PVP Employment Application

Employment Application

235 W Mission Blvd, Pomona 91766 - Office (909) 326-0482
By completing this application, you understand and accept that you are applying for a position as an "At Will" employee as California is an "At-Will" Employment State. "At Will" employment means that either you or the Business and/or Organization can terminate your employment with or without cause and with or without notice.
Please review the job descriptions below:
Position Applying for:
Date
Who referred you to apply?
Personal Information
Legal Name

First NameMiddle NameLast Name
Chosen Name

First NameLast Name
Pronouns
Availability/Start Date:
If hired, when would you be able to start working?
Address

Street Address

Street Address Line 2

CityState / Zip Code

State / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Are you eligible to work in the US?
Have you been convicted of a felony?
Are you bilingual?
Are you a registered sex offender?
Are you available for full time work after a 90 day probationary period? (40 hrs/week and or a 9/80 workweek)
Do you have reliable transportation to work? (many positions require offsite support.)
Please provide scheduling accommodations that would be required should you be offered full-time employment:
PVP is open Tue-Sat 10am-7pm (Employees will be schedule for in-person work 9a-6p or 10a-7p, 5 days a week)
Why do you want to work at Pomona Valley Pride center?
Instagram Handle
LinkedIn or Facebook Handle
Education

Please provide 3 professional references. Every box must have an answer.

Acknowledgement & Authorization
Any pertinent information that you believe should be considered for the position for which you are applying:
The organization is transitioning to a 9/80 workweek model in the near future. Are you able to work a 9/80 work schedule.
I certify that all answers in this employment application are true and complete to the best of my knowledge.
I authorize an investigation of all statements in this employment application as it may be necessary in arriving at an employment decision.
In the event of an offer of employment, I understand that false or misleading information given in my employment application or interview/s may result in immediate discharge.
I understand that California is an "At-Will" Employment State. "At Will" employment means that either you or the Company/Organization can terminate your employment with or without cause and with or without notice.
Signature
Should be Empty:

Employment Application