New Employee Background Information | Pacific Crest Youth Arts Organization

This form is for applicants who have been offered a position of employment with Pacific Crest Youth Arts Organization.

Before completing this form, please review our Employee Handbook, which can be found at pacific-crest.org/policies. Scroll down to the Staff section to find the document.

Name*
First Last
Position at Pacific Crest*

Example: Trumpet Instructor
Date of Birth*
MM slash DD slash YYYY
Gender
- Male
- Female
- Other
Ethnic Category
Based on the US Census Federal Designated Race and Ethnicity categories
Address*
Street Address City State ZIP Code
Email*
Enter Email Confirm Email
Phone*
Please answer the following questions
Have you ever been convicted of a crime other than a minor traffic violation? (Conviction will not automatically bar your working for Pacific Crest. Each case is considered on it own merits)*
- No
- Yes
Please Explain
Have you ever been dismissed for cause from an instructional position?*
- No
- Yes
Please Explain
Confirmation and Signature
I have read the Pacific Crest Youth Arts Organization Employee Handbook, and agree to abide by the policies and procedures within it.*
As a reminder, you can find the handbook at pacific-crest.org/policies. Scroll down to the Staff section.
- Yes
Enter the version of the Handbook (month and year at the bottom of the cover)*
I confirm that the above information is accurate to the best of my knowledge.*
- Yes
Enter Full Name as Signature*
Signature Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Please answer the following questions

Confirmation and Signature