Central California Food Bank Job Application - Central California Food Bank

Position and Availability

Which job are you interested in?*

Work Availibility

Applicant Information

Name

First Last

Have you ever been known by another name? If so, list below:

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Information

Can you after employment, submit verification of your legal right to work in the United States of America?

Yes
No

Are you over the age of 18?

Yes
No

Have you ever been employed by Central California Food Bank?

Yes
No

If yes, list past dates of employment:

Do you have relatives employed by Central California Food Bank?

Yes
No

If yes, please list their name and relationship:

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

Yes
No

If no, describe the functions that cannot be performed:

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

Education & Training

Name of High School:

Did you graduate?

Yes
No

Name of College:

Did you graduate?

Yes
No

Name of Post Graduate:

Did you graduate?

Yes
No

Other Education or Training:

Did you graduate?

Yes
No

Skills & Knowledge

Do you have any other experience, training, qualifications or skills which you feel make you especially suited for this position?

Language(s):

What interests you in working for Central California Food Bank?*

Employment History

List below all present and past employment starting with your most recent employer (last ten years is sufficient). Account for all periods of unemployment. If you need additional sections to list additional employment, you may attach a resume. You must complete this section even if attaching a resume.

Employer Name:*

Position Title

Hidden

Position Duties:

Date Started*

Date Ended*

Put today's date if presently employed in this position

Reason for Leaving*

Voluntary
Involuntary

Reason for Leaving Explanation:*

Employer Name:

Position Title

Position Duties:

Date Started

Date Ended

Put today's date if presently employed in this position

Reason for Leaving

Voluntary
Involuntary

Reason for Leaving Explanation:

Employer Name:

Position Title

Position Duties:

Date Started

Date Ended

Put today's date if presently employed in this position

Reason for Leaving

Voluntary
Involuntary

Reason for Leaving Explanation:

References

List the names of at least three persons, not relatives, who are familiar with your character, ability or education for one year.

Phone

Application Acknowledgement

Please read carefully.

Consent*

I certify this is true

I 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 and to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission of misstatement of material fact on the 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 Central California Food Bank to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and further authorize the references I have listed to disclose to Central California Food Bank any and all letters, reports and other information related to my work records with out giving me prior notice of such disclosure. In addition, I hereby release Central California Food Bank, 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.

I authorize

At-Will Employment

I understand and agree that employment is “At-Will”, meaning, employment may be terminated by either myself or Central California
Food Bank at any time with or without cause and with or without notice. I also understand and agree that Central California Food Bank retains
the right to demote, transfer, change my job duties, and my compensation at anytime with or without notice and with or without cause in its
sole discretion.

I understand

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Resume

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