* Are you legally eligible to be employed in the United States and Washington? (Proof of identity and eligibility will be required upon employment):

Yes No

* Will you now or in the future require employer sponsorship for employment visa status (for example, H-1B, TN, etc.)?  Career Path Services does not provide employment-based visa sponsorship for open positions. Applicants must be authorized to work in the United States without employer sponsorship:

Yes No

* Have you ever applied with us before?:

Yes No

If Yes, please provide details (Where/When/Job Title):

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

Yes No

If no, please explain:

* Are you related by blood, marriage or adoption to any Career Path Services employee?:

Yes No

If Yes, who?:

* When would you be available to begin work?:

* If requested, would you be able to provide 3 professional references (not friends, family, or coworkers)?:

Yes No

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location	Did you Graduate?	Degree Received	Subjects Studied/Major
	Yes No
	Yes No
	Yes No

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

Provide your previous employement, starting with your current or most recent employment.

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title
Responsibilities

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title
Responsibilities

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title
Responsibilities

After reading and completing this application for employment, I hereby certify that the facts set forth in the preceding employment application are true and complete to the best of my knowledge. I understand that if employed by Career Path Services, falsified statements on this application shall be considered sufficient cause for dismissal. I authorize Career Path Services to make any investigation of my employment and educational history.

I acknowledge this application of employment is in no way a contract for employment and all employees of Career Path Services are considered "at will" under the laws of Washington State. I further understand that this application by itself is not an offer of employment or an employment contract.

I have received and read a copy of the position description and can meet the minimum qualifications of the job with or without accommodation.

I acknowledge that positions at Career Path Services require a background investigation by an authorized background screening organization. I authorize Career Path Services to conduct a reference check with my present and/or previous employer(s). This also serves to authorize my present and/or previous employer(s) to provide reference information to Career Path Services as it is requested. I also acknowledge that prior to commencing employment; certain positions require current driver's license in good standing and proof of automobile insurance coverage of at least $100,000 per person, $300,000 per accident and $100,000 in property damage. I acknowledge that certain positions require the daily availability of a personal vehicle, or alternative transportation method sufficient to meet the daily transportation requirements of the position.

By typing my name (first name and last name) into the signature field, I certify that I have read and understood the Certification of Applicant paragraphs above.

* Signature (type name):

* Date: