Riverside Red X Employment Application

Riverside Red X Employment Application

Instructions: Answer all questions, incomplete applications will not be considered.
Choose one of the following

I understand and have read the following; Red X is an equal opportunity employer and always endeavor to employ the best qualified individuals for the job based on job-related qualifications regardless of race, color, creed, sex, national origin, age, disability, or other legally protected group. Notice to all applicants and employees: Screening tests for alcohol and illegal drug use will be required before hiring and during your employment here.No, I have not read the above paragraph. I have further questions or concerns before being considered for employment.
Personal Information
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Emergency Phone Number

Area CodePhone Number
E-mail
Are you 18 years or older?*

YesNo
Who referred you to Red X?

First NameLast Name
Do you know someone who currently works for Red X*

YesNo
If so what is your relation to the person

Education/Skills
Name of school---# of years attended---degree/diploma*
Skills and Qualifications: Licenses, Skills, Training, Awards pertinent to this job*
Have you ever been convicted of a felony? Will not necessarily disqualify you from employment*

YesNo
If so, please describe

References
Two (2) references you are not related to, whom you have known at least one (1) year ---------------Give Name, Title, and Contact information*
Employment History

Beginning with present or most recent employer. If you do not have a previous employer put N/A
Employer:*
Address:
Supervisor:
Phone Number:

Area CodePhone Number
Position Title:*
Start date:*

MonthDayYear
End Date:

MonthDayYear
Responsibilities*
Salary/hourly wages:
Reason for leaving:*

Acknowledgement
Yes, I agree to the following terms and conditions. I hereby certify that all the information in this employment application is true and complete. I understand that my employment may be terminated for any false statement, concealment, or failure to answer any question fully and accurately regardless of when it is discovered by Red X . I authorize an investigation of all matters and statements in this application, which the employer may deem relevant to my employment. Red X will keep information obtained confidential , except where such is required by law, court order, or other authority. This investigation will include a criminal background check. I authorize my previous employers and other persons having information about me to release such information to Red X. I understand that if I am employed I may be terminated at any time with or without notice, and with or without cause. I agree that if I become employed with Red X, I will be required to read and comply with all rules, policies, and regulations.No, I do not agree to these terms and conditions
E-Signature*

Clear
Use your mouse to sign your name on the signature line.
Date Agreed:*

MonthDayYear
Should be Empty:

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