Employment Application Form

PLEASE READ THIS APPLICATION THOROUGHLY AND COMPLETE IT HONESTLY. THIS EMPLOYER PERFORMS A DETAILED BACKGROUND INVESTIGATION ON ALL FINAL CANDIDATES.

Important Notice:  Applicants should be extremely careful as they complete this application. 

This company utilizes a sophisticated and detailed background and pre-employment investigation process.  This process frequently discloses inaccurate, false, and/or incomplete or omitted information.  Should this process  determine any inaccurate or incomplete information, it will cause you to be either disqualified for employment with Access Sacramento  as an applicant,  or be grounds  for termination  if the  inaccuracies  are discovered  subsequent  to your employment. Accordingly, we strongly suggest that you NOT complete this application until you have the requisite time and accurate information to do so.

Access Sacramento is an equal opportunity employer and will not discriminate against any employee or applicant for employment in an unlawful manner.  Employment is conditioned on the successful completion of the screening program.  The information sought on this form is given voluntarily and may be used in filing reports required by state or federal governments.

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Contact Information
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Emergency Contact
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Employment History

Please provide all employment information for the past seven years employment starting with the most recent. You may use another sheet if necessary.


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Other Skills and Qualifications

Summarize  any job-related  training,  skills, licenses,  certificates,  and/or other qualifications:

Educational History/Professional Training

List school name and location, number of years completed, course of study, and any degrees earned:

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Professional References

List 3 people who can comment on your character and work habits, including telephone numbers, and years known (do not include relatives or employers):


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Please comment on why we should consider you for employment:

I hereby authorize Access Sacramento to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release  from liability  Access  Sacramento  and its representatives  for seeking,  gathering,  and using such  information  to make employment decisions  and all other persons  or organizations  for providing  such  information.  I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

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 the Company and me. 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, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.

I understand that Access Sacramento does not discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA.

(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 skill and agility tests.)

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I also  understand  that I will be required  to provide  proof of a current  clear DMV report  if I am required  to drive as a component of my job with Access Sacramento.  I hereby authorize  Access Sacramento  to verify the validity of  my driver’s  license  at any time during my employment  if I am required  to drive in the course  of my job with Access  Sacramento.

Arbitration

I agree that all claims by me arising during the application process,  as well as during  and following  my employment with Access Sacramento including, but not limited to, unlawful discrimination and/or harassment, wrongful demotion, wrongful termination, invasion  of privacy,  or defamation  will be presented  to a neutral arbitrator  for final and binding  decision  in accordance  with the procedures  adopted  by Access Sacramento.

Binding arbitration  will be used as well in the event of a claim filed with either the Equal Employment  Opportunity Commission or the California Department of Fair Housing and Employment once the agency has completed  its determination.

I also agree that if any California Court with jurisdiction declares that any part of this arbitration agreement is illegal, invalid or unenforceable, such a declaration will not affect the legality, validity or enforceability of the remaining parts of the agreement and that illegal, invalid or unenforceable part will no longer be part of this agreement.

THIS AGREEMENT IS A WAIVER OF ALL RIGHTS TO CIVIL COURT ACTIONS FOR CLAIMS ARISING OUT OF THE APPLICATION PROCESS AS WELL AS EMPLOYMENT WITH ACCESS SACRAMENTO SHOULD IT BE OFFERED. ONLY THE ARBITRATOR, NOT A JUDGE OR JURY WILL DECIDE THE OUTCOME  OF ANY  CLAIM  OR DISPUTE.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

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Resume Attachment

Click the browse button below to locate and select your resume in digital format on your computer to attach it to this online application.

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Please Note: Access Sacramento maintains applications on active file only for a 30-day period of time. If you wish to be considered after a 30-day period, please re-apply.