REACH Job Application
7200 Greenleaf Ave., Suite 140, Whittier, CA 90602 562.946.0467
Personal Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Application
-
Month
-
Day
Year
Date
Emergency Contact - Name and phone number
Employment Desired
Position Applied For:
Life Skills Coach Full-Time
Life Skills Coach Part-time
Life Skills Coach Substitute
Life Skills Coach Seasonal
Speech and Language Pathologist
Other
Are you currently employed?
Yes
No
If you have applied to REACH before, please indicate where and when.
If you have worked for REACH before, please indicate when and position held.
If you have relatives employed by REACH, please give names.
Do you have a valid California drivers' license and a reliable automobile? (for direct service positions only)
Yes
No
How did you hear about REACH?
Please Select
Indeed
Career Fair
Social Media
Referral
Website
Other
If you were referred by a team member at REACH, please enter the employee's full name
If you were referred by team member at REACH, please enter the employee's REACH email address and phone number.
Do you seek full or part time employment?
Full time
Part time
Substitute
Seasonal
Other
Availability
Mondays:
7:00 am - 3:00 pm (Whittier)
8:30 am -2:30 pm (Whittier)
9:00 am -3:00 pm (Whittier)
9:00 am - 3:00 pm (La Habra/Whittier)
9:00 am -3:00 pm (Pasadena)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
4:00 pm - 6:00 pm (Rosemead)
12:00 pm - 4:00 pm (Duarte)
9: 00 am - 1:30 pm (Duarte)
8:30 am - 2:30 pm (West Covina)
9:00 am - 1:00 pm (West Covina)
8:00 am - 2:00 pm (El Monte)
5:00 pm - 8:00 pm (Bellflower)
9:30 am - 1:00 pm (Fullerton)
12:30 pm - 4 pm (Fullerton)
11:00 am - 3:00 pm (Fullerton)
9:00 am - 1:00 pm (Long Beach)
Any
Other
Tuesdays:
7:00 am - 3:00 pm (Whittier)
8:30 am -2:30 pm (Whittier)
9:00 am -3:00 pm (Whittier)
9:00 am - 3:00 pm (La Habra/Whittier)
9:00 am -3:00 pm (Pasadena)
1:00 pm - 5:00 pm (Pasadena)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
12:00 pm - 4:00 pm (Duarte)
9: 00 am - 1:30 pm (Duarte)
8:30 am - 2:30 pm (West Covina)
9:00 am - 1:00 pm (West Covina)
8:00 am - 2:00 pm (El Monte)
11:00 am - 3:00 pm (Fullerton)
3:00 pm - 5:00 pm (Fullerton)
11:00 am - 3:00 pm (La Mirada)
5:00 pm - 8:00 pm (Bellflower)
9:00 am - 1:00 pm (Long Beach)
Any
Other
Wednesdays:
7:00 am - 3:00 pm (Whittier)
8:30 am -2:30 pm (Whittier)
9:00 am -3:00 pm (Whittier)
9:00 am - 3:00 pm (La Habra/Whittier)
9:00 am -3:00 pm (Pasadena)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
5:00 pm - 8:00 pm (Bellflower)
12:00 pm - 4:00 pm (Duarte)
9: 00 am - 1:30 pm (Duarte)
8:30 am - 2:30 pm (West Covina)
9:00 am - 1:00 pm (West Covina)
8:00 am - 2:00 pm (El Monte)
11:00 am - 3:00 pm (Fullerton)
11:00 am - 3:00 pm (La Mirada)
9:00 am - 1:00 pm (Long Beach)
Any
Other
Thursdays:
7:00 am - 3:00 pm (Whittier)
8:30 am -2:30 pm (Whittier)
9:00 am -3:00 pm (Whittier)
9:00 am - 3:00 pm (La Habra/Whittier)
9:00 am -3:00 pm (Pasadena)
1:00 pm - 5:00 pm (Pasadena)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
12:00 pm - 4:00 pm (Duarte)
9: 00 am - 1:30 pm (Duarte)
8:30 am - 2:30 pm (West Covina)
9:00 am - 1:00 pm (West Covina)
8:00 am - 2:00 pm (El Monte)
9:00 am - 3:00 pm (East Los Angeles)
11:00 am - 3:00 pm (Fullerton)
3:00 pm - 5:00 pm (Fullerton)
11:00 am - 3:00 pm (La Mirada)
5:00 pm - 8:00 pm (Bellflower)
9:00 am - 1:00 pm (Long Beach)
Any
Other
Fridays:
7:00 am - 3:00 pm (Whittier)
8:30 am -2:30 pm (Whittier)
9:00 am -3:00 pm (Whittier)
9:00 am - 3:00 pm (La Habra/Whittier)
9:00 am -3:00 pm (Pasadena)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
12:00 pm - 4:00 pm (Duarte)
9: 00 am - 1:30 pm (Duarte)
8:30 am - 2:30 pm (West Covina)
9:00 am - 1:00 pm (West Covina)
8:00 am - 2:00 pm (El Monte)
9:00 am - 3:00 pm (East Los Angeles)
5:00 pm - 8:00 pm (Bellflower)
9:00 am - 1:00 pm (Long Beach)
Any
Other
Saturdays:
7:00 am -3:00 pm (Whittier)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
10 am - 2 pm (Bellflower)
Any
Other
Sundays:
7:00 am -3:00 pm (Whittier)
3:00 pm -11:00 pm (Whittier)
11:00 pm - 7:00 am (Whittier)
Any
Other
Employment History (most recent first)
Employer 1
Location
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Position
Reason for Leaving
Employer 2
Location
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Position
Reason for Leaving
Employer 3
Location
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Position
Reason for Leaving
Education
High School
Higher Education
Additional Information
List any additional skills that you would like to mention
Please submit a copy of your resume
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of
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Date
-
Month
-
Day
Year
Date
Signature
REACH IS A DRUG FREE WORKPLACE. AS A CONDITION OF EMPLOYMENT, YOU WILL BE REQUIRED TO PASS A DRUG TEST. IN ADDITION, YOU WILL ALSO BE REQUIRED TO DISCLOSE CERTAIN CRIMINAL CONVICTIONS PURSUANT TO STATE LICENSING LAWS.
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