APPLICATION FOR EMPLOYMENT

Apply Online Below
 
PERSONAL INFORMATION
 
 
 
 
 
 
 
 
 
EMPLOYMENT DESIRED
 
Position(s) applied for
 
 
 
Salary desired $
 
 
 
How many hours can you work weekly?
 
 
 
Can you work evenings?
 
 
 
Employment desired
 
 
 
Location
 
 
 
When are you available to start work?
 
 
 
ADDITIONAL INFORMATION
 
Have you ever been employed with us before?
 
 
 
 
If yes, give dates:
 
 
 
 
 
Have you ever been convicted of a
 
 
Misdemeanor and/or
 
 
Felony? If yes, please explain conviction:
 
EDUCATION
 
TYPE OF SCHOOL
 
NAME OF SCHOOL
 
LOCATION
 
YEARS COMPLETED
 
MAJOR & DEGREE
 
 
High School
 
 
 
 
 
 
College
 
 
 
 
 
 
Specialized Training
 
 
 
 
 
 
Professional or Graduate School
 
 
 
 
 
 
Certification Type:
 
 
License #
 
 
 
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include any job-related military services assignments and volunteer activities.
 
 
From:
 
To:
 
 
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include any job-related military services assignments and volunteer activities.
 
 
From:
 
To:
 
 
EMPLOYMENT VERIFICATION
Please list below three persons not related to you who have knowledge of your work performance and/or personal qualifications within the last 5 years.
 
 
 
 
 
 
 
 
 
 
 
EMPLOYMENT VERIFICATION
Please list below three persons not related to you who have knowledge of your work performance and/or personal qualifications within the last 5 years.
 
 
 
 
 
 
 
 
 
 
 
EMPLOYMENT VERIFICATION
Please list below three persons not related to you who have knowledge of your work performance and/or personal qualifications within the last 5 years.
 
 
 
 
 
 
 
 
 
 
 
Telephone E-mail Years acquainted
Please read each paragraph closely, initial each, and sign below
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 misstatement of material fact on this application or any other document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I hereby authorize The New Y-CAPP, Inc. to thoroughly investigate my references, work records, education, driving record, credit history, criminal background and other matters related to my suitability for employment. I further authorize the employers, schools and other references I have listed to disclose to The New Y-CAPP, Inc. any and all documents, transcripts, letters, reports and other information related to these references, without giving me prior notice of such disclosure. I hereby release The New Y-CAPP, Inc., 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 disclosures.
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 me and The New Y-CAPP, Inc., other than one that is “at will.” I understand and agree that if I am employed, my employment will be of an “at will” nature, whereby either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice. I further understand that my employment, if hired, is for no definite or determinable period of time and may be terminated at any time, at the option of either myself or The New Y-CAPP, Inc., and that no promise or representation contrary to the foregoing is binding on the company unless made in writing and signed by me and the company’s designated representative.
 
 
Date:
 
The New Y-CAPP, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment with Paulus Orchards depends solely on your qualifications.
Thank you for completing this application form and for your interest in our organization.
 
EEO-1 Voluntary Self Identification Form
The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. Completion of this data is voluntary and will not affect your opportunity for employment or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by Human Resources Department.
GENDER:
(Please check one of the options below)


RACE/ETHNICITY:
(Please check one of the descriptions below corresponding to the ethnic group with which you identify.)







 
Date completed:
 
 
 
Would you like to be working for a growing company that offers opportunity for advancement?
If you are interested in applying for a position within our organization, please complete the employment application by clicking the employment application link below to complete via pdf and email to info@ycapp.com or completing the online application.