Name
*
First Name
Last Name
Email Address
*
Social Security #
*
Current Residential Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Phone
*
(###)
###
####
If Related to anyone employed past or present at Los Rios Rancho please State their name below:
IF none do not fill out.
First Name
Last Name
Employment Desired
*
Start Date
*
MM
DD
YYYY
Desired Rate of Pay:
*
Are You Currently Employed?
*
Yes
No
If Employed, Where?
Have you applied to Los Rios Before?
*
Yes
No
If Yes, When?
MM
DD
YYYY
Highest Level of Education
*
Primary School
Middle School
High School/ GED
Associates Degree
Bachelors Degree
Masters Degree
Doctorate
Other
Please List all Schools or Educational Centers attended and if a certificate or Diploma was awarded:
Any additional Educational Experience:
Please List the last three positions of employment;
*
Please list the month and year that you were hired and left the position and the reason for leaving. Please include the name and address of each employer.
Terms
I UNDERSTAND THAT ANY MISREPRESENTATION, FALSIFICATION, OR MATERIAL OMISSION OF INFORMATION THIS APPLICATION MAY RESULT IN MY FAILURE TO RECEIVE AN OFFER OR, IF I AM HIRED, IN MY DISMISSAL FROM EMPLOYMENT. I HEREBY AUTHORIZE THE EMPLOYER TO WHOM I AM NOW APPLYING TO INVESTIGATE MY REFERENCES, WORK RECORD, CREDIT RECORD IF APPLICABLE, EDUCATION AND OTHER MATERIALS RELATED TO MY SUITABILITY FOR EMPLOYMENT, AND FURTHER, TO AUTHORIZE MY FORMER EMPLOYER TO DISCLOSE TO THIS COMPANY AND CALL LETTERS, REPORTS, AND OTHER INFORMATION RELATED TO MY WORK RECORDS. TO THE EXTENT, IF IT ALL, I HAVE A RIGHT TO WAIVE THE RIGHT NOTICES OF SUCH DISCLOSURES, I HEREBY DO SO AND FURTHERMORE, TO THE EXTENT THAT I HAVE A RIGHT TO RELEASE THIS COMPANY, MY FORMER EMPLOYERS AND ALL OTHER PERSONS, CORPORATIONS, PARTNERSHIPS, AND ASSOCIATES FROM ANY AND ALL CLAIMS, DEMANDS, OR LIABILITIES ARISING OUT OF, OR IN ANY WAY RELATED TO SUCH AND INVESTIGATION OR DISCLOSURE, I HEREBY DO SO.
I UNDERSTAND THIS EMPLOYMENT APPLICATION IS NOT TO BE CONSTRUED AS A GUARANTEE OF EMPLOYMENT FOR A SPECIFIC TIME. I FURTHER UNDERSTAND THAT MY EMPLOYMENT WITH THE COMPANY DOES NOT CONSTITUTE ANY FORM OF CONTRACT, IMPLIED OR EXPRESSED. I UNDERSTAND AND AGREE THAT IF I AM EMPLOYED, MY EMPLOYMENT IS FOR NO DEFINITE OR DETERMINABLE PERIOD AND THAT MY EMPLOYMENT IS “AT WILL” AND I MAY BE TERMINATED AT ANY TIME WITH OR WITHOUT CAUSE, AT THE OPTION OF EITHER MYSELF OR THE COMPANY FOR EITHER AN EMPLOYMENT AND/OR PROMOTION, AND THAT NO PROMISES OR REPRESENTATIONS CONTRARY TO THE FOREGOING ARE BINDING ON THE COMPANY. MY CONTINUED EMPLOYMENT IS DEPENDENT ON SATISFACTORY PERFORMANCE AND THE CONTINUED NEED FOR MY SERVICES AS DETERMINED SOLELY BY THE COMPANY.
I HEREBY ACKNOWLEDGE AND AGREE AND UNDERSTAND THAT AS A PRECONDITION TO MY EMPLOYMENT, I MAY BE REQUESTED TO PARTICIPATE IN A PREEMPLOYMENT DRUG TEST AND HEREBY GIVE MY CONSENT TO SUCH.
I UNDERSTAND THAT PROOF OF IDENTITY AND RIGHT TO WORK IN UNITED STATES WILL BE REQUIRED WITHIN THE FIRST THREE DAYS OF MY EMPLOYMENT WITH THE COMPANY FOR WHICH I AM NOW APPLYING. THIS INFORMATION, I UNDERSTAND, IS REQUIRED FOR CONTINUED EMPLOYMENT.
I HEREBY ACKNOWLEDGE AND AGREE THAT UPON CESSATION OF MY EMPLOYMENT, MY FINAL PAYCHECK WILL IMMEDIATELY BE PROVIDED TO ME BY MAIL TO MY LAST KNOWN MAILING ADDRESS.
By Entering My name Here I Give Consent for Riley Family Enterprise to use this form and all its contents to assess my candidacy for employment
*
First Name
Last Name
Todays Date
*
MM
DD
YYYY
