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Available Positions

An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, gender, age, or disability. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.


Today's Date:
Job Applied for:		Referred by:
State:		Available Start Date:
Are you seeking:	Part Time Full Time	First Name:
Last Name:		Email (Required):
Telephone Number: (include area code)		City:
Present Address:		Zip:
State:
Are you 21 years of age or older?	Yes No
If hired, can you furnish proof you are eligible to work in the U.S?	Yes No	In case of an emergency, notify:
Relationship:		Phone:

Have you ever applied with Rite of Passage before?	Yes No	If so, when?
Have you ever been employed with Rite of Passage?	Yes No	If so, when?
Have you ever been convicted of any law violation (except a minor traffic violation)?	Yes No	If yes, give details
	Yes No	(A “Yes” answer does not automatically disqualify you from employment, since the nature of the offense, date, and the job for which you are applying will also be considered.)
Do you have a valid driver’s license?	Yes No	Driver's License Number:
Has your driver's license been suspended or revoked in the last 3 years?	Yes No	If yes, give details
List professional, trade, business or civic activities and offices held. (Exclude labor organizations and memberships which reveal race, color, religion, national origin, gender, age, disability or other protected status.)


	List Name and Address of Schools	No. of Years Completed	Diploma/Degree Certificate	Subjects Studied
High School or GED:
College or University:
Vocational or Technical:
Military Background:
		Years Completed	Highest Rank	Branch
Military Background:
What skills or additional training do you have that are related to the job for which you are applying?

List names of employers in consecutive order with present or last employer first. Account for all periods of time including military service and any periods of unemployment. If self employed, give firm name and supply business references. PLEASE GIVE MONTH AND YEAR.
Name of Employer:	Job Title:
Name of Employer:	Duties:
Address:	Date of Employment :	Start:	End:
City:	Salary:	Start:	End:
State:	Reason for Leaving:
Zip:
Supervisor:	Telephone Number: (include area code)

Name of Employer:	Job Title:
Name of Employer:	Duties:
Address:	Date of Employment :	Start:	End:
City:	Salary:	Start:	End:
State:	Reason for Leaving:
Zip:
Supervisor:	Telephone Number: (include area code)

Name of Employer:	Job Title:
Name of Employer:	Duties:
Address:	Date of Employment :	Start:	End:
City:	Salary:	Start:	End:
State:	Reason for Leaving:
Zip:
Supervisor:	Telephone Number: (include area code)

Name of Employer:	Job Title:
Name of Employer:	Duties:
Address:	Date of Employment :	Start:	End:
City:	Salary:	Start:	End:
State:	Reason for Leaving:
Zip:
Supervisor:	Telephone Number: (include area code)

Have you worked under any name?	Yes No	If yes, give names ?
Are you presently employed?	Yes No	If yes, may we contact your present employer?	Yes No
Have you ever been fired from a job or asked to resign?	Yes No	If yes, please explain:
Give three references, not relatives or former employers.
Name:	Address:		Phone:

Consent Form

PLEASE READ EACH STATEMENT CAREFULLLY BEFORE SIGNING

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize and agree to cooperate in a thorough investigation of all statements made herein and other matters relating to my background and qualifications. I understand that any investigation conducted may include a request for employment and educational history, credit reports, consumer reports, driving record, and criminal history. I authorize any person, school, current and former employer, consumer reporting agency, and any other organization or agency to provide information relevant to such investigation and I hereby release all persons and corporations requesting or supplying information pursuant to such investigation from all liability or responsibility to me for doing so. I understand that I have the right to make a written request within a reasonable period of time for complete disclosure of the nature and scope of any investigation. I further authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the job for which I am being considered or any future job in the event that I am hired.

I understand that compliance with the Rite of Passage Code of Conduct is a condition of my employment.

I understand that I am required to successfully pass a drug-screening examination. I hereby consent to a pre-and/or post-employment drug screen as a condition of my employment.

I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.

I have read, understand, and by checking below, consent to these statements.

Yes, I consent No, I do not consent

Equal Employment Opportunity Voluntary Self-Identification Survey

Rite of Passage is an Equal Opportunity Employer and does not discriminate in hiring or employment on the basis of race, creed, color, age, religion, sex, gender, national origin, disability, veteran status, martial status, sexual orientation, military service, or any other basis prohibited by federal, state or local laws.

To help us accurately comply with Federal Equal Employment Opportunity reporting requirements, we request your assistance and cooperation in supplying the following information. Submission of this information is purely voluntary. This information will be treated confidentially and will not be used in any manner that could adversely affect any hiring decision, your employment, compensation, promotion, transfer opportunity or any other condition of employment. This information will also be separated from your employment application prior to consideration for employment and if selected maintained separate from your personnel files. You may inform the Human Resources Department of your desire to benefit under this program at this time and/or any time in the future.

We also invite you to tell us (Human Resources) now, or at any time in the future, about any reasonable accommodations that you believe Rite of Passage could make which would better enable you to perform the essential functions of the job properly and safely which includes the application process.

Position Applying For:
Gender: Male Female
MINORITY AND ETHNIC IDENTIFICATION: (CHECK ALL APPROPRIATE RACE/ETHNIC GROUPS)
Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin regardless of race
White (not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (not Hispanic or Latino) – A person having origins in any of the black racial groups of Africa
Native Hawaiian or Pacific Islander (not Hispanic or Latino) – A person having origins in any of the peoples Hawaii, Guam, Samoa, or other Pacific Island
Asian (not Hispanic or Latino) – A personal having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaskan Native (not Hispanic or Latino) – A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Two or more races (not Hispanic or Latino) – All persons who identify with more than one of the above five races

VETERAN STATUS
Special Disabled Veteran – means (A) a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veteran’s Affairs for a disability (i) rated at 30 percent or more, or (ii) rates at 10 or 20 percent in the case of a veteran who has been determined under Section 3106 of Title 38, U.S.C to have a serious employment handicap or (B) a person who was discharged or released from active duty because of a service-connected disability.
Veteran of the Vietnam Era – means a person who: (A) served in the military, ground, naval or air service of the United States on active duty for a period of more than 180 days, and was discharged, if any part of such active duty occurred: (i) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (ii) between August 5, 1964 and May 7, 1975 or (B) was discharged or released from active duty for a service-connected disability if any part of such active duty was performed (i) in the Republic of Vietnam between February 28m 1961 and May 7, 1975; or (ii) between August 5, 1964 and May 7, 1975, in all other cases.
Other Eligible Veterans – means veterans who served in the military, ground, naval or air service of the United States on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized. To identify the campaigns or expeditions that meet this criterion, contact the Office of Personnel Management (OPM) and ask for the OPM VETS Guide, Appendix A. A local OPM telephone number may be found in the telephone book under Federal Government or consult Directory Assistance for your area code for the nearest OPM location. For those with internet access, the information required to make this determination also is available at http://www.opm.gov/veterans/html/vgmedal2.asp.
Newly Separated Veteran - Veteran who served on active duty and was discharged or released within the last three years.
Veteran – Individuals, who served in the military, ground, naval or air service of the United States on active, guard and/or reserves duty that the three categories above do not apply to.
Not Applicable – Does not apply

OTHER STATUS: (Please check, if applicable).
Individual With Disabilities – Any person who has a physical or mental impairment, which substantially limits one or more of his/her major life activity(s), or has a record of such impairment(s), or is regarded as having such impairment(s).
If you checked Disabled or Special Disabled Veteran, you may identify any reasonable accommodations Rite of Passage could consider and/or offer that would better enable you to complete the application process or perform the essential functions of the job properly and safely, if selected

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