Rancho Cordova Home Repair Workforce Development Application

Applicant Personal Information

Please Note: This form will take about 15 minutes to complete. Once you have begun completing the form, there is no way to save your work in progress.

Name

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First Name

Last Name

Mailing Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email

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Verify Email

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Phone

Date of Birth

*

(mm/dd/yyyy)

Gender

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Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

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We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

Program and Role Selection

The Rancho Cordova Home Repair Workforce Development program will run March 25 - May 17, 2024.

Do you have a Drivers License

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Drivers License Number

Issue State

Which state issued your drivers license.

Drivers License Issue Date

List the month and year when you first received your driver's license.

Drivers License Expiration Date

List the month and year when your driver's license expires.

Have you been involved in any vehicle accidents as a driver or received any speeding tickets or other moving violations in the past two years?

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If yes, please explain each violation (when received, type, etc).

*

Program Requirements

Do you live in the city of Rancho Cordova

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Age

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Please select your age category.

Work Availability

Are you unemployed?

Have looked for work sometime in the past 12 months?

Are you employed part time but who want and are available for full-time work?

Are you employed but seeking a position with greater opportunities for economic advancement?

None of the above.

Have you experienced any of the following circumstances?

None of these experiences are disqualifiers for employment. As a workforce development program we want to create inclusive opportunities and will prioritize for those who have experienced these issues.

May have difficulty finding employment?

Are low-income?

Are unemployed and/or out of school?

Are or were justice-involved?

Are engaged with the mental health or substance abuse system?

I have NOT participated in any Americorp programs.

I have not experienced any of the circumstances listed above.

Education and Work History

By entering the information below and clicking on the "Submit" button, I verify that I have completed and reviewed these forms, and that they are accurate to the best of my knowledge.

Education Level

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There are no education requirements for this position.

Resume or Curriculum Vitae

Please attach a PDF copy of your resume or curriculum vitae. Although, not required we would like to know about your work and education history.

Work and/or Project Experience

Include any work, job, or project experience (can include school projects) or any experience you want to share. Work experience is not a requirement for this application. This program is intended to provide entry level work experience that will prepare you for future employment and a career. We are not asking to repeat the information included in a resume but to highlight any experiences that were meaningful to you.

Sign and Submit

AUTHORIZATION

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing the same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the Sierra Service Project to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that, if hired, I am required to abide by all rules, policies, and procedures of the Sierra Service Project. I understand that I must sign, as a condition of employment, an acknowledgement to abide by the Sierra Service Project Employee Handbook and Safe Community Policy. The Sierra Service Project retains the right to revise its policies and procedures, in whole or in part, at any time.

The Sierra Service Project will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local “Fair Chance” laws.

How did you find out about this opportunity?

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Please share how you learned about this opportunity

Date

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Enter today's date in this format: mm/dd/yy

Signature

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First Name

Last Name

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