PPC Employment Application

Employment Application

Pomona Pride Center - 386 S. Thomas Street, 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 Company/Organization can terminate your employment with or without cause and with or without notice.
Date
Position Applying for:
Personal Information
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you eligible to work in the US?

YESNO
Have you been convicted of a felony?

YESNO
Availability/Start Date:
If hired, when would you be able to start working?
Education

Please provide 3 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:
I certify that all answers in this employment application are true and complete to the best of my knowledge.*

YES
I authorize an investigation of all statements in this employment application as it may be necessary in arriving at an employment decision.*

YES
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.*

YES
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.*

YESNO
Signature

Clear
Should be Empty:

Employment Application