Application for Employment (California Only) - Free Download
4.2, 3163 votes
Please vote for this template if it helps you.
Application for Employment (California Only)
Application for Employment (California Only)
APPLICATION FOR EMPLOYMENT
(California Only)
THIS IS A DRUG FREE WORKPLACE
This organization does not discriminate in hiring or employment on the basis of race, color, religion, national origin, sex, disability, protected
veterans status, on the basis of age against persons who are forty years of age or over, or on the basis of any other legally impermissible
reason.
PLEASE PRINT: All blanks must be completed; “see resumeis not permissible.
IDENTIFICATION
LAST NAME
FIRST NAME
MIDDLE NAME
OTHER N A M E S USED (do not include
nicknames)
PREFERRED NAME
CURRENT STREET ADDRESS
CITY
ZIP CODE
HOME TELEPHONE NUMBER
( )
MOBILE PHONE NUMBER
( )
EMAIL ADDRESS
SOCIAL SECURITY NUMBER
Have you resided at your current address for the past seven (7) years
If not, list your addresses for the past seven (7) years.
YES NO
PREVIOUS HOME ADDRESS (No., Street, Apt. No.) CITY STATE ZIP CODE
COUNTY
FROM (MM-YY) / TO (MM-YY)
PREVIOUS HOME ADDRESS (No., Street, Apt. No.) CITY STATE ZIP CODE
COUNTY
FROM (MM-YY) / TO (MM-YY)
How did you hear about our company
Have you ever worked for an affiliate of Service Corporation International (SCI)
If YES, list the name of the facility(s) and the dates of prior employment.
YES NO
Do you have any relatives who currently work for an SCI affiliated company
If YES, please identify them below:
YES NO
Name of relative _______________________________ Location ________________________ Current Role ________________________
Name of relative _______________________________ Location ________________________ Current Role ________________________
If hired, can you provide proof of eligibility to work in the United States
YES NO
PERSONAL
Have you ever been convicted of a felony or
misdemeanor
If YES, please provide date, city & state, date and
details of conviction.
YES NO (Conviction will not necessarily disqualify an applicant from employment.)
Have you ever been bonded
If refused bond, give name of employer.
YES NO Have you ever been refused a bond
YES NO
What position are you applying for
Date available to start:
FULL-TIME
YES NO
PART-TIME
YES NO
S HI FTW OR K
YES NO
Are you under 18 years of age
YES NO
Can you travel if your job requires it
YES NO
Foreign Language Skills: Please specify language and level of proficiency for each (Basic, Moderate, Fluent).
SPEAK: READ: WRITE:
Software Applications: Please list software applications and level of proficiency for each (Beginner, Intermediate, Expert).
List heavy machinery you are certified to operate:
To be completed by the SCI affiliated company prior to distributing to Applicant.
MARKET NAME: _____________________________________________
LOCATION NAME: ___________________________________________ LOCATION NUMBER: ________________________________________
CALIFORNIA APPLICANTS ONLY: Applicant may omit marijuana-related convictions if such convictions are more than two (2) years old, and
any information concerning a referral to, and participation in, any pretrial or post trial diversion program.
Application for Employment (California Only) Previous Page Application for Employment (California Only) Next Page
Application for Employment (California Only)
Previous

1/5

Next