Resume Form

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:	*
Address:

City:
State:
Zip Code:
Phone 1	* (10 digits, numbers only)
Phone 2	(optional, 10 digits, numbers only)
E-mail:

Interested in the Temporary Assignment Program (TAP)? TAP: I am available and interested in temporary work through the Temporary Assignment Program (TAP).		Yes No
Have you previously been employed with the County of Riverside?		Yes No*
Are you retired under the California Public Employees Retirement System?		Yes No*
Have you ever been a member of the California Public Employees Retirement System?		Yes No*
Due to the requirements of some positions for which you are applying and/or probable assignment to a designated security risk area, you are asked to answer the following question. A felony or misdemeanor conviction may disqualify the applicant from County employment.
Have you ever been convicted of a felony or misdemeanor?		Yes No*
If Yes, please explain:


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) Blythe Note: Management reserves the right to transfer employees.

How did you learn about this opening?	Referral ID: Source

Enter a brief cover letter that the hiring managers will be reading on your online resume:
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Cut and paste your resume into this space:
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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).