APPLICATION FOR EMPLOYMENT

Los Angeles Zoo

5333 Zoo Drive

Los Angeles, CA 90027

The information you provide will be used to determine your employment qualifications for the position listed below. If you become employed by the Department, this application will become part of your permanent personnel records. Employment offers are made subject to clearance from the City Health Officer, compliance with legal age requirements for the position, and policies of the Civil Service Commission concerning personal background. You will be required to submit verification of the legal right to work in the United States within three (3) business days beginning with your first day of work. In accordance with the Immigration Reform and Control Act of 1986, we are legally prohibited from employing anyone who cannot provide such verification. The Los Angeles Zoo is an Equal Opportunity Employer.
SECTION A - PERSONAL INFORMATION
POSITION APPLYING FOR (CITY JOB TITLE) / SOCIAL SECURITY NUMBER
NAME LAST FIRST MIDDLE / HOME PHONE NUMBER
ADDRESS / BUSINESS PHONE NUMBER & EXT.
CITY STATE ZIP CODE / MAY WE CONTACT YOUR PAST OR PRESENT EMPLOYER(S)? Yes No
DO YOU POSSESS A VALID CALIFORNIA DRIVER’S LICENSE? YES NO / DO YOU HAVE ANY RELATIVES WORKING FOR THIS ZOO? Yes No
IF YES, INDICATE NAME AND RELATIONSHIP:
DRIVER’S LICENSE NO. / CLASS / STATE / EXPIRATION DATE
SECTION B – EDUCATION/LICENSES
NAME/ADDRESS/TYPE OF SCHOOL / MAJOR/COURSES TAKEN / DEGREE/CERTIFICATE/LICENSE
SECTION C – PERSONAL HISTORY INFORMATION
All applicants who meet the minimum qualifications for employment and have received a conditional job offer from the Los Angeles Zoo will be required to complete a criminal background investigation which includes fingerprinting. In the event that the job applicant fails to participate with the criminal background investigation or fails to satisfactorily complete or pass the criminal background investigation, the applicant's conditional job offer will be rescinded or revoked and his or her consideration for employment will be terminated.
I certify that all the information contained in this application and any supplemental information which I may attach is true and complete to the best of my knowledge. I understand that any false statement, incomplete statement, or omission of material fact may be cause for rejection, disqualification or termination of employment.
SIGNATURE ______DATE ______

Beginning with your most recent job, list all jobs held in the last 5 years. Also, list any other experience that is related to this position. You may attach additional pages, if necessary.

SECTION D- EXPERIENCE
EMPLOYMENT DATES / NAME & ADDRESS OF EMPLOYER / JOB TITLE & DUTIES / REASON FOR LEAVING
From
To
Salary / Supervisor’s Name/Phone
From
To
Salary / Supervisor’s Name/Phone
From
To
Salary / Supervisor’s Name/Phone
From
To
Salary / Supervisor’s Name/Phone
From
To
Salary / Supervisor’s Name/Phone
From
To
Salary / Supervisor’s Name/Phone
From
To
Salary / Supervisor’s Name/Phone
Have you ever been discharged or terminated for any reason except layoff, lack of work, OR have you resigned to avoid discharge? Yes No
If yes, please list date, employer and reason.

Rev. 5/14