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Personal Information

2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Email Address*
16. What is the best time to contact you?
    (Ex: Morning, Afternoon, Evening)
18. Are you eligible to work in the United States?*

    1. Yes

    1. No

    If you are 18 years of age, you must be able to provide required proof of eligibility to work.
20. Have you ever applied with us before?*

    1. Yes
    2. No

    If yes, provide date in next field.
21. Date of Previous Application*
    Date of Previous Application
23. Have you ever been employed with us before?*

    1. Yes
    2. No

    If yes, provide date in next field.
24. Are you currently employed with the City of Avenal?*

    1. Yes
    2. No
25. Date of Previous Employment with the City*
    Date of Previous Employment with the City
27. Are any of your friends or relatives (other than spouse) employed by the City of Avenal?*

    1. Yes
    2. No
28. If Yes, provide name and relationship to current employee*
30. Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?*

    1. Yes
    2. No

    Proof of citizenship or immigration status will be required upon employment.
32. Upload Your Cover Letter*
34. Upload Your Resume*
36. Upload Certifications
38. Upload Supporting Documents
40. Upload Supporting Documents
42. Continue

Position Information

2. Type of employment desired*

   1. Full Time
   2. Temporary
3. Date Available to Work*
   Date Available to Work
5. Are you currently on lay-off status and subject to recall?

   1. Yes
   2. No
7. How Did You Hear About This Position?

   1. Advertisement
   2. Website
   3. Employment Agency
   4. Friend

   1. Relative
   2. Inquiry
   3. Other
9. Continue |Go Back

Education

2. High School
3. Address
5. Undergraduate College
6. Address
7. Degree
9. Graduate / Professional School
10. Address
11. Degree
13. Other
14. Address
15. Degree
17. Other
18. Address
19. Certificate
21. Continue |Go Back

Employment History

2. (From Most Recent)
4. Company
5. Position
7. Supervisor
8. Phone Number
10. May we contact your previous supervisor for a reference?

    1. Yes

    1. No
12. Address
14. Responsibilities
16. Employed From - To (Date)
18. Reason for Leaving
22. Company
23. Position
25. Supervisor
26. Phone Number
28. May we contact your previous supervisor for a reference?

    1. Yes

    1. No
30. Address
32. Responsibilities
34. Employed From - To (Date)
36. Reason for Leaving
40. Company
41. Position
43. Supervisor
44. Phone Number
46. May we contact your previous supervisor for a reference?

    1. Yes

    1. No
48. Address
50. Responsibilities
52. Employed From - To (Date)
54. Reason for Leaving
56. Continue |Go Back

Additional Skills / Comments

2. Include explanation of any gaps in employment.
4. Describe any specialized training, apprenticeship, skills, and extra-curricular activities.
6. Describe any job-related training received in the United States Military.
8. List professional, trade, business or civic activities and offices held.
10. Additional Information/Qualifications:
12. List Specialized Skills
13. List Other Skills
15. Continue |Go Back

References

2. Please list three professional references.
4. Full Name*
5. Relationship*
7. Company*
8. Phone Number*
12. Full Name*
13. Relationship*
15. Company*
16. Phone Number*
20. Full Name*
21. Relationship*
23. Company*
24. Phone Number*
26. Continue |Go Back

Disclaimer & Signature

2. I certify that my answers are true and complete.
   
   I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
   
   This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
   
   I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without case. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
   
   In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
   
   My electronic signature below indicates my agreement with the following statements: By typing my name in the following box and clicking the "submit" button, I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
4. Applicant Signature*
Leave This Blank:


5. 1. Receive an email copy of this form.
6. Email address

   This field is not part of the form submission.

7. Submit Submit and Print | Go Back

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