No Comments Job Application We are an Equal Opportunity Employer. Step 1 of 8 12% Personal InformationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Daytime PhoneEvening PhoneEmail Are you 18 years of age or older?YesNoHave you ever been arrested and convicted of a felony?YesNoAre you a United States Citizen?YesNo**If you answered No are you authorized to work in the United States?YesNo Employment Desired Please answer all questions or you may not be considered for employment.Position for which you are applyingFull-Time, Part-Time or AnyAre you available for flexible hours? 7 days a week?YesNo**If you answered No, please explainIs there any reason that we would not be able to insure you for handling money?Yes*No*If you answered Yes, please explainWage/Salary ExpectedHow did you find out about us?Have you ever been employed by the Parking Authority?Yes*No*If yes, when?Have you ever applied to the Parking Authority?Yes*No*If you answered Yes, when did you previously apply?Do you have any physical or medical conditions that require any special accommodations?Yes*No*If yes, please specify? EducationHigh SchoolName of SchoolLocation of School# of Years AttendedSubjects StudiedDid you Graduate?YesNoCollegeName of SchoolLocation of School# of Years AttendedSubjects StudiedDid you Graduate?YesNoTrade, Business, Correspondence SchoolName of SchoolLocation of School# of Years AttendedSubjects StudiedDid you Graduate?YesNoOther Adult EducationName of SchoolLocation of School# of Years AttendedSubjects StudiedDid you Graduate?YesNo Military ServiceHave you ever been a member of the U.S. Military or Naval Service?Yes*No*If you answered Yes, what rank did you hold?Did you receive an honorable discharge?YesNoAre you presently a member of the National Guard or Reserves?YesNo General InformationList any subjects of special study or research workList any special skills that you have that would assist in performing the duties of the position for which you are applyingList any activities, hobbies, or organizations to which you belong(Please exclude organizations of which the name indicates the race, creed, sex, age, marital status, color, or nation of origin of its members) Employment History Please List your last 3 employers, starting with the most recent.Most Recent EmployerName of EmployerLocationEmployment Start DateEmployment End DateSalary/WagePositionReason for LeavingPrevious EmployerName of EmployerLocationEmployment Start DateEmployment End DateSalary/WagePositionReason for LeavingPrevious EmployerName of EmployerLocationEmployment Start DateEmployment End DateSalary/WagePositionReason for Leaving References Please give the names and phone numbers of three individuals whom you have known for at least one (1) year. NO relatives please.1.2.3.*if you wish to send a resume please send to firstname.lastname@example.org if you can’t add it to the form. Upload Resume (pdf only)Accepted file types: pdf. Certification & Signature: "I certify that facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal." "I authorize investigation of all statements contained herein, the references listed above as well as a criminal back ground check to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. I further understand my employment is contingent upon the above mentioned investigation results." "I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause." Name/SignatureDate MM DD YYYY This iframe contains the logic required to handle AJAX powered Gravity Forms.