Application for Employment

Instructions:  Answer all questions.  Use the Submit button at end of application to send directly to Tulare Youth Service Bureau.  You may print a copy for your records.  It is the applicant's responsibility to insure that the application is on file at the Personnel Department on the final filing date.  Late applications will be rejected.

Position Applying for:  

Name

First                                                                                Middle                            Last

Street Address                                                      City                                                          State      Zip Code

   ,  

  Social Security No.  Driver's License No.
 
 

*  Use of your social security number is voluntary.  Social Security numbers are used for identification purposes only.  If you do not wish to use your social security number we will assign you an identification number.

*  completion of this question is required only if the position for which you are applying requires the possession of a valid California Driver's License

Phone No.     Business Phone 

Can we contact you at your business number? Yes No

I meet the minimum age requirement as stated on the job announcement for this position. Yes No

Have you ever been convicted of a felony? Yes No

Do you have any health, mental, or physical problems which would interfere with your ability to perform the full range of duties of the position for which you are applying? Yes No

Last High School attended     Did you graduate? Yes No

If not, do you have a General Education Development (G.E.D.) equivalent? Yes No

College or University Major Units Degree

Certificates or Licenses of Professional or vocational competence:


Typing (W.P.M.)     Shorthand (W.P.M.) 

Have you ever worked for the City of Tulare? Yes No

Reason for leaving? 

Are you related to any City of Tulare employee? Yes No

If yes, give name and relationship 

References:  Give name and home or business addresses of three persons not related to you who have knowledge of you character, work experience and ability.

Name of Reference Reference Address Reference Telephone Reference Business or Occupation

 Experience:  SHOW YOUR PRESENT JOB FIRST:  then list other jobs in order, working down from the most recent.  Use a separate block for each job held even though with the same organization. List any job related volunteer experience you have had.  If hours worked per week varied, give average.  Resumes may be added, but cannot be substituted for this section.  If additional space is needed include extra information with your resume at the end.

Current Position:

Start Date End Date Exact Job Title Employer's Name Reason for Leaving
Salary Duties Full Address
 per 

City, State

Zip
Hours worked per week
Phone

Work History:

Start Date

End Date

Exact Job Title

Employer's Name

Reason for Leaving
Salary Duties Full Address
 per 

City, State

Zip
Hours worked per week
Phone
Start Date End Date Exact Job Title Employer's Name Reason for Leaving
Salary Duties Full Address
 per 

City, State

Zip
Hours worked per week
Phone
Start Date End Date Exact Job Title Employer's Name Reason for Leaving
Salary Duties Full Address
 per 

City, State

Zip
Hours worked per week
Phone

Start Date End Date Exact Job Title Employer's Name Reason for Leaving
Salary Duties Full Address
 per 

City, State

Zip
Hours worked per week
Phone

 Type or Copy and Paste any additional information you would like to provide in the section below. Limited to 50 lines. (examples: Additional employment, resume, etc.)