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Last Name:   M.I.:

First Name: 

Home Phone  #      

Cell Phone #

Street Address:  

City:          

State:      

Zip Code:   

Is this your mailing address also?

Yes   No

   
Mailing Address
(if different from street address):
E-Mail address:  
       

Employment Desired (please check as many as apply):

General Grounds and Building Maintenance Yes
Fairtime Clean-up Crew (Maintenance Dept.) Yes
Equipment Operator Yes Type of Equipment:
Fairtime Exhibit Clerk Yes Specific Department? (list)
Fairtime Ticket Sales Yes    
Administration Office Clerk Yes    
Exhibit Office Clerk Yes    
Other (list) Yes
Date available to start work? Wage desired per hour: $
Are you currently employed? Yes   No  
If yes, may we inquire of your present employer? Yes   No  
Have you ever been employed by the Stanislaus County Fair?  Yes   No  
Position/Years(s):
Have you been a volunteer at the Stanislaus County Fair? Yes   No
Position/Year(s):
Please list name of individual who referred you to us, if applicable:

EDUCATION:  

 
 

Name & Location

Yrs attended Did you Graduate? Subjects Studied
Grammar School

High School

College
Trade, Business or Correspondence School
Special subject knowledge, training or skills
related to applied for position(s):

Serve(d) in the U.S. Military:  Yes   No      
Specific training applicable to potential employment:
Please list all languages that you fluently speak, read or write:

If you are hired, can you provide satisfactory documentation of your identity and authorization to work?*
Yes
   No

* List of acceptable documents available upon request (reference Department of Homeland Security, U.S. Citizenship and Immigration Services’ Form I-9, Employment Eligibility Verification).  If under age 18 and not yet graduated from high school and/or in possession of GED Certificate, a current Work Permit from the school district where you attend will also be required if you are hired.

 

CURRENT AND MOST RECENT EMPLOYERS:

Dates Employed Employer Name, Town, Phone Number AND Supervisor’s Name Salary Position Reason for Leaving
         

REFERENCES (List 3 personal references who are not family members):

   
Name Relationship Phone Number Years Known

Have you ever been convicted of a crime? (Exclude convictions for marijuana-related offenses for personnel use more than two years old; convictions that have been sealed, expunged or legally eradicated, and misdemeanor convictions for which probation was completed and the case was dismissed)   Yes   No

If yes, please briefly describe the nature of the crime(s), the date and place of conviction and the legal disposition of the case. This agency will not deny employment to any applicant solely because the person has been convicted of a crime. The agency however, may consider the nature, date and circumstances of the offense as well as whether the offense is relevant to the duties of the position applied for:

 

Are you currently out on bail, the subject of a current warrant for arrest or released
on your own recognizance pending trial?       
Yes
   No


Certification and Authorization by Applicant:
I hereby certify that all of the information I have submitted on this application is true, accurate and complete to the best of my knowledge.  I agree and understand that, if hired, any misrepresentation or deliberate omission of a material fact herein may be grounds for termination of employment.

I hereby authorize Stanislaus County Fair 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 the Stanislaus County Fair and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

Yes   No

Type Name: 
   Date: 

 



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Stanislaus County Fair • 900 N. Broadway • Turlock, CA • (209) 668-1333