Application For Employement Home Application For Employement Application For Employment First Name *Middle Name *Last Name *Street Address *City *State/Province *ZIP / Postal Code *Phone *Email Address *Date Of Brith *Are you legally eligible to work in the US ? *YesNoLast date of physical examinationDate of last TB testDo you possess a valid CA Drivers license? *YesNoCDLIf selected are you willing to submit to a background check?Emergency ContactFull NamePhoneStreet AddressPositionPosition You are applying for:KG1st2ndAvailable Start DateDesired PayEmployment DesiredFull TimePart TimeTemporaryEducationHighest Degree *Name Of University / College *LocationMajor *Number Of Years CompletedNumber Of Units CompletedDegree Recieved? *YesNoCertification (if Any) *Currently EnrolledYesNoIf yes, Give Completion DateReferencesList names of three people who can give information about your background, character, abilities, etc.Person 1NameStreet AddressPhoneRelationship to youPerson 2NameStreet AddressPhoneRelationship to youPerson 3NameStreet AddressPhoneRelationship to youProfessional ReferencesProvide contact information for three employers within the last three (3) yearsPerson 1NameDesignationJob PlacePhoneEmail AddressPerson 2NameDesignationJob PlacePhoneEmail AddressPerson 3NameDesignationJob PlacePhoneEmail AddressEmployment HistoryPREVIOUS EMPLOYMENT (List most recent experience first. If additional space is needed, please attach a separate page.)Employer 1Name and Address of the employerJob TitleStarting DateEnding DateWork NumberReason for leavingEmployer 2Name and Address of the employerJob TitleStarting DateEnding DateWork NumberReason for leavingEmployer 3Name and Address of the employerJob TitleStarting DateEnding DateWork NumberReason for leavingEmployer 4Name and Address of the employerJob TitleStarting DateEnding DateWork NumberReason for leavingEmployer 5Name and Address of the employerJob TitleStarting DateEnding DateWork NumberReason For LeavingProfessional and Technical QualificationsList Licenses or certificates heldNames of professional associations of which you are a memberNotes:I hereby certify under penalty of perjury that the above statements are true and correct. I give my permission for any necessary verification. If I am the desired candidate for employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.Name Of EmployeeSignatureDateDocuments Checklist to be uploadedA Cover LetterChoose FileNo file chosenDelete uploaded fileC.VChoose FileNo file chosenDelete uploaded fileCredential CopyChoose FileNo file chosenDelete uploaded fileOther (RICA and CBEST)Choose FileNo file chosenDelete uploaded fileCopy of CSET exam for Multiple Subject unless Credential states (exam), or submit Certificate of ComplianceChoose FileNo file chosenDelete uploaded fileCopy Of TranscriptsChoose FileNo file chosenDelete uploaded fileCopy of Driver's LicenseChoose FileNo file chosenDelete uploaded file3 Recent letters of recommendationChoose FileNo file chosenDelete uploaded file Send MessagePlease do not fill in this field.