Check Yes or No to each of the following questions, explain when necessary
List your entire work experience BEGINNING with your present or last job. Show promotions as separate jobs. Be sure to include
appropriate military experience. If you need additional space, please supply all requested information on a separate sheet and
attach to this application.
The company may request personal character and investigative work history reports in connection with your application for
employment or during the course of your employment (if any), with the company. Any information contained in such reports may be
taken into consideration in evaluating your suitability for employment, promotion, reassignment or retention as an employee. Such
reports, if obtained, will be prepared by a consumer reporting agency and may contain information concerning your credit standing
or worthiness, character, general reputation, personal characteristics, or mode of living. The types of reports that may be requested,
include, but are not limited to, medical examination, criminal records checks, court records checks, and/or summaries of educational
and employment records and histories. The information contained in such reports may be obtained from public record
sources or through personal interviews with your neighbors, friends, associates, current or former employers, or other personal
acquaintances. My signature below authorizes this company to release the documents and their findings to its contractors Regional
Centers of California.
I certify that the information contained in this application is true and correct and complete to the best of my knowledge and belief. I
understand that any false statement, omission or misrepresentation of facts in connection with this application can be cause for
rejection of my application, or if I am employed, for my dismissal from employment. I also understand that I am required to abide by
all rules and regulations of the Employer.
I hereby understand and acknowledge that if I am employed, my employment relationship with the Employer is of an “at-will” nature,
which means that I may resign at any time and the Employer may discharge me at any time, with or without cause. It is further
understood that this “at-will” employment relationship may not be change by the President/CEO of the Employer.
Applications will be maintained in an active file for a period of two years and then transferred to an inactive status for a
period of one year from date received.
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or
veteran status, physical or mental disabilities, or any other legally protected status
Max. file size: 50 MB.
Drop files here or