PAVE Job Application

This application is best suited to be completed on a computer or tablet device.

PAVE is an equal opportunity employer. We consider applications for all positions without regard to race, color, national origin, marital status, disabled or Vietnam era veteran status, sex, disability, religion, creed, age, sexual orientation, or HIV/AIDS status.

Position(s) Applying For

Date of Application

Applicant Cover Letter

We only accept Word and PDF documents

Applicant Résumé

We only accept Word and PDF documents

Applicant Information

Applicant Contact Information

First Name	Last Name
Phone	Email
Address Line 1	Address Line 2
City	State
Postal Code

On what date would you be available for work?

Are you available to work (Select all that apply):

Full-TimePart-TimeShift WorkTemporary

Can you travel is the job requires it?

YesNo

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Proof of citizenship or immigration status will be required upon employment.

YesNoAnswering "Yes" to this question means it is ILLEGAL for you to work in the USA due to your Visa or Immigration status.

Have you been convicted of a felony within the last 7 years?

Conviction will not necessarily disqualify an applicant from employment.

YesNo

Please explain:

Volunteer and Employment Experience

List up to three previous volunteer or job experience. Start with your present or last volunteer or paid job.

Organization	Date Started with the Organization
Organization City	State
Volunteer or Job Title
Phone	Supervisor's Name
Reason for Leaving

Special Skills & Qualifications

Summarize special job-related skills and qualifications acquired from your experience - work, volunteer, school projects - that relate to this position for which you are applying.

Have you ever had job-related training in the US Military?

YesNo

Please Explain:

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 necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. any applicant wishing to be considered beyond this time period should inquire as to whether or not applications are being accepted at this time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is at an "at will" nature, which means that the employee can resign at any time and the employer can 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 such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

i understand that due to working with a vulnerable population (https://www.dshs.wa.gov/bccu/), the finalist(s) for employment will be subject to a pre-employment background check as a condition of employment. I verify that I have reviewed the Chapter 388-113 WAC: Disqualifying Crimes and Negative Actions (http://apps.leg.wa.gov/wac/default.aspx?cite=388-133-0020).

Applicant Electronic Signature Type your first and last name

Date

References

Please provide the name, phone number, and email address of 3 personal references and 3 professional references. Current and past direct supervisors only.

Personal Reference

First Name

Last Name

Phone

Personal Reference

First Name

Last Name

Phone

Personal Reference

First Name

Last Name

Phone

Professional Reference

First Name

Last Name

Phone

Professional Reference

First Name

Last Name

Phone

Professional Reference

First Name

Last Name

Phone

Employment Date Record

Employees are treated equitably during employment without regard to race, color, national origin, marital status, disabled or Vietnam era veteran status, sex, disability, religion, creed, age, sexual orientation, or HIV/AIDS status.

As an employer with an Affirmative Action program, we comply with government regulations, including Affirmative Action responsibilities where they apply.

The purposes of this Date Record is to comply with government record keeping, reporting, and other legal requirements. periodic reports are made to the government on the following information. The completion of this Date Record is optional. If you choose to volunteer the requested information, please note that all Data Records are kept in a confidential file and are not part of your application for employment or personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.