Application for Employment

EQUAL OPPORTUNITY EMPLOYER. It is our policy to abide by all Federal and State laws prohibiting employment discrimination solely on the basis of a person's race, ancestry, color, creed, national origin, religion, age, sex, sexual orientation, marital status, handicap, pregnancy, physical or mental disability, medical condition, status as a Vietnam or special disabled veteran, or other protected characteristics except where a reasonable, bona fide occupational qualification exists. We comply with all laws regarding reasonable accommodation for disabled and handicapped employees.

All questions must be answered carefully and completely.

Please note, that you also have to download and complete Part 2 of employment application.
Scan and email to hr1@spicehunter.com or fax to 805-544-6268 (confidential fax line) Disclosure and Authorization Form.


PERSONAL DATA

First Name:  Last Name:  MI: 
Email Address: 
Have you ever worked under another name?: Yes No
If yes, give name:   Date of name change: 
Phone Number:   Message Phone: 

Current Address:
Date From Date To Number and Street City State Zip

List all prior addresses for the last 7 years:
Date From Date To Number and Street City State Zip

EMPLOYMENT DESIRED

Position Desired:  Salary Desired: 
Check type of employment desired: Full Time Part Time Temporary
If not Full Time, days available: Mon Tue Wed Thur Fri Sat Sun
If not Full Time, hours available: 
On what date would you be available to start work? 
Are you willing and able to work overtime?  Yes No
Have you ever been employed with us before?  Yes No  If yes, give date  
Do you have any friends or relatives working for the Company? Yes No
If yes, state name(s) and relationship: 
Are you currently employed? Yes No  If yes, may we contact your employer? Yes No
If hired, would you have a reliable means of transportation to and from work?  Yes No
Driver's License No:  State of Issue: 
Can you travel if the job requires it?  Yes No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
Yes No
Are you at least 18 years old? Yes No &bnsp;If under 18, hire is subject to verification that you are of minimum legal age.
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country? Yes No
Proof of citizenship or immigration status will be required upon employment.
Have you ever been convicted of a criminal offense (felony or misdemeanor)? Yes No
If yes, state nature of the crime(s), when and where convicted and disposition of the case:

A conviction will not necessarily disqualify you for employment?

EMPLOYMENT EXPERIENCE

Check here if you have no previous employment.
Start with your most recent job. Feel free to attach additional pages if necessary. You MUST complete this section even if attaching a resume. Dates of employment must be stated in months AND years. Account for all periods of unemployment.
Employer: 
Address: 
Phone Number: 
Job Title:   Supervisor: 
Reason for Leaving: 
Dates Employed:
From:To:
Hourly Rate/Salary:
Starting:Final:
Work Performed:
 
Employer: 
Address: 
Phone Number: 
Job Title:   Supervisor: 
Reason for Leaving: 
Dates Employed:
From:To:
Hourly Rate/Salary:
Starting:Final:
Work Performed:
 
Employer: 
Address: 
Phone Number: 
Job Title:   Supervisor: 
Reason for Leaving: 
Dates Employed:
From:To:
Hourly Rate/Salary:
Starting:Final:
Work Performed:
 
Employer: 
Address: 
Phone Number: 
Job Title:   Supervisor: 
Reason for Leaving: 
Dates Employed:
From:To:
Hourly Rate/Salary:
Starting:Final:
Work Performed:
 

EDUCATION AND TRAINING

Type of School Name and Location of School
(Provide full names of schools - not initials)
Dates Attended Name and Date of Degree Earned Major and Minor Fields of Study
High School or Trade School   Diploma?
Yes No
Technical School From:  To: 
College From:  To: 
College From:  To: 


SPECIAL SKILLS AND QUALIFICATIONS

Summarize special job-related skills and qualifications acquired from employment or other experience.
Office Equipment:
Computer Software:
Factory Equipment (i.e. forklift):
Other:

PROFESSIONAL REFERENCES

Check here if you have no references to list.
List below three people you have worked with for at least one year (do not list supervisors). Do not list relatives or friends unless you have worked with them.
Name:     Email Address: 
Occupation:   Company where you worked together: 
Phone No:   No. years acquainted: 
 
Name:     Email Address: 
Occupation:   Company where you worked together: 
Phone No:   No. years acquainted: 
 
Name:     Email Address: 
Occupation:   Company where you worked together: 
Phone No:   No. years acquainted: 

APPLICANT'S CERTIFICATION AND AUTHORIZATION

Please read carefully. Click on the accept button for each paragraph and sign below.
According to the provisions of the California Investigative Consumer Reporting Agencies Act (Civil Code 1786.16) we are providing notification that an Investigative Consumer Report on you may be requested as part of the applicant selection process.

Check here if you would like a copy of the report.
Check here if you waive your right to a copy of the report.
Accept  Decline I hereby certify I have not knowingly withheld any information which might adversely affect my chances of employment and the answers given by me are true and correct to the best of my knowledge. I further certify I, the undersigned applicant, have personally completed this application. I understand any omission or misstatement of material fact on this application or any documents 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.
 
Accept  Decline I hereby authorize any present employer or supervisor, past employer or supervisor, college, university or other institution of learning, court, administrator, law enforcement agency, state agency, federal agency, finance bureau/office, credit bureau, collection agency, private business, military branch or the National Personnel Records Center, personal reference, and/or other persons, to give records or information they may have concerning my employment records, earnings history, credit history, educational records, health, character, criminal history, motor vehicle history, workers' compensation claims, or other information requested to the Company or its representative. I voluntarily and knowingly unconditionally release any named or unnamed informant from any and all liability resulting from the furnishing of this information. A photographic or faxed copy of the authorization shall be as valid as the original.
 
Accept  Decline I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this applicant. I further agree, in the event that I am hired by the Company, that all disputes that cannot be resolved by informal internal resolution which might arise out of my employment with the Company, whether during or after that employment, will be submitted to binding arbitration. I agree that such arbitration shall be conducted under the rules of the American Arbitration Association. This application contains the entire agreement between the parties with regard to dispute resolution, and there are no other agreements as to dispute resolution, either oral or written.
 
Accept  Decline I hereby understand and acknowledge any employment relationship with this organization is of an "at will" nature, which means that I may resign at any time and the Company may discharge me at any time with or without cause. It is further understood this "at will" employment relationship may not be changed by written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the Company. I further understand that nothing contained in this 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.

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I HAVE READ AND UNDERSTOOD THE ABOVE.

Applicant's Full Name Printed

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