Opinions... of Sacramento: Employment

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Please fill out this form then push the "Submit" button.

Personal Information

First Name: Last name:

Day of Birth: / / Male Female

Street Address: City, State: Zip:

Work Phone: - - ext. Home Phone: - -

Email: Position Applying For:

Legal Information

Are you a U.S. Citizen? Yes No If "No", can you provide legal documents to work in the U.S.? Yes No

Are you an adult (over 18) and legally able to sign a contract? Yes No

Have you ever been convicted of a crime other than a minor traffic violation? Yes No If "Yes", please explain:

Employment History
List employers starting with your most recent position.

Dates	Previous Employer Name and Phone	Your Position and Supervisor	Reason for Leaving




May we contact your present employer? Yes No May we contact your past employers? Yes No

Education

Dates	School	City and State	Did you graduate?
			Yes No
			Yes No
			Yes No
			Yes No

References
Please list business or education references, not relatives.

Name	Daytime Phone	ext.	How Known	Years Known
	--
	--
	--

Availability
Please fill in the hours you are available to work each week.

	Sun.	Mon.	Tues.	Wed.	Thurs.	Fri.	Sat.
From
To

By pressing the "Submit" button below, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, and/or criminal history. I authorize anyone possessing this information to furnish it to Opinions... and/or a 3rd party company upon request and I release anyone so authorized, Opinions... and any 3rd party company from liability and damages whatsoever in furnishing, obtaining or using said information.

I understand and agree that if employed, the employment will be "at will". That is, either I or Opinions... may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Opinions... does not imply employment.