Employment Application

Bead Inspirations
1544 Park St.
Alameda, CA 94501
510-337-1203
www.beadinspirations.com
[email protected]

INSTRUCTIONS:     Complete the application form in ink or typed. Bead Inspirations is an Equal Opportunity-Affirmative Action Employer providing equal employment opportunity to all regardless of sex, race, color, religion, ancestry, national origin, age, marital status, medical condition (cancer related), or physical handicap.
1.         Title of Position:

2.         Your Social Security Number:            -       -           (For Identification Purposes Only)

3.             Your Name: Last                                                  First                                                         Middle

4.             Address: Number and Street City                 State     Zip
Mailing Address

Physical Address


Email Address

5. Telephone Number: Home: (      )         -               Cell: (      )         -

6.    Can you, after employment, submit verification of your legal right to work in the United States?        Yes    No

7. As an adult, have you ever been convicted of a misdemeanor or felony offense other than a minor traffic violation?
                Yes    No

If "YES", please give date and nature of the offense below. (Convictions are evaluated for each position and are not necessarily disqualifying):

8. Do you have a valid California driver's license?             Yes    Class                      Number                                  No
9.   Indicate the type of position you will accept: Full-time permanent (40 hours per week)
  Part-time permanent position (fewer than 40 hours per week)
  Extra Help position (hours per week may vary)

10.            Do you speak any languages other than English?            Yes            No If yes, please list:

11. Skills: Please list relevant skills and abilities.

_______________________________

12. EDUCATION: Did you graduate from high school? Yes No If "NO" did you receive a GED? Yes No
If "NO", indicate highest year completed: 1 2 3 4 5 6 7 8 9 10 11 12

Name and Location of High School:

Name and Location of
College or University

Major

Semester Units
Completed

Quarter Units
Completed

Degree
Conferred

Type: Date:

Business, Correspondence, Trade or Service Schools

Course of Study

13. EXPERIENCE: Beginning with most recent job, please fully account for all time, including periods of unemployment, military service, and relevant volunteer experience. If you were employed under another name, write in the name by which you were known to your employer. If additional space is needed, attach a sheet of paper. By listing names of prior employers and supervisors, you are consenting, unless otherwise indicated in writing, to Bead Inspirations contacting those persons specifically listed (or persons who are available through the employer if the supervisor listed is no longer employed) for purposes of confirming information relating to your prior employment including but not limited to, providing a reference.

Dates of Employment
and Salary Received

Job Title(s) and Duties Performed

Employer's Name, Address,
Phone and Type of Business

From
            Month      Year
To
            Month      Year
Salary:

Job Title:
Hours Per Week:        Supervisor's Name:
Job Duties:

Number of Persons Supervised:

14. May we contact your present employer? Yes No

15. List memberships in professional organizations that you feel would enhance your application. You may exclude, if you wish,any whose names would indicate the race, religion, age, color, national origin, marital status, gender, sexual orientation orancestry of its members.________________________________________________________________________________________________________________________________________________________________________________________________

16. Professional licenses or certifications:_________________________________________________________________
17. List memberships in professional organizations that you feel would enhance your application. You may exclude, if you wish, any whose names would indicate the race, religion, age, color, national origin, marital status, gender, sexual orientation of its members.________________________________________________________________________________________________________________________________________________________________________________________________

18. Employment References: Give names and addresses of at least two people, not relatives, who have knowledge of your skills, experience, and ability. Previous supervisors are preferred.

Name

Address

Telephone Number

Name

Address

Telephone Number

Name

Address

Telephone Number

19. Person who we may notify in case of emergency:

Name

Address

Telephone Number

Please attach any additional information to your application which you feel will help us in our evaluation of your qualifications.

Before you return your application, check your application to make sure that it is correct and complete. Thank you for your interest in employment with Bead Inspirations!

READ THIS STATEMENT BEFORE SIGNING -I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that an investigative report may be prepared whereby information is obtained through public records and personal interview with various individuals. I understand that submission of an application does not guarantee employment.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application. In the event of employment, I understand that false, omitted, or misleading information given by my application or interview(s) may result in discharge, when discovered. I understand, also, that I am required to abide by all rules and regulations of the Employer.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD, AND AGREE TO THE ABOVE STATEMENTS.

SIGNATURE:__________________________________ DATE:__________________
How did you find out about this job? _______________________________________