CES Agency Job Application

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Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

YYYY

SSN

Are you 18 years of age or older?

Have you ever been convicted of a felony?

Do you have a valid California driver's license?

Do you have a reliable car that you're willing to drive on the job, along with proof of auto insurance that lists you as a driver?

What are your pronouns (optional)?

What languages do you speak?

When are you available for work?

YYYY

Emergency Contact Information

Contact Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Relationship

By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected. If I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to Community Enrichment Services' rules and regulations. I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or Community Enrichment Services's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by Community Enrichment Services.