TruEvolution Employment Application Question Title * 1. Please Upload a Photo of Yourself JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Please Upload a Photo of Yourself OK Question Title * 2. Contact Information Full Name: Preferred Name: Present address: City/State Zip Home Phone Cell Phone Business phone Position Applying For Social Security Number OK Question Title * 3. Gender: Male Female Non-binary Transgender OK Question Title * 4. Gender continued MTF FTM OK Question Title * 5. Sexual Orientation: Heterosexual Homosexual Bisexual Decline to state Other OK Question Title * 6. What is your desired title Full-Time Part-Time Temporary OK Question Title * 7. Are you available to work on weekends? Yes No OK Question Title * 8. Would you be available to work overtime, if necessary? Yes No OK Question Title * 9. If hire, on what date can you start work? OK Question Title * 10. Salary desired? OK Question Title * 11. Have you ever applied to or worked for TruEvolution? Yes No OK Question Title * 12. If yes, When? OK Question Title * 13. Do you have any friend or relatives working for TruEvolution? Yes No OK Question Title * 14. If Yes, State name(s) and relationship Name Relationship Name Relationship OK Question Title * 15. If hired, would you have a reliable means of transportation to and from work? Yes No OK Question Title * 16. Are you at least 18 years old? if under 18, hire is subject to verification that means you are of minimum legal age. Yes No OK Question Title * 17. If hired, can you present evidence of your UC citizenship or your proof of your legal right to live and work in this country? Yes No OK Question Title * 18. Are you able to perform the essential function of the job for without reasonable accommodations? Yes No OK Question Title * 19. If no, describe the function that cannot be performed. Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants.employees to perform essential functions. Hire may be subject to passing a medical examination and to skill and agility test. OK Question Title * 20. Have you ever been convicted of a criminal offense? felony or serious misdemeanor. (Convictions for marijuana related offenses that are more than two years old need not be listed) Yes No OK Question Title * 21. If yes, state nature of the crime(s), when and where convicted and disposition of the case. Note: no applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and relevance of the offense to the position(s) applied may, however, be considered.) OK Question Title * 22. Are you currently employed? Yes No OK Question Title * 23. If so, may we contact your current employer? Yes No OK Question Title * 24. Education, Training, and Experience: Highschool Degree Address OK Question Title * 25. Education, Training, and Experience: College Degree Address OK Question Title * 26. Education, Training, and Experience: Vocational/Business Degree Address OK Question Title * 27. Many of our clients do not speak English, do you speak, write or understand any foreign language? Yes No OK Question Title * 28. If yes, which language(s)? OK Question Title * 29. Do you have any other experience, training, qualifications or skills which you feel make you especially suited for work at TruEvolution? Yes No OK Question Title * 30. If so, please explain: OK Question Title * 31. Employment History. List below all present and past employment starting with your most recent employer (last 5 years is sufficient) Account for all periods of unemployment. You must complete this section event attaching a resume. Name of Employer Telephone Address Position and Duties Dates of employment Reason for Leaving Supervisor's name May we contact this employer for a reference? OK Question Title * 32. Employment History #2 Name of Employer Telephone Address Position and Duties Dates of employment Reason for Leaving Supervisor's name May we contact this employer for a reference? OK Question Title * 33. Employment History #3 Name of Employer Telephone Address Position and Duties Dates of employment Reason for Leaving Supervisor's name May we contact this employer for a reference? OK Question Title * 34. Reference. List below three persons not related t you who have knowledge of your work performance within the last three years. Name Address Phone OK Question Title * 35. Reference #2 Name Address Phone OK Question Title * 36. Reference #3 Name Address Phone OK Question Title * 37. Please read carefully, Initial each paragraph, and sign below I herby certify that I have not knowingly withheld any information that might adversely affect my chances of 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 or on any document used to secure employment shall be grounds for rejection of this application for immediate discharge if I am employed, regardless of time before discovery. I herby authorize TruEvolution to thoroughly investigate my reference, work record, education and other matters related to my suitability for employment and, further, authorize the reference I have to disclose to TruEvolution any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I herby release the company my former employers and all other persons, corporations, partnerships and association from any and all claims, demands, or liabilities arising out of on in any way related to such investigation or disclosure. 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 TruEvolution and me. In addition I terminated at anytime, with or without prior notice, at the option of either myself or the company, and tat no promises or representations contrary to the forging are binding to TruEvolution unless made in writing and signed by me and TruEvolution designated representative. OK Question Title * 38. Please upload your Resume: DOCX, DOC, JPEG, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload your Resume: OK DONE