Job Application Form

Job Application Form

Complete the form with your details and provide three working contact references.
Central Sierra Enterprise, Inc.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Current Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Position Applied For*
Are you eligible to work in the US?*

YesNo
Are you 18 or older?*

YesNo
Social Security Number (SSN)*
Birth Date*

MonthDayYear
Date
How did you hear about us?*
Expected hourly rate*
Date available*

MonthDayYear
Date
References
Reference 1 Name*
Reference 1 Relationship*
Reference 1 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Name*
Reference 2 Relationship*
Reference 2 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Name*
Reference 3 Relationship*
Reference 3 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Resume Upload*

Cancelof
Are you willing to submit to a background check?*

YesNo
Digital Signature*
California Job Application Legal Notice & Certification*
Please read the following statements carefully before signing this application.1. Equal Employment Opportunity Statement: [Company Name] is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, age, disability, genetic information, military service, or any other protected characteristic under federal, state, or local law.2. At-Will Employment Notice: If hired, I understand that my employment with [Company Name] is "at-will." This means that both I and the Company have the right to terminate the employment relationship at any time, with or without cause, and with or without advance notice. No representative of the Company, other than [Insert Title, e.g., CEO], has the authority to enter into any agreement for employment for any specified period of time.3. Privacy Notice at Collection (California Applicants): In accordance with the California Consumer Privacy Act (CCPA), the Company collects personal information from you for the purpose of evaluating your application for employment. This may include identifiers, professional or employment-related information, and education history. For more details, please review our full [California Applicant Privacy Notice]4. Authorization for Reference and Background Checks: I authorize [Company Name] to contact my former employers and references to verify the information I have provided. (Note: California law generally prohibits inquiring about criminal history until after a conditional offer of employment is made.)5. Applicant Certification: I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.
Should be Empty:

Job Application Form

Central Sierra Enterprise, Inc.

References