Job Application

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PERSONAL INFORMATION

Present Address:
Email Address:
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
If no, describe the functions that cannot be performed.
(NOTE: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)
Do you have a reliable means of transportation to and from work?
Do you have automobile insurance as required by California Law?
(A dependable vehicle must be available for conducting company business) (If employment is offered, you are required to maintain automobile insurance as required by California law.)

EDUCATION

Name of School and Address
Graduated (Yes/No)
Number of Years Completed
Course or Major

GENERAL INFORMATION

Have you ever applied to or worked for this Company before?

EMPLOYMENT / WORK EXPERIENCE

List all present and past employment starting with your most recent employer (last 5 years is sufficient). Please include a list of work performed on a voluntary basis. If additional pages are needed, please attach
Dates of employment:
May we contact this employer?
Dates of employment:
May we contact this employer?
Dates of employment:
May we contact this employer?

Identify and explain all periods of unemployment during the last five years:

REFERENCES

List three persons not related or living with you who have knowledge of your work performance within the last three years.
I also understand that all offers of employment are conditioned on: satisfactory evidence of my U.S. citizenship or proof of legal right to live and work in this country; satisfactory completion and passing pre-employment functional capabilities standard physical and drug test; having a satisfactory driving record that meets or exceeds company policy; having a safe/reliable vehicle with valid automobile insurance as required by California law; and meeting the California Community Care Licensing personnel standards.
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OpenDoor Services, Inc. is an equal opportunity employer. The Company does not discriminate based on age, race, color, religion, sex, national origin, political affiliation, disability, handicap, marital status, or any other characteristic protected by applicable state or federal civil rights.