Fillable Employment Application (Presidio Trust)

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Employment Application (Presidio Trust)

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Employment Application
Email Completed Application to:
jobs@presidiotrust.gov
The Presidio Trust
103 Montgomery Street
San Francisco, CA 94129
(
415) 561-5300
The Presidio Trust values diversity in its work force and is an Equal Employment Opportunity Employer.
Position Title Of Job You Are Applying For Date
APPLICANTS: Please complete this form in its entirety. Incomplete applications may not be considered.
You may attach, but not substitute, a resume
. Please type or print clearly. Read and sign the last page.
GENERAL INFORMATION
Full Name (Last, First, Middle Initial) Home Telephone Number
Home Address: (City, State, and Zip Code)
Daytime or Message Telephone Number Email address (
required)
Are you a U.S. citizen? Yes No
Employment with the Presidio Trust is usually limited to citizens of the United States. Non-citizens may be hired under
exceptional circumstances, such as when no qualified citizens are available.
If you are not a U.S. citizen please give the country of your citizenship.
Immigration law requires public employers to hire only individuals who are eligible to be employed. Questions about
eligibility for employment under immigration law should be directed to the U.S. Citizenship and Immigration Services
(USCIS).
Are you over 18 years old? Yes No
If you are under 18, you must have a valid work permit to be considered for employment.
If you are a male born after December 31, 1959, and are at least 18 years of age, civil service employment law
requires that you must register with the Selective Service System, unless you meet certain exemptions.
Are you a male born after December 31, 1959? Yes No If “No” skip next two questions.
Have you registered with the Selective Service System Yes
No If “No” answer next question.
What is your reason for not registering with the Selective Service System?
Have you ever been employed by the Presidio Trust before? Yes
No
Can you perform the essential functions of the job for which you are applying, with or without reasonable
accommodation? Yes No
Were you ever a Federal civilian employee? Yes No
If yes, provide the name of the last Federal Agency you worked for, location, and the dates of
employment
Name of Federal Agency and Location (City, State, and Zip Code)
Employed from to
Do any of your relatives* work for the Presidio Trust? Yes No
*Relatives include father, mother, husband, wife, domestic partner, son, daughter, sister, uncle, aunt, first cousin,
nephew, niece, father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, stepfather,
stepmother, stepson, stepdaughter, stepbrother, stepsister, half brother, and half sister.
If you answered yes, please provide the following information:
Name Relationship Division/Work Unit
MILITARY SERVICE
Have you served in the United States Military Service? Yes No
If yes, please list the branch, dates and type of discharge for all active duty military service, and enclose a
copy of your DD214 or other proof of service.
Branch Dates of Military Service Type of Discharge
RETIREMENT STATUS
Do you receive, or have you ever applied for, retirement pay, pension, or other retired pay based on military,
Federal civilian, or District of Columbia Government service? Yes
No
Federal annuitants (military and civilian) may have their salaries or annuities reduced.
BACKGROUND INFORMATION
During the last 10 years, have you been convicted, been imprisoned, been on probation or been on parole or
are you under charges for any violation of law? (Includes felonies, firearms, or explosives violations,
misdemeanors, and all other offenses.) Yes
No
If yes, provide the date, explanation of the violation, place of occurrence, and the name and address of the
police department or court involved. Use an extra sheet of paper if necessary.
During the last five (5) years, were you fired from any job for any reason, did you quit after being told that you
would be fired, or did you leave any job by mutual agreement because of specific problems?
Yes
No If answering “Yes,” please provide details on a separate sheet.
Are you delinquent on any Federal debt? (Includes delinquencies arising from Federal taxes, loans,
overpayment of benefits, and other debts to the U.S. Government, plus defaults of Federally guaranteed or
insured loans such as student and home mortgage loans).
Yes
No (If “Yes,” use separate sheet to provide the type, length, and amount of the delinquency
or default, and steps that you are taking to correct the error or repay the debt.)
Employment History
This section must be completed entirely. Do not substitute a resume
. List all work experience, paid or unpaid, beginning
with your current or most recent job. Include military experience as well as volunteer jobs that you wish to have
considered as part of your qualifications for the position you are seeking.
Describe each job separately, emphasizing tasks and any supervisory, technical or other responsibilities. Explain all
breaks in continuous employment. If more space is needed, additional pages can be added.
PRESENT OR LAST POSITION
EMPLOYER FROM Month/Year
ADDRESS TO Month/Year
Full Time Part Time
YOUR TITLE
SUPERVISOR’S NAME AND TELEPHONE HRS/WEEK (If varied, indicate average)
DUTIES/RESPONSIBILITES (Be specific):
Paid Unpaid
Per Hour:
Per Month:
Per Year:
REASON FOR LEAVING OR FOR CONSIDERING A CHANGE:
LAST YEARLY SALARY
EMPLOYER FROM Month/Year
ADDRESS TO Month/Year
Full Time Part Time
YOUR TITLE
SUPERVISOR’S NAME AND TELEPHONE HRS/WEEK (If varied, indicate average)
DUTIES/RESPONSIBILITES (Be specific):
Paid Unpaid
Per Hour:
Per Month:
Per Year:
REASON FOR LEAVING OR FOR CONSIDERING A CHANGE:
LAST YEARLY SALARY
EMPLOYER FROM Month/Year
ADDRESS TO Month/Year
Full Time Part Time
YOUR TITLE
SUPERVISOR’S NAME AND TELEPHONE HRS/WEEK (If varied, indicate average)
DUTIES/RESPONSIBILITES (Be specific):
Paid Unpaid
Per Hour:
Per Month:
Per Year:
REASON FOR LEAVING OR FOR CONSIDERING A CHANGE:
LAST YEARLY SALARY
EMPLOYER FROM Month/Year
ADDRESS TO Month/Year
Full Time Part Time
YOUR TITLE
SUPERVISOR’S NAME AND TELEPHONE HRS/WEEK (If varied, indicate average)
DUTIES/RESPONSIBILITES (Be specific):
Paid Unpaid
Per Hour:
Per Month
Per Year
REASON FOR LEAVING OR FOR CONSIDERING A CHANGE:
LAST YEARLY SALARY
Education
Mark highest level completed: Some HS HS/GED Associate Bachelor Master Doctoral
List all education, training, or other experience that illustrates your qualifications for the position. Include schools,
degrees, military training, vocational or technical training programs, certification programs, relevant hobbies, etc. Give
dates for each.
Last High School (HS)/GED school:
School’s name City, State, ZIP Code (if known) Year Diploma/GED received
School Name
Total Credits
(Semester/Quarter) Major(s)
Degree and
Year Received
Job-Related Training Courses, Licenses, Certifications, Affiliations, and Memberships Date
PLEASE READ CAREFULLY BEFORE SIGNING BELOW
The Presidio Trust is an equal opportunity employer and does not discriminate on the basis of sex, age, race and color, religion, sexual
preference, marital status, national origin, disability, or veteran status.
By signing below, I certify that to the best of my knowledge and belief, all of my statements and answers in this application are true,
correct, complete, and made in good faith. I understand that a false or fraudulent answer to any question or item on any part of this
application may be grounds for not hiring me or for firing me after I begin work, and may be punishable by fine or imprisonment.
In submitting this application, I authorize investigation of all matters which the Presidio Trust deems relevant to my qualifications for
employment, including all statements contained in this application, and I release from all liability any persons or employers supplying
such information, and I also release the Trust from all liability which might result from making the investigation.
I understand and agree that, should I be employed by the Presidio Trust, the employment relationship I have with the Trust will be on an
AT-WILL basis. Upon hire, I will be required to acknowledge my at-will employment in writing. This means I am free to terminate my
employment with the Trust at any time with or without cause or notice and that the Trust is similarly entitled to terminate my employment
with or without cause or notice. I understand that any alteration of my at-will status may be made only by the Executive Director of the
Trust acting with the authority of the Board of Directors.
With the exception of my at-will employment relationship, I acknowledge that the policies and procedures of the Trust, its employee
handbook, and the conditions of my employment may be changed at any time by the Trust and do not and will not constitute an
employment contract or imply any contractual obligations.
I understand that, if selected, I will be required to provide proof of my identity and my legal right to work in the United States within three
days of the date of hire by the Presidio Trust.
Signed Date
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Employment Application (Presidio Trust)

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Completed 26 January 2021

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