We consider all applicants without regard to race, color, religion, creed, gender, national origin, disability, veteran status or any other legally protected status.
APPLICATION FOR EMPLOYMENT
Application Date
Job Applied For:
Job Title
 
If Other:
Last Name
First Name
Middle Initial
Address (Street Number and Name)
City
State
Zip Code
Primary Phone
Alternate Phone
How did you learn about us?
Advertisement
Employment Agency
Friend
Relative
Inquiry
Other, please describe:
Have you ever filed an application with us before?
Yes No If Yes, give date:
Have you ever been employed with us before?
Yes No If Yes, give date:
Do any of your friends work for C.I.P.S?
Yes No If Yes, state name:
Are you currently employed?
Yes No  
What is your desired hourly rate of pay?
Can you travel if a job requires it?
Yes No  
Are you related by blood or marriage to any person now working for C.I.P.S?   Yes No
If yes, give name and relationship to you.
Check the types of work you will accept   1. Full Time 2. Part Time 3. Temporary/Seasonal
If you are not available for work now, enter the earliest date you could begin work (mo/day/yr) : 
EDUCATION
School
Name & Location
Dates Attended (mo/yr)
Grad?
# Years Completed
Degree Received
High School From:   To:    
College or University From:   To:
Graduate or Professional From:   To:
Other School From:   To:
Special training programs, courses and seminars you have completed in the last five years (list):
Licenses
Driver's License    Type:  State:  Endorsements:
Chaffeur's License    Type:  State:  Endorsements:
Other    Describe:

Have you ever been convicted of an offense against the law other than a minor traffic violation? (You may exclude any misdemeanor marijuana-related convictions more than 2 years old) (A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)   Yes No     (If yes, explain in "Additional Comments")
WORK HISTORY (include volunteer experience) Use additional sheets if necessary. As you describe your work history experiences, make sure you highlight your competencies which demonstrate your qualifications for the position for which you are applying.
Current or Last Employer
Address
Job Title
Supervisor's Name
Phone
# you supervised
Start Date (mo/yr)
Starting Salary
$ per
Ending Salary
$ per
Reason for Leaving
#May We Contact?
Yes No
End Date (mo/yr)
List major duties that demonstrate your competencies related to the position for which you are applying in order of their importance in the job
Full Time
yrs. mos.
Part Time
yrs. mos.
# hours worked per week
Current or Last Employer
Address
Job Title
Supervisor's Name
Phone
# you supervised
Start Date (mo/yr)
Starting Salary
$ per
Ending Salary
$ per
Reason for Leaving
End Date (mo/yr)
List major duties that demonstrate your competencies related to the position for which you are applying in order of their importance in the job
Full Time
yrs. mos.
Part Time
yrs. mos.
# hours worked per week
Current or Last Employer
Address
Job Title
Supervisor's Name
Phone
# you supervised
Start Date (mo/yr)
Starting Salary
$ per
Ending Salary
$ per
Reason for Leaving
End Date (mo/yr)
List major duties that demonstrate your competencies related to the position for which you are applying in order of their importance in the job
Full Time
yrs. mos.
Part Time
yrs. mos.
# hours worked per week
Comments (Include explanation of any gaps in employment)

Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Additional Comments:

Corinthian International Parking Services
Applicant's Availability Hours
Fax: 408-370-2198
First Name
Last Name
Primary Phone
Alternate Phone
Email Address
Which dates of the week and hours are you available?
Enter times as ##:##a or ##:##p. For example 07:00a or 07:00p.
Day
AM
PM
SWING
GRAVE
Monday to to to to
Tuesday to to to to
Wednesday to to to to
Thursday to to to to
Friday to to to to
Saturday to to to to
Sunday to to to to

1) Can you operate a vehicle with a manual transmission?    Yes No

2) "Are you currently able to perform the essential duties of the position for which you applied for, during the available hours identified above, with or without reasonable accommodation? (CIPS does not consider being under the influence of cannabis during working hours a reasonable accommodation).    Yes No
If a part-time position is available what would be the minimum and maximum number of hours that you could work?
Min.     Max. 
Signature (Type Your Full Name)
Date
IT IS THE SOLE RESPONSIBILITY OF THE EMPLOYEE TO FILL OUT AN UPDATED AVAILABILITY FORM (AVAILABLE ONLINE OR IN THE CORPORATE OFFICE) WHENEVER THEIR AVAILABILITY CHANGES IN ANY WAY. FORM MUST BE COMPLETED AS SOON AS THE EMPLOYEE IS AWARE OF THE CHANGE.
APPLICANT'S STATEMENT

By typing my name, I certify that all the answers I have given are true and complete to the best of my knowledge.

I authorize the investigation of all statements contained in this application for employment as my be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment after 60 days should reapply.

I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with C.I.P.S. is of an "At-Will" nature. This means that the Employee may resign at any time and that C.I.P.S. may discharge the 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 document or by conduct unless change is specifically acknowledged in writing by the President of C.I.P.S.

I understand that upon employment by C.I.P.S, I will be signing additional employment documents regarding "At-Will" employment status.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all C.I.P.S. policies and procedures.
Signature (Type Your Full Name)
Application Date

 

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