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301 West Valley Boulevard, #116
San Gabriel, CA 91776
626-766-1512
Join Our Team
Pleases submit your application by completing the following form
Date of Application:
Date of Application
AN EQUAL OPPORTUNITY EMPLOYER
Name:
Name
Address:
Address
City:
City
State:
State
Zip:
Zip
Phone:
Phone
Date of Birth:
Date of Birth
Email:
Email
(please provide for background check)
Location:
Location
301 West Valley Boulevard, #116 San Gabriel, CA 91776
30 West Main Street, Alhambra, CA 91801
18912A E. Gale Ave, Rowland Heights CA 91748
Either location
GENERAL INFORMATION
Position applied for:
Have you ever applied for a position with or worked for this Company?
Available to work:
Available to work
Full-Time
Full-Time
Part-Time
Part-Time
Date available to start work:
Date available to start work
Fill in the hours you're available to work.
Monday
From
From: Monday
To
To: Monday
Tuesday
From
From: Tuesday
To
To: Tuesday
Wednesday
From
From: Wednesday
To
To: Wednesday
Thursday
From
From: Thursday
To
To: Thursday
Friday
From
From: Friday
To
To: Friday
Saturday
From
From: Saturday
To
To: Saturday
Sunday
From
From: Sunday
To
To: Sunday
If you are under the age of 18, can you provide a work permit if offered a job?
If you are under the age of 18, can you provide a work permit if offered a job?
Yes
Yes
No
No
If you are not a U.S. citizen, do you have the right to work in the U.S.?
If you are not a U.S. citizen, do you have the right to work in the U.S.?
Yes
Yes
No
No
Are you able to perform the essential duties of the position for which you are applying?
Are you able to perform the essential duties of the position for which you are applying?
Yes
Yes
No
No
Are you a veteran of the United States military service?
Are you a veteran of the United States military service?
Yes
Yes
No
No
Have you been convicted of a felony within the last seven years?
Have you been convicted of a felony within the last seven years?
Yes
Yes
No
No
If yes, please identify the charge, the court, the date of conviction, and the disposition of the case:
Have you ever applied for a position with or worked for this Company?
Have you ever applied for a position with or worked for this Company?
Yes
Yes
No
No
If yes, specify dates:
If yes, specify dates
EDUCATION
Name of School and Address
Major
Years Completed
Did you Graduate
High School
High School Name and Address
Major
Years Completed
Did you Graduate
Yes
Yes
No
No
College
College Name and Address
Major
Years Completed
Did you Graduate
Yes
Yes
No
No
Other (Specify)
Other (Specify)
Major
Years Completed
Did you Graduate
Yes
Yes
No
No
Other Languages Spoken:
Other Languages Spoken
EMPLOYMENT HISTORY
Please list your present and past work experience for the past 10 years, beginning with the most recent.
Name of Employer:
Name of Employer
From:
Month
From: Month
Year
From: Year
To:
Month
To: Month
Year
To: Year
Pay:
Starting
Pay: Starting
Final
Pay: Final
Address:
Street, City & State:
Address:
Position:
Position
Telephone:
Telephone
Description of Duties:
Description of Duties
Supervisor:
Supervisor
Reason for Leaving:
Reason for Leaving
May we contact?
May we contact?
Yes
Yes
No
No
Name of Employer:
Name of Employer
From:
Month
From: Month
Year
From: Year
To:
Month
To: Month
Year
To: Year
Pay:
Starting
Pay: Starting
Final
Pay: Final
Address:
Street, City & State:
Address:
Position:
Position
Telephone:
Telephone
Description of Duties:
Description of Duties
Supervisor:
Supervisor
Reason for Leaving:
Reason for Leaving
May we contact?
May we contact?
Yes
Yes
No
No
