Employment - Inland Empire

EMPLOYMENT APPLICATION

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital status, the presence of a non-job related medical condition or handicap, or any other legally protected status.
APPLICATION INFORMATION
Position Applying For:
Expected Pay Rate:
Date Available to start:

Month Day Year
Date
Full or Part Time?

Full Time Part Time
If Part Time, what hours?
How did you hear of Olive Crest? (please be specific):
When are the best times to schedule an interview?
PERSONAL INFORMATION
Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Driver's License Number:
Driver's License State
Are you 18 years of age or older?

Yes No
ADDITIONAL APPLICANT INFORMATION

A-G are required fields
A. After employment, can you submit verification of your legal right to work in the Unites States? *

Yes No
B. Were you previously employed by us? *

Yes No
If Yes, when? State name if different:
C. Can you work overtime? *

Yes No
D. Have you ever served in the military? *

Yes No
E. With or without accommodation, can you perform the duties of this job? *

Yes No
F. Have you resided in your current state for 5 or more years? *

Yes No
G. Have you ever been convicted of a crime? (Criminal record clearance will be required) *

Yes No
H. Has your driver's license ever been suspended or revoked? (Record clearance will be required) *

Yes No
If your answer to F or G above is YES, please provide details for each incident (Date, Location, Nature and Disposition):
EDUCATION
Do you have a High School Diploma or Equivalant?

Yes
UNDERGRADUATE AND GRADUATE LEVEL EDUCATION
College
Name of University, College or Business School Attended
Units Completed / In Progress
Graduated?

Yes
Major / Degree / Course
Dates Attended / Completed
College
Name of University, College or Business School Attended
Units Completed / In Progress
Graduated?

Yes
Major / Degree / Course
Dates Attended / Completed
College
Name of University, College or Business School Attended
Units Completed / In Progress
Graduated?

Yes
Major / Degree / Course
Dates Attended / Completed
OTHER EDUCATION
Describe any specialized training, apprenticeships, skills, and extra-curricular activities:
List licenses or certificates of competence held:
Honors received:
List professional, trade, business, or civic associations of which you are a member (you may exclude groups which indicate race, color, religion, sex, age, or other protected status):
What languages do you speak, read, or write fluently?
State any additional information you feel may be helpful to us in considering your application:
EMPLOYMENT HISTORY
Please fill out all employment information as completely as possible, starting with your present or most recent employment. You may also include any applicable volunteer experience or military service assignments.

Employment is contingent on the accuracy and completion of current and previous employment.
Employer
Name of Current or Past Employer
Position
Hours per Week
Dates of Employment
Month / Year
Address (Street, City, State, Zip)
Telephone
Name of Supervisor
Supervisor Email Address
Describe your work
Reason for leaving
Employer
Name of Past Employer
Position
Hours per Week
Dates of Employment
Month / Year
Address (Street, City, State, Zip)
Telephone
Name of Supervisor
Supervisor Email Address
Describe your work
Reason for leaving
Employer
Name of Past Employer
Position
Hours per Week
Dates of Employment
Month / Year
Address (Street, City, State, Zip)
Telephone
Name of Supervisor
Supervisor Email Address
Describe your work
Reason for leaving
PROFESSIONAL REFERENCES
List three people who are not related to you, who are not previous supervisors, and who can give information about your background, character, abilities, etc., from a professional perspective.

Examples may include (but not limited to): current/previous professors, academic advisors, co-workers, members from group/volunteer organizations. Please provide complete, accurate, up to date information, as employment is contingent upon satisfactory completion of reference checks.
Name
Relationship
Email
example@example.com
Phone Number

Area Code Phone Number
Name
Relationship
Email
example@example.com
Phone Number

Area Code Phone Number
Name
Relationship
Email
example@example.com
Phone Number

Area Code Phone Number
COVER LETTER & RESUME (OPTIONAL)

Attach your Cover Letter, Resume or any other supporting files
Attach files

Browse Files
You may select multiple files to upload Cancel of
APPLICANT'S STATEMENT
By clicking submit I certify that the answers given herein are true and complete to the best of my knowledge. If I am employed, I understand that false or misleading information given on this application or during interview(s) may result in discharge at any time.

By clicking submit I authorize investigation of all statements contained in this application. I authorize Olive Crest to contact any of my references, employers and/or schools, except as otherwise indicated, and authorize my references, employers and/or schools to furnish any information concerning my employment, education and/or background, character, abilities, etc. I release Olive Crest and all persons and organizations from all claims and liabilities of any nature arising from such inquiries and investigations.

By clicking submit I understand that employment at Olive Crest is “at will”. If I am employed, I, at my own discretion, or Olive Crest, at its own discretion, may terminate my employment at any time with or without cause and with or without notice.
Applicant's Signature *

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EMPLOYMENT APPLICATION

APPLICATION INFORMATION

PERSONAL INFORMATION

ADDITIONAL APPLICANT INFORMATION

EDUCATION

EMPLOYMENT HISTORY

PROFESSIONAL REFERENCES

COVER LETTER & RESUME (OPTIONAL)

APPLICANT'S STATEMENT