Employment Application Question Title * Date? Date / Time Date Question Title * First Name Question Title * Last Name Question Title * Phone Number? Question Title * Email? Question Title * Current Street Address Question Title * City Question Title * State Question Title * Position Applying For Question Title * What date can you start? Date / Time Date Question Title * What category do you prefer? Full Time Part Time Temporary Question Title * When are you available to work? Question Title * If the job requires, do you have a valid driver's license? Yes No Question Title * Have you been given a job description or had the essential functions of the job explained? Yes No Question Title * Do you understand these essential functions? Yes No Question Title * Can you perform the essential functions of this job with or without reasonable accommodation? Yes No Question Title * Comment or Message Question Title * List languages in which you are fluent Question Title * Please list any skills, licenses, certificates, experiences, training or qualifications that may be job-related or that you feel would be of value to this job or company. Question Title * Please list your education Question Title * Have you been convicted of a crime? Yes No Question Title * If so, please describe in the box below. (You may omit convictions that have been sealed, expunged, or legally erased, and marijuana related offenses more than two years old) Conviction will not necessarily bar to employment; each case will be evaluated on its own facts and circumstances. Please list the Incident, City/State and Date of Conviction Question Title * Have you ever applied to or worked for Centro Latino Americano before? Question Title * Do you have any friends or relatives working for Centro Latino Americano? Yes No Question Title * If yes, state name(s) and relationship Question Title * If hired and your role requires driving do you have reliable transportation? Yes No Question Title * Have you ever been discharged or asked to resign from employment? If yes, explain: Yes No Question Title * If yes, explain. Question Title * Are you willing to relocate? Yes No Question Title * Are you at least 18 years old? (If under 18, hire is subject to valid work permit) Yes No Question Title * * If hired, can you provide proof of your legal right to live and work in the United States? Yes No Question Title * I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection regardless of the time elapsed before discovery. Certify Question Title * I hereby authorize Centro LatinoAmericano to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the agency any information related to my work records, without giving me prior notice of such disclosure. I hereby release Centro LatinoAmericano, my former employers and all other persons, corporations, partnerships and associations to any and all claims, demands or liabilities arising out of or in any way related to such an investigation or disclosure. Authorize Question Title * 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 Centro LatinoAmericano and me. In addition, I understand and agree that if I am employed, my employment is “at will,” which means that it may be terminated at any time, with or without prior notices, and with or without cause, at the option of either myself or the company, and that no promises or representation contrary to the foregoing are binding on Centro latinoAmericano unless made in writing and signed by me and Centro LatinoAmericano’s Executive Director. Understand Question Title * If hired, I agree to read and comply with all of Centro LatinoAmericano’s policies. I further understand that if employed, upon the separation of my employment, I will be required to return all Centro Latino Americano property in my possession. Understand Question Title * I acknowledge I have read, understood, and agreed to the above statements, and certify under penalty of perjury that this application is true and correct. Acknowledge Question Title * Upload Cover Letter PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload Cover Letter Question Title * Upload Resume PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Upload Resume Done