Careers

Full name

Email Address

Date

Address

City / State

Phone

Drivers license #

Date of birth

Are you a citizen of the United States Are you a citizen of the United StatesYesNo

If no, are you authorized to work in the U.S.?

Are you 18 or older? Are you 18 or older? Yes No

Do you have any activities, commitments, or responsibilities that may prevent you from meeting attendance guidelines? Do you have any activities, commitments, or responsibilities that may prevent you from meeting attendance guidelines?YesNo

If yes, please explain:

Employment History

List all jobs you have held in the past 5 years. 1st: Company / Address / Job Title

1st: Phone / Supervisor / Responsibilites / Reason for leaving

May we contact this supervisor for a reference? May we contact this supervisor for a reference? Yes No

1st: Dates From - To

2nd: Company / Address / Job Title

2nd: Phone / Supervisor / Responsibilites / Reason for leaving

May we contact this supervisor for a reference? May we contact this supervisor for a reference? Yes No

2nd: Dates From - To

3rd: Company / Address / Job Title

3rd: Phone / Supervisor / Responsibilites / Reason for leaving

May we contact this supervisor for a reference? May we contact this supervisor for a reference? Yes No

3rd: Dates From - To

Education / Training

Highschool Name / From - To

Did you graduate? Did you graduate? Yes No

College Name / From - To

Did you graduate? Did you graduate? Yes No

Degree

Other school / From - To

Did you graduate? Did you graduate? Yes No

Degree / Training

Have you passed the General Education Development program (GED) in place of achieving a high school diploma? Have you passed the General Education Development program (GED) in place of achieving a high school diploma? Yes No

Legal Behavior

Have you had your driver’s license suspended or revoked within the past 7 years? Have you had your driver’s license suspended or revoked within the past 7 years?YesNo

Have you been fined for a criminal (misdemeanor or felony) offense within the past 7 years? Have you been fined for a criminal (misdemeanor or felony) offense within the past 7 years?YesNo

Have you been arrested for any crime within the past 7 years? Have you been arrested for any crime within the past 7 years?YesNo

Have you been cited and released for a criminal (misdemeanor or felony) offense within the past 7 years? Have you been cited and released for a criminal (misdemeanor or felony) offense within the past 7 years?YesNo

Have you ever been sentenced to jail or prison? Have you ever been sentenced to jail or prison?YesNo

Have you been convicted for a criminal (misdemeanor or felony) offense? Have you been convicted for a criminal (misdemeanor or felony) offense?YesNo

Have you ever been refused a security clearance of bond? Have you ever been refused a security clearance of bond?YesNo

Understanding of Requirements

In making this application, it is understood that an investigation may be made, whereby, information is obtained through personal interviews with third parties, such as employers, business associates, law enforcement, friends, or others with whom you are acquainted. This inquiry may include information as to your character, general reputation and personal characteristics, whichever may be applicable. I certify that the answers given by me to all questions on this application are true and correct to the best of my knowledge and belief. I understand that is accepted, false statements or omission of facts on this application shall be considered sufficient cause for termination from service. I authorize you to make any reasonable inquiry of my associates, employer, and law enforcement agency to fully investigate my criminal records history. This application is not a job offer or promise of employment. I hereby release the information contained within this application.

APPLICANTS MUST (Check each box to acknowledge requirement and agree to the paragraph above.) APPLICANTS MUST (Check each box to acknowledge requirement and agree to the paragraph above.) Be at least eighteen (18) years of age at time of application Possess a high school diploma or GED equivalency. Have a current Washington State Driver’s License. Sign and complete in-full this application packet.

Signature of Applicant