Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Department *

Work of Art

Employment

Passage

Site Preferred *

Sacramento

Elk Grove

Woodland

Auburn

Would you work overtime, if neccesary? *

Yes

No

If hired, what date could you start? *

MM

DD

YYYY

Have you ever applied to or worked for Southside Unlimited before? *

Yes

No

Do you have any friends or relatives working for Southside Unlimited? *

Yes

No

Are you currently employed? *

Yes

No

If so, may we contact your current employer? *

Yes

No

Are you at least 18 years old? *

Yes

No

Can you provide proof of eligibility for employment pursuant to the Immigration Reform and Control Act (I-9)?

Yes

No

Do you have a good driving record?

Yes

No

If hired, would you have a reliable means of transportation?

Yes

No

Do you have a valid California (or other US State) Driver’s License? *

Yes

No

Do you have current personal vehicle insurance? *

Yes

No

Do you have current personal vehicle registration? *

Yes

No

Are you at least 21 years old and have you been driving for at least five years? *

Some positions require driving as an essential function of the job. These are the requirements to obtain driving privileges.

Yes

No

Has your driver’s license ever been suspended or revoked? *

Yes

No

Did you graduate?

Yes

No

Did you graduate?

Yes

No

Did you garduate?

Yes

No

Did you graduate?

Yes

No

Supervisor Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Supervisor Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Supervisor Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Employment is contingent upon verification of degree/credentials; background clearance; and if job requires driving, submission of proof of valid California (or other US State) Driver's License, good driving record, DMV printout, proof of valid auto registration and proof of current auto insurance. *

Agree

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misrepresentation may result in rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. *

Agree

I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment. Further, I authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. *

Agree

I understand that nothing contained in the application, or conveyed during any interview, which may be granted, or during my employment, if hired, is intended to create an employment contract between Southside Unlimited and I for any specified duration. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, at the option of either Southside Unlimited or myself. If hired, I understand and agree that I will utilize the open door/grievance procedure with respect to any employment related concerns I may have instead of resorting to legal action, and will agree to binding arbitration pursuant to the Company’s Arbitration Agreement which is part of the Employee Handbook. *

Agree