Employment Application

Application for Employment

PLEASE READ THIS APPLICATION THOROUGHLY AND COMPLETE IT HONESTLY. THIS EMPLOYER PERFORMS A DETAILED BACKGROUND INVESTIGATION ON ALL FINAL CANDIDATES.

Important Notice: Applicants should be extremely careful as they complete this application. This Company utilizes a sophisticated and detailed background and pre-employment investigation process. This process frequently discloses inaccurate, false, and/or incomplete or omitted information. Should this process determine any inaccurate or incomplete information, it will cause you to be either disqualified for employment with Golden State Emergency Vehicle Service as an applicant, or be grounds for termination if the inaccuracies are discovered subsequent to your employment.

Accordingly, we strongly suggest that you NOT complete this application until you have the requisite time and accurate information to do so. Golden State Emergency Vehicle Service is an equal opportunity employer and will not discriminate against any employee or applicant for employment in an unlawful manner. Employment is conditioned on the successful completion of the screening program. The information sought on this form is given voluntarily and may be used in filing reports required by state or federal governments.

Personal

Personal Information

YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If yes, state nature of the crime(s), when and where convicted, and disposition of the case. (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Employment

Employment

Please provide all employment information for the past seven years employment starting with the most recent. You may use another sheet if necessary.
Current or Recent Employer
Previous Employer
Previous Employer
Education

Education Information

High School
Undergrduate/College
Graduate Professional
Other (specify)
References

References Information

Reference 1
Reference 2
Reference 3
Finalize

Please Read Carefully, Initial Each Paragraph and Sign Below

I hereby authorize the Golden State Emergency Vehicle Service to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the Golden State Emergency Vehicle Service and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company’s designated representative. I understand that Golden State Emergency Vehicle Service does not discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA. (Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and skill and agility tests.) I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment. I also understand that I will be required to provide proof of a current clear DMV report if I am required to drive as a component of my job with Golden State Emergency Vehicle Service. I hereby authorize Golden State Emergency Vehicle Service to verify the validity of my driver’s license at any time during my employment if I am required to drive in the course of my job with Golden State Emergency Vehicle Service. ARBITRATION I agree that all claims by me arising during the application process, as well as during and following my employment with Golden State Emergency Vehicle Service including, but not limited to, unlawful discrimination and/or harassment, wrongful demotion, wrongful termination, invasion of privacy, or defamation will be presented to a neutral arbitrator for final and binding decision in accordance with the procedures adopted by Golden State Emergency Vehicle Service. Binding arbitration will be used as well in the event of a claim filed with either the Equal Employment Opportunity Commission or the California Department of Fair Housing and Employment once the agency has completed its determination. I also agree that if any California Court with jurisdiction declares that any part of this arbitration agreement is illegal, invalid or unenforceable, such a declaration will not affect the legality, validity or enforceability of the remaining parts of the agreement, and that illegal, invalid or unenforceable part(s) will no longer be part of this agreement. THIS AGREEMENT IS A WAIVER OF ALL RIGHTS TO CIVIL COURT ACTIONS FOR CLAIMS ARISING OUT OF THE APPLICATION PROCESS AS WELL AS EMPLOYMENT WITH GOLDEN STATE EMERGENCY VEHICLE SERVICE SHOULD IT BE OFFERED. ONLY THE ARBITRATOR, NOT A JUDGE OR JURY WILL DECIDE THE OUTCOME OF ANY CLAIM OR DISPUTE. I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions