Employment Application

APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer

PERSONAL INFORMATION

First Name(Required)

Last Name(Required)

Present Address(Required)

Permanent Address

Phone Number(Required)

Email Address(Required)

EMPLOYMENT DESIRED:

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Position

Position: If hired, what date can you start work?(Required)

1) How did you hear about our company and this position?

2) Have you ever applied with or worked for PEP Housing in the past?(Required)

Yes

If yes, please explain.(Required)

3) If hired, would you have reliable means of transportation to and from work?(Required)

Yes

4) PEP requires its employees to have a valid driver’s license and proof of automobile insurance as they may be required to drive for Company business. Can you meet these requirements?(Required)

Yes

(MVRs are processed once an offer of employment is accepted by candidate).

5) Have you ever had your driver’s license revoked or suspended?(Required)

Yes

If yes, please list date(s) and circumstances below.(Required)

6) Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?(Required)

Yes

If no, describe the essential functions that cannot be performed:(Required)

EMPLOYMENT HISTORY

(Please list the past 10 years of employment. Do not state “see resume.” Please answer each question in full using additional paper as necessary.) (We may refuse to hire relatives of present employees if doing so could result in an actual or potential problem in supervision, security, safety, or morale, or if doing so could create conflicts of interest.)

Employer Name

Employer Address:

Position Title/Duties Skills:

Dates Employed

Supervisor’s Name:

Telephone

Reason for leaving:

May we contact this employer for a reference?

Yes

EMPLOYMENT HISTORY (cont’d)

(Begin with most recent—last five years is sufficient. Do not state “see resume.” Please answer each question in full using additional paper as necessary.) (We may refuse to hire relatives of present employees if doing so could result in an actual or potential problem in supervision, security, safety, or morale, or if doing so could create conflicts of interest.)

Employer Name

Employer Address:

Position Title/Duties Skills:

Dates Employed

Supervisor’s Name:

Telephone

Reason for leaving:

May we contact this employer for a reference?

Yes

Employer Name

Employer Address:

Position Title/Duties Skills:

Dates Employed

Supervisor’s Name:

Telephone

Reason for leaving:

May we contact this employer for a reference?

Yes

Employer Name

Employer Address:

Position Title/Duties Skills:

Dates Employed

Supervisor’s Name:

Telephone

Reason for leaving:

May we contact this employer for a reference?

Yes

EDUCATION

High School:

Years Attended:

Did You Graduate?

College:

Years Attended:

Degree Received:

Trade School:

Years Attended:

Degree Received:

Please list any special training or skills not included above that relate to the position you are applying for.

PROFESSIONAL REFERENCES

(Please give the names of persons who have knowledge of your professional abilities.)

Professional references

Name

Relationship, i.e., direct supervisor, direct report, CEO, etc.

Telephone Number & Email Address

Years Known

UPLOAD RESUME/SUPPORTING DOCUMENTS

Drop files here or

Max. file size: 50 MB, Max. files: 3.

EQUAL OPPORTUNITY EMPLOYER

PEP Housing (Petaluma Ecumenical Properties) is an equal opportunity employer. We do not discriminate based on any protected classes. We require a criminal background check in accordance with local laws, DMV check, and a general reference check on every applicant for employment, and will not consider applicants who falsify information on their employment application. You are required to authorize these background checks as a part of your employment application with PEP Housing.

Please Read Carefully, Initial Each Paragraph and Sign Below

The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local “Fair Chance” laws.

Name

This field is for validation purposes and should be left unchanged.

Employment Application

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EMPLOYMENT DESIRED:

EMPLOYMENT HISTORY

EMPLOYMENT HISTORY (cont’d)

EDUCATION

PROFESSIONAL REFERENCES

UPLOAD RESUME/SUPPORTING DOCUMENTS

EQUAL OPPORTUNITY EMPLOYER

Please Read Carefully, Initial Each Paragraph and Sign Below

The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local “Fair Chance” laws.

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