UCCR Job Application Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone (###) ### #### Position Applying For * Employment Desired Full-time Part-time Temp/Seasonal Available to work weekends Available for overtime Where are you interested in working? Applegate Jesuit Retreat Center Camp Arroyo Camp Lodestar CGC Camp Loch Leven Camp & Retreat Center Monte Toyon Camp Blazing Mountain Highlands Camp & Retreat Center Crystal Conference Center Craigville Retreat Center Admin (Accounting, Human Resources, Payroll, Reservations, Marketing) Web of Life Field (WOLF) School General If hired, what date can you start work? What is your desired wage? Do you have a reliable means of transportation? If you are under 18, can you supply a work permit? Yes No Do you have a legal right to work in the USA? Do any relatives currently work for UCCR? If yes, provide names. High school name - Did you graduate? College name - Did you graduate? Field of Study? Other schools, training, qualifications, or skills that you feel make you especially suited for work at UCCR? Please explain. List any relevant trainings such as: Lifeguard, ServSave Foodhandler, Challenge/Ropes Course, Climbing Wall. Please list experience with machines or equipment you're qualified to operate. Employment History Name of last employer, phone, type of business, supervisors name, contact info. dates of employment. Name of last employer, phone, type of business, supervisors name, contact info. dates of employment. Reference 1: Name, phone, email, occupation. Reference 2: Name, phone, email, occupation. Reference 3: Name, phone, email, occupation. Please read carefully, initial each paragraph then type your name to agree. I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. Agree Disagree I hereby authorize UCCR to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment unless otherwise specified above. I further, authorize the references I have listed to disclose to UCCR any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release UCCR, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. Agree Disagree I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and UCCR. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or UCCR, and that no promises or representations contrary to the foregoing are binding on UCCR unless made in writing and signed by me and UCCR’s President/CEO. Agree Disagree In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Agree Disagree I understand that as a condition of employment, UCCR will conduct a criminal background investigation, and I will be required to submit fingerprints to the appropriate state agency. I further understand that UCCR may receive subsequent arrest information if there are future arrests and convictions. I also understand that UCCR will conduct a search of the sexual offender registry annually while you are employed. Agree Disagree I understand and agree that overtime work may be required by me. Agree Disagree UCCR will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local “Fair Chance” laws. Please sign your name in this box. How did you hear about us? Please let us know how you heard about us! ACA Ad Indeed Google Search Google Ad Craigslist Friend Staff member Other Thank you! As a final step please email a PDF of your resume and cover letter to our Human Resources Director at stewart.halstead@uccr.org
