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 (*).
Personal Information
Job Title:
First Name: *
Middle Initial:
Last Name: *
Zip Code:
Phone 1     * (10 digits, numbers only)
Phone 2     (optional, 10 digits, numbers only)

Can we contact you about Temporary employment opportunities?
TAP: I am available and interested in temporary work through the Temporary Assignment Program (TAP).
Yes No

Current County Employee? Yes No
If Yes, What Department:

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)
Note: Management reserves the right to transfer employees.

How did you learn about this opening?*

Referral ID:


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