST NAME: FIRSTNAME: MIDDLE NAME: E-MAIL ADDRESS:

CURRENT ADDRESS: DAYTIME PHONE:

EVENING PHONE:

PERMANENT ADDRESS:

CELL PHONE:
POSITION(S) APPLIED FOR: REFERRAL SOURCE: (check box and list source)
EMPLOYEE
WAGE OR SALARY DESIRED: INTERNET
NEWSPAPER
AVAILABLE START DATE: AGENCY
JOB FAIR
ARE YOU ABLE TO VERIFY THAT YOU ARE OLD ENOUGH TO WORK? COLLEGE
Yes No OTHER
ARE YOU INTERESTED IN: CAN YOU WORK: ARE YOU WILLING TO TRAVEL?
WILL YOU RELOCATE?
PART-TIME ANY SHIFT YES NO
YES NO
FULL-TIME OVERTIME DOMESTIC
GEOGRAPHIC PREFERENCE _______________
TEMPORARY WEEKENDS INTERNATIONAL

HAVE YOU APPLIED WITH US BEFORE? YES NO HAVE YOU EVER BEEN EMPLOYED WITH US BEFORE? YES NO

If yes, please give name and location(s): _______________________________________________ If yes indicate where and when:__________________________________________

DO YOU HAVE RELATIVES CURRENTLY EMPLOYED WITH US? YES NO HAVE YOU SERVED IN THE U.S. MILITARY? YES NO
If yes, please give name(s) and locations:_______________________________________________ Branch of Service: ________________________ Highest Rank Attained: ____________________

IF HIRED, CAN YOU PROVIDE PROOF OF CITIZENSHIP OR VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE U.S.? YES NO

HAVE YOU EVER BEEN GRANTED A SECURITY CLEARANCE? YES NO

If yes, indicate the level of clearance: _______________________________ By Whom: ___________________________________________

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR WITHIN THE LAST 10 YEARS? (INCLUDE ALL COURT-MARTIALS WHILE IN
THE MILITARY SERVICE) YES NO
If yes, please explain: _________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________
(A criminal offense will not necessarily bar employment)

EDUCATION
FROM TO
DID YOU DEGREE
NAME AND LOCATION OF SCHOOL MO. YR. MO. YR. MAJOR MINOR GRADUATE? GRANTED
GPA

HIGH SCHOOL

COLLEGE

GRADUATE SCHOOL

TRADE SCHOOL OR MILITARY

HONORS RECEIVED:

PROFESSIONAL SOCIETY MEMBERSHIPS/LICENSES/CERTIFICATIONS:(you may exclude those that indicate race, sex, age, etc.)

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DESCRIBE ANY SPECIALIZED TRAINING, APPRENTICESHIP, AND SKILLS: (including COMPUTER SKILLS)

EMPLOYMENT HISTORY
ARE YOU PRESENTLY EMPLOYED? YES NO MAY WE CONTACT YOUR PRESENT EMPLOYER? YES NO
EMPLOYER: JOB TITLE/SUMMARY OF DUTIES:
PRESENT EMPLOYER

SUPERVISOR’S NAME AND TITLE:

SUPERVISOR’S PHONE NUMBER: SUPERVISOR’S E-MAIL ADDRESS:

DATES EMPLOYED: BASE SALARY OR WAGE


________________________ TO _________________________ REASON FOR LEAVING:
START $_________ END $_________
MO. YR. MO. YR.

AVG. HOURS PER WEEK: ________________________________________ OTHER COMPENSATION $__________

EMPLOYER: JOB TITLE/SUMMARY OF DUTIES:

SUPERVISOR’S NAME AND TITLE:


1ST PREVIOUS

SUPERVISOR’S PHONE NUMBER: SUPERVISOR’S E-MAIL ADDRESS:

DATES EMPLOYED: BASE SALARY OR WAGE


________________________ TO _________________________ REASON FOR LEAVING:
MO. YR. MO. YR.
START $_________ END $_________

AVG. HOURS PER WEEK: ________________________________________ OTHER COMPENSATION $__________


EMPLOYER: JOB TITLE/SUMMARY OF DUTIES:

SUPERVISOR’S NAME AND TITLE:


2ND PREVIOUS

SUPERVISOR’S PHONE NUMBER: SUPERVISOR’S E-MAIL ADDRESS:

DATES EMPLOYED: BASE SALARY OR WAGE


________________________ TO _________________________ REASON FOR LEAVING:
MO. YR. MO. YR.
START $_________ END $_________

AVG. HOURS PER WEEK: ________________________________________ OTHER COMPENSATION $__________


EMPLOYER: JOB TITLE/SUMMARY OF DUTIES:

SUPERVISOR’S NAME AND TITLE:


3RD PREVIOUS

SUPERVISOR’S PHONE NUMBER: SUPERVISOR’S E-MAIL ADDRESS:

DATES EMPLOYED: BASE SALARY OR WAGE


________________________ TO _________________________ REASON FOR LEAVING:
MO. YR. MO. YR.
START $_________ END $_________
AVG. HOURS PER WEEK: ________________________________________ OTHER COMPENSATION $__________

EMPLOYER: JOB TITLE/SUMMARY OF DUTIES:

SUPERVISOR’S NAME AND TITLE:


4th PREVIOUS

SUPERVISOR’S PHONE NUMBER: SUPERVISOR’S E-MAIL ADDRESS:

DATES EMPLOYED: BASE SALARY OR WAGE


________________________ TO _________________________ REASON FOR LEAVING:
MO. YR. MO. YR.
START $_________ END $_________
AVG. HOURS PER WEEK: ________________________________________ OTHER COMPENSATION $__________

PERSONAL REFERENCES
NAME NAME

WORK PHONE HOME PHONE WORK PHONE HOME PHONE

E-MAIL ADDRESS YRS. KNOWN E-MAIL ADDRESS YRS. KNOWN

OCCUPATION COMPANY OCCUPATION COMPANY

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CERTIFICATION
I authorize investigation of all statements contained in this application. The companies (except my present employer, if so
noted) or persons named herein are authorized to give information regarding me, whether or not such information is part of
their records, and they are hereby released from all liability for providing such information. I understand that my
misrepresentation or omission of facts may be sufficient cause for cancellation of consideration for employment or termination
from the Company if I have been employed.

I understand that this employment application does not imply employment for a definite period of time and that my employment
may be terminated by either myself or the Company at any time for any reason.

If hired, I agree not to divulge to any non-CAE employee, during or after my employment with CAE any proprietary information I
gain through such employment.

If hired, I will comply with all orders, rules, regulations, and standards of conduct required by the Company and agree to abide
by CAE standards of business ethics and conduct.

If a United States Government Security Clearance is required, I will apply for one. If I am unable to obtain such clearance
within a reasonable time, as determined by management, I may be subject to transfer or release from employment.

If hired, I understand that I may be asked to sign a release authorizing the Company to verify my educational credentials. This
release will be required before I begin working.

Accordingly, you may be the subject of a “consumer report/investigative consumer report”1 requested by the company from a
consumer reporting agency.

The Company, as a government contractor, is required by federal law and Department of Defense regulations to have a
program committed to achieving and maintaining a drug-free workforce and workplace. I understand that I will be asked to
sign a copy of the Company’s drug abuse policy statement. If I accept an offer of employment, I consent to a pre-employment
drug test.

The Company is required by the Immigration Reform and Control Act of 1986 to verify each employee’s eligibility for
employment in the United States. I understand that if I become an employee of the Company, I will be required to sign an
employment eligibility verification (Form I-9) and present appropriate documentation certifying my eligibility to work in the
United States.

If hired by the Company, I agree that any claim or lawsuit relating to my service with the Company must be filed no more than
six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of
limitations to the contrary.

I have carefully read the obligations and restrictions set forth above and I understand and agree with these statements.

APPLICANT’S SIGNATURE ____________________________________________ DATE ________________________

1 The law defines a “consumer report” as a report which may contain information obtained from an outside agency on your credit worthiness, credit standing,
credit capacity, character, general reputation, personal characteristics, and mode of living which will be used to establish your eligibility for employment.

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Voluntary Self identification Enrollment Form
Affirmative Action Program for Race and Ethnicity
CAE USA Inc. is an Equal Opportunity Employer. We consider all applicants for positions without regard to race,
color, religion, sex, national origin, age, disability, veteran status or any other legally protected status. In an effort to
comply with requirements regarding government record keeping, reporting and other legal obligations, we ask that
you complete this applicant data survey. Your cooperation is appreciated. Please be advised that completion of this
information is strictly voluntary. Whether you complete the form or not will have absolutely no impact on our hiring
decision.

Name________________________________________ Date:_________________________
(Please Print)

Position(s) applied for _________________________

GENDER: FEMALE MALE

RACE/ETHNICITY:

PLEASE CHECK THIS BOX IF YOU ARE HISPANIC OR LATINO


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

IF YOU ARE NOT HISPANIC OR LATINO, PLEASE CHECK ONE BOX FROM THE SELECTION
BELOW:

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 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


A person belonging to more than one race category
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Voluntary Self identification Enrollment Form
Affirmative Action Program for Disabled and Qualified Veterans

CAE USA Inc. maintains an Affirmative Action Plan for special disabled veterans, veterans of the Vietnam era, newly separated veterans and other protected
veterans. If you wish to participate in the companies Affirmative Action plan, please complete this form. This information will in no way affect your status as an
applicant or employee, either now or in the future. Your response is voluntary and will remain confidential except that 1) supervisors may be informed
regarding necessary accommodations and restrictions on the work or duties of a disabled individual or covered veteran, 2) safety and security may be
informed if a condition may require emergency treatment and 3) government officials investigating compliance with the Federal laws and regulations shall be
informed.

Name______________________________ Signature:_________________________ Date:____________


(Please Print)

CHECK BOX, IF APPLICABLE:

DISABLED INDIVIDUAL – Qualified disabled individual means a disabled individual who is capable of
performing a particular job, with reasonable accommodation to his/her disability.

CHECK APPROPRIATE BOXES:


SPECIAL DISABLED VETERAN - means (A) a veteran 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 Department of Veteran’s Affairs for a
disability (i) rated at 30% or more, or (ii) rated at 10 or 20 % in the case of a veteran who has been determined under
Section 38, U.S.C. 3106 to have a serious employment handicap or (B) a person who was discharged or released from
active duty because of a service – connected disability.

VETERAN OF THE VIETNAM-ERA - means a person who: (A) 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: (i) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (ii) between August 5, 1964 and
May 7, 1975, in all other cases; or (B) was discharged or released from active duty for a service connected disability if any
part of such active duty was performed (i) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (ii)
between August 5, 1964 and May 7, 1975, in all other cases.

OTHER PROTECTED VETERANS – means any veteran who served on active duty in the U.S. military, ground, naval
and air service during a war or in a campaign or expedition for which a campaign badge was authorized.

ARE YOU A NEWLY SEPARATED VETERAN? YES NO


Newly Separated Veteran means any veteran who served on active duty in the U.S. military, ground, naval and air service
during the one-year period beginning on the date of such veteran’s discharge or release from active duty.

The Company’s Affirmative Action Plan is available for review by employees in the Human Resources Office.
The information provided is voluntary. You can choose to self identify now or at any time in the future and disclosure of your
status will not subject you to any adverse treatment..

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