EMPLOYMENT APPLICATION

Alpha Resource Center of Santa Barbara is an Equal Opportunity Employer
THE QUESTIONS FOUND IN THIS FORM ARE BEING ASKED TO PROPERLY EVALUATE YOUR ABILITY AND CHANCE FOR SUCCESS IN THE POSITION FOR WHICH YOU ARE APPLYING.  EVERY EFFORT HAS BEEN MADE TO COMPLY WITH APPLICABLE FEDERAL LAW AND LAWS OF OUR STATE.  IT IS NOT OUR INTENT TO DISCRIMINATE IN EMPLOYMENT ON ACCOUNT OF RACE, COLOR, SEX (INCLUDING PREGNANCY, CHILD BIRTH OR RELATED MEDICAL CONDITIONS, INCLUDING BREAST FEEDING OR MEDICAL CONDITIONS RELATED TO BREAST FEEDING), ANCESTRY, RELIGION, (INCLUDING RELIGIOUS DRESS OR GROOMING PRACTICES), AGE (OVER 40 YEARS OF AGE), NATIONAL ORIGIN, MENTAL OR PHYSICAL DISABILITY, GENETIC CHARACTERISTIC, SEXUAL PREFERENCE, GENDER IDENTITY, GENDER EXPRESSION, MARITAL STATUS, MILITARY OR VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY STATE OR FEDERAL LAW.
THIS APPLICATION MUST BE COMPLETED IN ITS ENTIRETY BEFORE IT WILL BE ACCEPTED.
OTHER FORMS OF APPLICATION ARE NOT ACCEPTABLE.
PERSONAL INFORMATION
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YOU ARE REQUIRED TO COMPLETE AN I-9 APPLICATION AND WILL BE EXPECTED TO PROVIDE APPROPRIATE DOCUMENTATION OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES AND YOUR IDENTITY.
ARE YOU ABLE TO PERFORM THE ESSENTIAL FUNCTIONS OF THE POSITION YOU ARE APPLYING FOR WITH OR WITHOUT REASONABLE ACCOMMODATION?  
NAME AND ADDRESS OF PERSON TO BE CONTACTED IN CASE OF EMERGENCY:
ARE YOU RELATED TO ANYONE CURRENTLY WORKING FOR ALPHA? 
 
IF YES, GIVE NAME:  
 
ARE YOU EMPLOYED NOW?
 
 
MAY WE CONTACT YOUR PRESENT EMPLOYER?
HAVE YOU EVER APPLIED FOR A JOB WITH THIS COMPANY BEFORE?
EDUCATION AND EMPLOYMENT
EDUCATION AND EMPLOYMENT
YOU MAY INCLUDE A RESUME WITH EDUCATION AND EMPLOYMENT HISTORY
OR COMPLETE THE FIELDS BELOW RELATED TO EDUCATION AND EMPLOYMENT
Please type or paste your cover letter into the field below.
If you are uploading a resume, it should be in PDF or Word format.
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EDUCATION | LIST HIGH SCHOOL AND ALL COLLEGES, UNIVERSITIES, GRADUATE SCHOOLS, TRADE, BUSINESS
OR CORRESPONDENCE SCHOOLS ATTENDED GIVING YOUR MOST RECENT EDUCATION FIRST.
   SCHOOL                                              LOCATION                                    MAJOR                                DEGREE
EMPLOYMENT | LIST YOUR LAST THREE EMPLOYERS, STARTING WITH THE MOST RECENT FIRST.
IF YOU HAVE HAD FEWER THAN THREE PAST EMPLOYERS, LIST ALL PAST EMPLOYMENT.
   DATES       EMPLOYER                POSITION                  DUTIES                                           REASON FOR LEAVING
HAVE YOU EVER BEEN DISCHARGED (FIRED) FROM A JOB?
IF YES, EXPLAIN (INCLUDE DATES):
ADDITIONAL INFORMATION
Please list any special skills (e.g. computer software), professional knowledge, languages, personal strengths, etc.
that you feel might be valuable in the position for which you are applying.
Applicants for some positions will be required to submit fingerprints for a Department of Justice criminal clearance.
BY ENTERING MY NAME BELOW I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY MISREPRESENTATION OR OMISSION OF INFORMATION REQUESTED ON THIS FORM IS GROUNDS FOR IMMEDIATE DISMISSAL.  I AUTHORIZE ALPHA RESOURCE CENTER OR SANTA BARBARA  (THE COMPANY) TO THOROUGHLY INVESTIGATE MY REFERENCES AND WORK HISTORY AND FURTHER AUTHORIZE ALL PRIOR EMPLOYERS, EDUCATIONAL INSTITUTIONS OR REFERENCES TO DISCLOSE TO COMPANY ANY AND ALL INFORMATION RELATED TO MY WORK RECORD, SCHOOL OR EDUCATION DEGREES AND ANY OTHER RELEVANT INFORMATION. I HEREBY RELEASE THE COMPANY, MY FORMER EMPLOYERS AND ALL OTHER PERSONS, CORPORATIONS, PARTNERSHIPS, ASSOCIATIONS, EDUCATIONAL INSTITUTIONS FROM ANY AND ALL CLAIMS, DEMANDS, OR LIABILITIES ARISING OUT OF OR IN ANY WAY RELATED TO SUCH INVESTIGATION OR DISCLOSURE. I UNDERSTAND THAT WEEKEND WORK, OVERTIME, CHANGES OF SCHEDULE AND LOCATION MAY BE REQUIRED DURING MY EMPLOYMENT.  FURTHER, I UNDERSTAND THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PREVIOUS NOTICE, WITH OR WITHOUT CAUSE.  IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO ALL RULES, REGULATIONS AND POLICIES OF THIS COMPANY.  NO MODIFICATION OF THESE STATEMENTS SHALL BE VALID UNLESS WRITTEN AND SIGNED BY THE COMPANY PRESIDENT.

AGREEMENT

 

I, THE UNDERSIGNED (BY ENTERING MY NAME BELOW), UNDERSTAND THAT I AM BEING CONSIDERED AS A POTENTIAL EMPLOYEE OF THE COMPANY, AND HEREBY CERTIFY THAT:

 

  • I AGREE THAT IF I AM HIRED, SUCH HIRING WILL NOT BE FOR ANY DEFINITE PERIOD OF TIME.  EVEN THOUGH, IF HIRED, I WILL BE PAID MY WAGES ON A MONTHLY, SEMI-MONTHLY, WEEKLY OR HOURLY BASIS, I UNDERSTAND THAT THIS DOES NOT MEAN I AM BEING HIRED FOR A DEFINITE PERIOD OF TIME. 

  • I AGREE THAT IF HIRED, I WILL BE AN EMPLOYEE AT-WILL AND I CAN BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE, WITH OR WITHOUT NOTICE. 

  • I AGREE THAT THE AT WILL NATURE OF THE EMPLOYMENT RELATIONSHIP CANNOT BE CHANGED EXCEPT IN A WRITTEN DOCUMENT SIGNED BY ME AND THE COMPANY PRESIDENT. 

  • I FURTHER REPRESENT THAT NO REPRESENTATIVE OF THE COMPANY HAS MADE ANY PROMISES OR OTHER STATEMENTS TO ME WHICH IMPLY THAT I WILL BE EMPLOYED ON ANYTHING OTHER THAN AN AT WILL EMPLOYMENT BASIS.

 

I UNDERSTAND THAT IF HIRED, I WILL BE REQUESTED TO SIGN A ARBITRATION AGREEMENT WHICH WILL REQUIRE THE ARBITRATION OF ALL DISPUTES BETWEEN ME AND THE COMPANY.