Able ARTS Work Employment Application

Able ARTS Work Employment Application

3626 E. Pacific Coast Highway | Long Beach, CA 90804 | Phone: 562.982.0247 | info@ableartswork.org
Able ARTS Work is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, creed, religion, gender (including pregnancy, childbirth or related medical conditions), national origin, ancestry, age, physical or mental disability, medical condition including genetic characteristics, family-care status, veteran status, marital status or sexual orientation, or any other consideration made unlawful by federal, state, or local laws. This also includes a perception that anyone has any of those characteristics, or is associated with a person who has or is perceived as having any of those characteristics. Able Arts Work also makes reasonable accommodations for disabled employees. Futher, California is an "at-will" employment state, meaning that any future employment will be on an at-will basis and you or Able ARTS Work can terminate the employment relationship at any time and for any reason.
Today's date:*

MonthDayYear
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
This number is *

HomeWorkCell
Additional Phone Number

Area CodePhone Number
This number is

HomeWorkCell
Position applied for:*
Hourly wage to be desired (be specific):*
*View Current Job openings here *
Have you reviewed the position summary for the position applied? Please see link above.*

YesNo
Which of the following AAW services interest you the most?

Learn for Life /Virtual Education (Part Time)Mobile Arts Program / One on One Service (Part or Full Time)Music Therapy Health and Wellness Clinic (Part Time)Accessible Arts Workshops (Part Time)Adult Day Programs (Full Time)

Days/Hours Available to Work:*

How many hours can you work weekly?*
Can you work nights?*

YesNo
Overtime?*

YesNo
Employment Desired:*

Full Time OnlyPart Time OnlyFull or Part Time
When available to start work?*

Educational Background (no character limit in dialogue boxes)*

	Name of School	Location	Number of Years Completed	Did you Graduate?	Major & Degree
High School
College
Business or Trade School
Professional School
Graduate School

Have you ever worked or attended school under a different name?*

NoYes
If yes, please provide that name:
Are you under 18 years old? If yes, please attach a copy of your work permit below.*

YesNo
Under 18 Work Permit
Are you currently legally authorized to work in the United States of America?*

YesNo
Do you now or in the future require sponsorship to continue working in the United States of America?*

YesNo

FOR JOBS WHERE DRIVING IS A REQUIREMENT OF THE JOB:
Do you have a reliable means of transportation to work?*

YesNo
Do you have a current driver's license?

YesNo
Driver's License Number:
State of Issue:
Expiration Date

MonthDayYear

Please list at least three individuals qualified to give an opinion of your professional work ability and work experience. TWO OUT OF THREE SHOULD BE PREVIOUS SUPERVISORS.*

	Name	Relationship	Employer	Phone Number
1.
2.
3.

Did you complete this application yourself?*

YesNo
If no, who did?

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING:

Note: It is the practice of Able ARTS Work to maintain a safe and efficient working environment. As part of this practice, we conduct LiveScan, drug testing and/or background/reference checks. In addition, if hired, you must furnish proof of your authorization to work in the United States as specified under applicable U.S. Immigration Laws. One of these documents must be photo identification. If you are employed by Able ARTS Work, you understand that your employment is on an "at-will" basis and may be terminated with or without cause, with or without notice at any time, at the option of either Able ARTS Work or yourself. You understand that as a condition of employment all applicants will be asked to sign a confidentiality disclosure agreement. Failure to sign or abide by such agreements may result in dismissal.
All employees of Able ARTS Work must complete a Criminal Record Statement (LIC 508), (all convictions must be listed, other than a minor traffic violation as specified in California Code Regulation Section 82019(d) (1) regardless of whether the individual was granted a pardon for the conviction, recevied an expungemnt pursuant to Penal Code 1203.4 or the individual's record was sealed as a result of a court order) complete a Livescan and be approved by Community Care Licensing to work for an adult day program, prior to employment. As required by Title 22 Sec. 82019.
Please initial after the following statements below:
(1) I certify that the answers I have given to the foregoing questions and statements are true and correct, under penalty of perjury of the laws of the state of California, and I authorize Able ARTS Work to verify them.*
Initial Here
(2) If I obtain employment resulting from this application, I agree to comply with all orders, rules and regulations of the Company.*
Initial Here
(3) I authorize Able ARTS Work to conduct reference checks from my former employers and authorize all educational institutions to give transcripts of my records and grades. I release them and their organizations from all liability for any damage whatsoever for issuing the same.*
Initial Here
(4) If hired, a copy of my most recent payroll check stub and evidence of my highest education degree may be required prior to start date.*
Initial Here
(5) If upon investigation, anything in this application is found to be untrue, I understand that I will be subject to dismissal at any time during the period of my employment.*
Initial Here
Please e-sign here:*

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Additional Documents For Review (Resume, Cover Letter, etc.)
Should be Empty:

Able ARTS Work Employment Application

WORK EXPERIENCE

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING: