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Application for Employment (Print Only)

  1. Santa Ynez Community Services District Application for Employment

  2. Personal Information

  3. Questionnaire

  4. 1. Are you 18 years of age or older?*

  5. 2. Can you, upon employment, submit verification of your identity and legal right to work in the United States?*

  6. 3. Are you physically able to perform the essential functions of the position(s) you are applying for with or without reasonable accommodations?*

  7. 4. Do you possess a valid California Drivers License?

  8. 5. Do you have any relatives employed by the SYCSD?*

  9. Position Applying for:

  10. Education:

  11. Employment Experience

    Start with your present or last job. Include military service assignments and volunteer activities. Exclude organization names, which indicate race, color, religion, sex, national origin. or other characteristics protected by civil rights.

  12. If you have left employment for any reason, answer the following question, if not skip to the reference section:

  13. Give names and addresses of three references that are not related to you:

  14. **The Santa Ynez Community Services District is an Equal Opportunity Employer providing equal opportunity to applicants regardless of sex, race, religion, ancestry, disability, age or other characteristics protected by applicable civil right statutes.

  15. Applicant’s Statement I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. I understand that any offer of employment I may receive may be conditioned upon successfully passing a pre-employment criminal background check, drug-test and/or physical exam.

    Please bring a copy of your resume with this application.

  16. I certify that everything on this document is answered truthfully to the best of my knowledge.*

  17. Leave This Blank: