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Employment Application

Employment Application

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The Redwood Empire Food Bank is an equal opportunity employer. We do not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.

First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Are you eligible to work in the U.S?
Are you fluent in English?
Are you fluent in Spanish?
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)
If hired, would you have a reliable means of transportation to and from work?
Have you ever been terminated from employment or asked to resign by an employer?
Can you work overtime, including weekends?
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applications/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

EMPLOYMENT DESIRED
Month
/
Day
/
Year
Are you currently employed?
If so may we inquire of your present employer?
REFERRAL SOURCE
How did you hear about us?
Have you visited our website?
Have you ever worked for this company before?
Do you know anyone who works for our company?

We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, or morale, or if doing so could create conflicts of interest.

EDUCATION
High School
College or University
Trade, Business or Correspondence School
EMPLOYMENT HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

Employment 1
Start Date
–
End Date
Country
Address Line 1
City
State/Province
Postal Code
Employment 2
Start Date
–
End Date
Country
Address Line 1
City
State/Province
Postal Code
Employment 3
Start Date
–
End Date
Country
Address Line 1
City
State/Province
Postal Code
REFERENCES

Give the names of three persons not related to you, whom you have known at least three (3) years.

Reference 1
Reference 2
Reference 3
No file selected
Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the Redwood Empire Food Bank to hire me. If I am hired, I understand that either the Redwood Empire Food Bank or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the Redwood Empire Food Bank has the authority to make any assurance to the contrary.

With my signature below, I have given to the Redwood Empire Food Bank true and complete information on this application. No requested information has been concealed. I authorize the Redwood Empire Food Bank to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.

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