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Employment Application Form

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An Equal Opportunity Employer

Please Print *

First

Middle

Last

Date *

Present Address *

Address Line 1

City

State

Zip Code

Permanent Address *

Address Line 1

City

State

Zip Code

(if different from present address)

Business Phone

Phone

Employment Desired

Position applying for: *

Personal Information

Personal Information *

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Have you ever applied to or worked for *

Checkboxes

Yes
No

If yes, when? *

Why are you applying for work at? *

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

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

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

Checkmark

Yes
No

Checkmark

Yes
No

Checkmark

Yes
No

If no, describe the functions that cannot be performed

Note: We comply with the Fair Employment and Housing Act (FEHA) and the Americans with Disabilities Act (ADA). We consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. New hires may be subject to passing a medical examination, and to skill and agility tests.)

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, Training, and Experience

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High School

Name *

Address

Address Line 1

City

State

Zip Code

No of Years Completed *

Did You Graduate *

Yes
No

Degree or Diploma *

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College/University

Name *

Address

Address Line 1

City

State

Zip Code

No of Years Completed *

Did You Graduate *

Yes
No

Degree or Diploma *

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Vocational/ Business

Name *

Address

Address Line 1

City

State

Zip Code

No of Years Completed *

Did You Graduate *

Yes
No

Degree or Diploma *

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Health Care Training

Name *

Address

Address Line 1

City

State

Zip Code

No of Years Completed *

Did You Graduate *

Yes
No

Degree or Diploma *

Employment History

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

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Name of Employer *

Type of Business

Phone Number *

Your Supervisor's Name

Address *

Address Line 1

City

State

Zip Code

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Dates of Employment (From) *

Dates of Employment (To) *

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Current Employer?

Current Employer ?

Yes
No

Your Position and Duties *

Reason for Leaving *

May we contact this employer for a reference? *

Current Employer?

Yes
No

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Name of Employer *

Type of Business *

Phone Number *

Your Supervisor's Name *

Address *

Address Line 1

City

State

Zip Code

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Dates of Employment (From) *

Dates of Employment (To) *

Your Position and Duties *

Reason for Leaving *

May we contact this employer for a reference? *

Yes
No

Note: Attach additional page(s) if necessary

References

List below three persons not related to you who have knowledge of your work performance within the last three years.

First Name *

First

Last

Phone

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Occupation *

No. of Years Acquainted *

Address

Address Line 1

City

State

Zip Code

First Name *

First

Last

Phone Number *

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Occupation *

No. of Years Acquainted *

Address

Address Line 1

City

State

Zip Code

Please Read Carefully, Initial Each Paragraph and Sign Below *

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

Authorization *

I hereby authorize to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

Authorization *

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.

Authorization *

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local "Fair Chance" laws.

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Date

Applicant's Signature *

Event Inspiration
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Event Inspiration
Catalog
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About

Ventura Rental

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Employment Application Form

An Equal Opportunity Employer

Employment Desired

Personal Information

Education, Training, and Experience

Employment History

References

Ventura Rental

Sevices Offered

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