Open Positions
Application for Employment
For Employment Application, Please Fill out the Form below:
Name:
Socal Security Number: (last 4 numbers of SS# only)
Present Address:
City:
State:
Zip:
Phone Number:
Email:
Are you 18 Years or Older?
YES   NO
Are you prevented from lawfully becoming employed in this country because or visa or immigration status?
YES   NO
 
Employment Desired
Position: Date you can Start: Salary desired:
 
Are you employed now? If so may we inquire of your present employer?
YES   NO
         
Ever applied to this company before?
YES   NO
Where? When?
         
Referred By:      
 
Education
Type of School Name and Location of School No. of years attended Did you graduate? Subjects Studied
Grammar School: YES
High School: YES
College: YES
Trade, Business or Correspondence School: YES
   
General
Subject of special study or research work:
 
Special Skills:  
Activities[Civic, Athletic, Etc]  
 
U.S. Military or naval Service: Rank: Present Membership in National Guard or Reserves
   
Former Employers
Date, Month, and Year Name & Address of employer Salary Position Reason for leaving
From: To:
From: To:
From: To:
From: To:
From: To:
 
References
Name Address Business Years Acquainted
   

 

This form has been revised to comply with the provisions of the Americans with Disabilities Act and the final regulations and interpretive guidence promugated by the EEOC on July 26, 1991.

 

 

Location: 4843 S. Church St., Pico Rivera, CA 90660-2102 | Mailing Address: PO box 758, Pico Rivera, CA 90660-0758