Employment Application

Bear Valley Springs Association
Employment Application

Bear Valley Springs Association (BVSA) is an equal opportunity employer. BVSA does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, gender, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

A printable application may be found HERE

Mail to: 29541 Rolling Oak Dr, Tehachapi, CA 93561
Fax to: 661-821-5406 OR 661-821-2039
Email to: lynnm@bvsa.org

Personal Information

Last Name

First Name

Middle Initial

Address

City

State

Email Address

Telephone Number

Referred By

Employment Desired

Position desired or area of interest

Date available

Salary desired

Have you ever been employed by our organization?

YesNo

If yes, give dates of employment

Names of friends/relatives employed here:

Are you currently employed?

YesNo

If yes, may we contact your present employer?

YesNo

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?

YesNo

Education

Name and location of school

No. of years attended / GPA

Diploma / Degree received

Subjects / Major

Name and location of school

No. of years attended / GPA

Diploma / Degree received

Subjects / Major

Name and location of school

No. of years attended / GPA

Diploma / Degree received

Subjects / Major

Name and location of school

No. of years attended / GPA

Diploma / Degree received

Subjects / Major

Please list job related organizations, clubs, professional societies or other associations to which you belong.

You may exclude those which would reveal information regarding race, color, creed, sex, religion, national origin, age, ancestry, disability, marital status, veteran status or any other protected status.

Professional Certificates or Licenses

Please describe any educational courses you are presently taking

References

Give the names of three persons not related to you, whom you have known at least three (3) years.

Name and Address

Telephone

Occupation

Years known

Name and Address

Telephone

Occupation

Years known

Name and Address

Telephone

Occupation

Years known

Employment History

List your most recent employer first. Include any periods of unemployment. Incomplete information could disqualify you from further consideration.

Employer name and address

Supervisor phone

Dates Employed

Position held

Reason for leaving

Employer name and address

Supervisor phone

Dates Employed

Position held

Reason for leaving

Employer name and address

Supervisor phone

Dates Employed

Position held

Reason for leaving

Employer name and address

Supervisor phone

Dates Employed

Position held

Reason for leaving

Employer name and address

Supervisor phone

Dates Employed

Position held

Reason for leaving

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for BVSA to hire me. If I am hired, I understand that either BVSA or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of BVSA has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to BVSA true and complete information on this application. No requested information has been concealed. I authorize BVSA to contact references provided for employment reference checks and under consistent hiring practices, may require pre-employment screening and background verification as a condition of employment, upon any employment offer. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

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