Human Resources Department P.O Box 1569 4080 Lemon Street Riverside, CA 92502-1569

Please fill out this form to complete your resume entry. If more room is needed for education, licenses, memberships, etc., please include it in the resume area. When you have finished, select "Submit Resume" at the bottom of the page. Required fields are indicated by (*). Job Title: First Name: * Middle Initial: Last Name: * Address:   City: State: == Select State == Alabama Alaska Arizona Arkansas California Colorado Connecticut Deleware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Zip Code: Phone 1 Home Work Fax Mobile School Pager Message     * Phone 2 Work Home Fax Mobile School Pager Message Alternate     (optional) E-mail: Interested in the Temporary Assignment Program (TAP)? Yes No TAP: I am available and interested in temporary work through the Temporary Assignment Program (TAP). Current County Employee? Yes No If Yes, What Department: == Select Department == Agricultural Commissioner Assessor Auditor Controller Board of Supervisors Clerk of the Board Community Action Community Health Agency Cooperative Extension County Counsel Department of Child Support Services Department of Public Social Services District Attorney EDA-Economic Development Agency Executive Office Facilities Management/Building Svcs Fire First Five, Children & Families Commission Fleet Services Flood Control Human Resources Information Technology LAFCO Mental Health Museum OASIS (Division of Executive Office) Office on Aging Parks Probation Public Defender Purchasing RCRMC - Medical Center Registrar of Voters Sheriff TLMA-Transportation Land Management Treasurer - Tax Collector Veteran's Services Waste Management Do you possess a valid CA Driver's License? Yes No Types of positions you will accept: Regular   Temporary   Seasonal   Types of work you will accept: Full Time   Part Time   Per Diem   Shifts you will accept: Day  Evening  Night  Rotating  Weekends  On Call Special Skills (bilingual ability, etc.): If you possess a college degree, indicate it here:   Major: Professional Memberships: Certificates and Professional Licenses: Check locations you would be willing to work on initial employment: Western County (Riverside, Corona, Perris, Moreno Valley) Southern County (Elsinore, Temecula) Mid-County (Beaumont, Banning, Hemet, Idyllwild) Desert (Palm Springs, Rancho Mirage, Cathedral City, Indio) Blythe Note: Management reserves the right to transfer employees. How did you learn about this opening? County's Website Ad-Other CareerBuilder Careers-4-You Desert Billboard HotJobs.com Job Line Job Fair KMIR6 Monster.com Web Page-Other If indicated Internet or Ad above, please tell us the source: Enter a brief cover letter that the hiring managers will be reading on your online resume: characters left. Cut and paste your resume into this space: * characters left. Tip: Highlight the information that you want to copy and press "Ctrl" and "C" keys simultaneously ("Command" and "C" keys on Mac). Then, select where you want to paste the data in the application form and press "Ctrl" and "V" keys simultaneously ("Command" and "V" keys on Mac).