Cook's Job Application Form

Application For Employment

Cook's Communications 160 N. Broadway/Fresno, Ca 93701/ 559-233-8818
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other leagally protected status.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
How did you learn about us?
Other
Phone Number*

Area CodePhone Number
Applying for Position*
Start date*

MonthDayYear
Upload Resume

Upload a File

Cancelof

If you are under 18 years of age, can you provide required proof of your eligibility to work?*
Have you ever filed an application with us before?*
If Yes, give date

MonthDayYear
Date
Have you ever been employed with us before?*
If Yes, give date

MonthDayYear
Date
Are you currently employed?*
May we contact your current employer?*
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *
Proof of Citizenship or Immigration Status will be required upon employment.
On what date would you be available to work?*

MonthDayYear
Date
Are you available to work:*
Are you currently on "lay-off" status and subject to recall?*
Can you travel if the job requires it?*

Education

Please fill out only if not included with your resume.

High School
Name of High School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Course of study
Years completed
Diploma or Degree

Undergraduate Collage
Name of Undergraduate College
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Course of study
Years completed
Diploma or Degree

Graduate Professional
Name of Program
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Course of study
Years Completed
Diploma or Degree

Other Education
Name of program
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please specify
Years completed
Certificate/ Diploma/ Degree

Employment Experience

Start with your present or last job. Include any job related military service assignments and volunteer activities. You may exclude organizations which include race, color, religion, gender, national origin, disabilities other protected status.
Only fill out if the information is not already included in the attached resume.

Employer
Employer
Dates Employed

MonthDayYear
From
MonthDayYear
To
Job title
Work Performed
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Supervisor
Reason for leaving

Employer
Employer
Date Employed

MonthDayYear
From
MonthDayYear
To
Job title
Work Performed
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Supervisor
Reason for leaving

Employer
Employer
Date Employed

MonthDayYear
From
MonthDayYear
To
Job title
Work Performed
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Supervisor
Reason for leaving

Employer
Employer
Date Employed

MonthDayYear
From
MonthDayYear
To
Job title
Work Performed
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Supervisor
Reason for leaving

Employer
Employer
Date Employed

MonthDayYear
From
MonthDayYear
To
Job title
Work Performed
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Supervisor
Reason for leaving
List professional, trade, business or civil activities and offices held.

You may exclude membership which would revealgender, race, religion, origin, age, ancestry, disability or any other protected status.

Additional Information
Other Qualifications

Summarize speacial job related-skills and qualifications acquired from employment or other experience.
Specialized Skills
State any information you feel may be helpful to us in considering your application.
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied?

A description of the activities involved in such a job or occupation is listed in the job listing.

References
Only fill out if the information is not already included in the attached resume.

Reference 1
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

Reference 2
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

Reference 3
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

Reference 4
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

Reference 5
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com

Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or with out cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowleded in writing by an authorized executive of this organization.

In the event of employment, I understand that false misleading information given in my application or interview(s) may result in discharge. I understand, also, that i am required to abide by all rules and regulations of the employer.
I have read and understand the above statement*
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