Careers

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Personal Information
First Name*
Middle Initial
Last Name*
Address*
Street Address City State Zip Code Country
Email*
Phone*
Alt Phone
If hired, can you provide evidence of legal eligibility to work in the U.S?*
Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization
Position Desired
Wage/Salary Desired
Job Type
- Full Time
- Part TIme
Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending?
If yes, when?
If yes, where?
Date you can begin work?
Are you 18 years of age or older?
* If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by California or federal law.

Education Information
Name of high school attended
City & State
Graduate?
GED?
Name of college or technical school
City & State
Graduate?
Degree?
Major?
Are you presently enrolled in school?
List any job-related skills or accomplishments, including military service
If yes, give name & address of school and expected degree date

Your Availability For Work
From
To
Monday
From
To
Tuesday
From
To
Wednesday
From
To
Thursday
From
To
Friday
From
To
Saturday
From
To
Sunday
From
To
Total hours per week you are available to work
Do you have any special requests or needs for a work schedule?

Your References
Give Three References That Are Not Former Employers Who We May Contact
Name and Occupation:
How do you know them, and for how long?
Phone Number:
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Your Employment History
Employment History #1
Name of Employer*
Duties
Job Title*
Dates of Employment:
From*
Date Format: MM slash DD slash YYYY
To*
Date Format: MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Telephone
Hourly pay or salary:
Starting pay:
Ending pay:
Reason for Leaving*
Employment History #2
Name of Employer*
Duties
Job Title*
Dates of Employment:
From*
Date Format: MM slash DD slash YYYY
To*
Date Format: MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Telephone
Hourly pay or salary:
Starting pay:
Ending pay:
Reason for Leaving*
Employment History #3
Name of Employer*
Duties
Job Title*
Dates of Employment:
From*
Date Format: MM slash DD slash YYYY
To*
Date Format: MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Telephone
Hourly pay or salary:
Starting pay:
Ending pay:
Reason for Leaving*

Driving Record
State of issue:*
Exp. Date*
Date Format: MM slash DD slash YYYY
Have you had any vehicle accidents in the past 3 years in which you were at fault?*
- Yes
- No
If so, describe the causes, damages & any injuries to yourself or others:
Have you had any moving violations (speeding tickets, etc.) during the past 3 years?*
- Yes
- No
If so, describe the dates, nature & locations of the moving violations:

Additional Information
Please use the space provided for any additional information that could help you qualify for the position you are applying for. Examples include; classes, certificates, current licenses, specific equipment and other skills.
CAREFULLY READ EACH STATEMENT BEFORE APPLY*
I certifY that all of the information provided in this employment application are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and credit history check I understand that any false or incomplete information may disqualifY me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I understand and acknowledge that unless otherwise defined by applicable law or written agreement with C.A. Newcomb & Sons, any employment relationship with C.A. Newcomb & Sons is considered "employment at will." This means the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause, and with or without advance notice.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I have read, understand, and agree to the above statements.
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Careers

Step 1 of 7

Personal Information

Education Information

Your Availability For Work

Your References

Your Employment History

Driving Record

Additional Information