Resume Attachment (Resume/CV Upload is "Required")

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.

Cover Letter
Use this area to copy & paste your cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail. Please make sure that the syntax of your email address is in the following form: username@ispname.com

Please create your password
Passwords must be at least six(6) characters

Personal Information

Are you able to perform the essential function of the position for which you are applying, either with or without reasonable accommodations?

If necessary, please describe what type(s) of reasonable accommodations are needed:

Do you have the legal right to work and be employed in the United States?

(If NO, proof of age and school work permits may be required prior to hiring.)

If required for the position, do you have a valid California Driver’s License?

Do you have a reliable means of transportation to and from work?

Education Information

Include All Education History:

List any specific training or skill that you have (include language, technical and/or computer skills) that you believe relate to this position:

Employment Interests

What interested you in The Lundquist Institute?

Do you have friends or relatives working for The Lundquist Institute?  If yes, list name and relationship.

Have you ever worked for The Lundquist Institute before?

What is your desired salary?

Have you ever been asked to resign from a job or terminated involuntarily for any reason?

How were you referred to The Lundquist Institute or hear of the position for which you are applying?

* Employment/Work Information - REQUIRED: Input the last seven years of employment history from PRESENT to LAST. ALL fields MUST be completed with No Time Gaps. INCLUDE ANY Unemployment gaps such as; self-employment, military service, volunteer work, etc. during the last five years (DO NOT include unemployment gaps due to medical reasons) :

References:

Acknowledgment

Please read carefully and sign below

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements verified by The Lundquist Institute unless I have indicated to the contrary.  I authorize the immediate supervisors listed above, as well as all other individuals whom The Lundquist Institute may contact, to provide The Lundquist Institute with any and all information concerning my previous employment, education and qualifications for employment (except salary history).  Further, I release all parties and persons from any and all liability for any damages that may result from furnishings such information to The Lundquist Institute as well as from any use or disclosure of such information by The Lundquist Institute or any of its agents, employees, or representatives. 

In consideration of my employment, I agree to conform to the rules and standards of The Lundquist Institute.  I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of The Lundquist Institute.  I understand that no employee or representative of The Lundquist Institute, other than its President & CEO, has the authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing.  Further, the President & CEO of The Lundquist Institute may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the President & CEO and I both sign a written agreement that clearly and expressly specifies the intent to do so.  I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no oral or collateral agreements regarding this issue.

I understand that as a condition of employment I may be required to take a post-offer/pre-employment physical examination, which may include an alcohol and drug test.  I further understand that at any time during my employment, I may be required to a take a physical examination which may include an alcohol and drug test if management reasonably suspects a condition exists that will prevent me from performing my job in a manner that does not endanger my own health or the safety and health of others.  I authorize all providers of health care who examine me to disclose to The Lundquist Institute, or its agents, all medical information revealed during such examinations.  In the event that I have a disability that will affect my ability to take the physical examination, I will so inform The Lundquist Institute so that a reasonable accommodation can be made.  The Lundquist Institute reserves the right to require medical documentation concerning the need for accommodation.

I also understand that all offers of employment are conditioned on The Lundquist Institute's receipt of satisfactory responses to reference requests and the provision of satisfactory proof of my identity and legal authority to work in the United States.

I understand that this application is applicable only for the position for which I’ve instantly applied and if I wish to be considered for an alternate position, it will be necessary to fill out a new application.

I hereby acknowledge that I have read the above statements and understand them.  I certify that I, the undersigned applicant, have personally completed this application.  I declare under penalty of perjury that the facts contained in the application (or any resume or other documents submitted) are true and complete to the best of my knowledge. 

I understand that any intentional misrepresentation, falsification, or omission of information on this application may result in my failure to receive an offer and will be justification for my dismissal from employment, if discovered at a later date.

Equal Employment Opportunity/Affirmative Action Data

Thank you for your interest in employment with The Lundquist Institute.  The following questions about your race and gender and Protected Veteran status are included only because of government regulations.  As an Equal Opportunity Employer, The Lundquist Institutedoes not use this information in its employment decisions, so whether or not you return this form has no effect on your application. To the extent we are a government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, we comply with requirements to take affirmative action regarding the employment of, and advancement in employment of, qualified Protected Veterans (disabled veterans, active duty wartime or campaign badge veterans, Armed Forces service medal veterans, and recently separated veterans).  If you come within any of those categories, and would like to be included in our affirmative action program, you may tell us now or at any time in the future.  We also invite you to tell us now, or at any time in the future, about any reasonable accommodations that you believe we could make which would better enable you to perform the essential functions of the job properly and safely.  Submitting this information is voluntary.  Providing it or declining to provide it will not affect your application or employment in any way.  If you choose to submit the information, it will be kept confidential to the extent provided by law.

Race/ethnicity background definitions:

• Hispanic or Latino - Persons of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
• White - Persons having origins in any of the original peoples of Europe, the Middle East or North Africa.
• Black or African American - Persons having origins in any of the black racial groups of Africa.
• Asian - Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
• Native Hawaiian or Other Pacific Islander - Persons having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
• American Indian or Alaskan Native - Persons having origins in any of the original peoples of North America and South America (including Central America), and who maintain tribal affiliation or community attachment.
• Two or More Races - Non-Hispanic persons who identify with more than one of the following races: (1) White, (2) Black, (3) Asian, (4) Native Hawaiian/Other Pacific Islander, (5) American Indian/Alaska Native.

This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002,38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:

Protected veterans may have additional rights under USERRAthe Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by making the appropriate selection below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. You can select all that apply by holding CTRL and clicking the appropriate selections. Any information provided is voluntary and will not be not be used in any fashion that is inconsistent with this act.