RPB Inc. is an Equal Opportunity Employer and fully subscribes to as well as practices the principles of Equal Opportunity Employment. Therefore, prospective employees will receive consideration without discrimination becasue of race, creed, color, sex, age, national origin, handicap status or veteran status.

EMPLOYMENT APPLICATION
Incomplete applications will not be accepted for an interview. You must compete all of this application. Please fill in ALL questions. Use N/A if necessary. If all of the questions are not answered, you shall be returned to this application page.

ABOUT YOU
First Name:		Last Name:
Address:		City:
State:		Zip:
Phone Number (with area code)		eMail Address

YOUR WORK HISTORY Please list the 3 most recent past employers including dates worked, contact name, telephone number, postion held and describe the type of work you performed.
Employer 1
Employer Name:		Phone Number (with area code)
Dates Employed:	From: To:	Final Wage
Reason for Leaving:		Type of Work Performed:
Employer 2
Employer Name:		Phone Number (with area code)
Dates Employed:	From: To:	Final Wage
Reason for Leaving:		Type of Work Performed:
Employer 3
Employer Name:		Phone Number (with area code)
Dates Employed:	From: To:	Final Wage
Reason for Leaving:		Type of Work Performed:
Have you ever filed an application with us before?			Yes No
Are you currently employed?			Yes No
May we contact your present employer?			Yes No
Are you able to work overtime on short notice?			Yes No
Do you have a current and legally valid California State Driver's License?			Yes No
Can you, before employment, submit verification of your legal right to work permanently in the United States? Please furnish the Company with a copy of the same.			Yes No
What is your present age?
Can you perform the essential functions of the job you are being considered for?			Yes No
Are you willing to work on a rotating basis, including Holidays and weekends?			Yes No
Are you willing to attend educational seminars?			Yes No
Have you been convicted of an indictable offense or been convicted of any disorderly persons or local ordinance violations during the last seven [7] years?			Yes No
If yes, please provide details:		(Criminal convictions are not an automatic bar to employment but will only be considered in relation to specific job requirements)
Do you have commitments to another employer that might affect your employment with us?			Yes No
If yes, please provide details:
Briefly describe the reason(s) you want to leave your present place of employment, if applicable.
List any professional, trade, business or civic activities and/or offices held relative to your ability to perform the job to which you are applying.
List any/all certificates and/or licenses that you possess related to the job for which you are applying.
What are you currenly asking for your starting wage?

YOUR REFERENCES List three references not living with you who can attest to your employment skills.
Reference 1
Name:		Relationship:
Phone Number (with area code)		Alternate Phone Number (with area code)
Reference 2
Name:		Relationship:
Phone Number (with area code)		Alternate Phone Number (with area code)
Reference 3
Name:		Relationship:
Phone Number (with area code)		Alternate Phone Number (with area code)

YOUR EDUCATION Please list any/all schools attended and levels/degrees achieved/completed.
High School
Name & Location:		Course of Study:
Years Completed		Did You Graduate?	Yes No
If yes:		What Year Did You Graduate?
		Degree?
Trade School
Name & Location:		Course of Study:
Years Completed		Did You Graduate?	Yes No
If yes:		What Year Did You Graduate?
		Degree?
Other School
Name & Location:		Course of Study:
Years Completed		Did You Graduate?	Yes No
If yes:		What Year Did You Graduate?
		Degree?

ADDITIONAL INFORMATION
List any additional information that you feel may be helpful to us in considering your application:
Where do you see yourself five years from now?
Are you interested in money, or just doing your job well?
What event has occurred within the last five years that has had a significant impact on your life, and why?
All good companies judge an employee's performance against certain standards and benchmarks. What standards or benchmarks do you think should be used to judge you and why?

Please make sure you have answered all questions completely before you submit your application.