Comprehensive Blood & Cancer Center, Bakersfield Cancer Center, Cyberknife

10/18/2011
California Division Philanthropy Award comes to Bakersfield Physician Couple...
03/21/2011
Medical Breakthrough: Clinical trial for cancer...
10/01/2010
Spiritual and nontraditional medicine gaining ground...

CBCC has placed more patients in clinical trials than Memorial Sloan-Kettering.

--- Jamie Hobbs - UCLA

Equal access to programs,services and employment is available to all persons.Those applicants requiring accomodation to the application and /or interview process should notify a representative of the Human resources Department.

Name :

Last Name

First Name

Middle

Address :

City :

State :

Zip Code :

Telephone :

Mobile / Other Phone :

Email Address :

Position applying for :

Date of Application :

Referral Source : ( Please check the appropriate category and name the source )

Walk in			School

Employee			Job Fair

Advertisement			Staffing Agency

Company's Website			Government Employment Agency

Other Internet			Other

If necessary ,best time to call at home is AM PM

May I contact you at work ? Yes No

If Yes ,Work number and best time to call :

If you are under 18:

Can you furnish a work permit ? Yes No

If No, please explain ,

Have you submitted an application here before ? Yes No

If Yes,give date(s) and position(s)

Have you ever been employed here before? Yes No

If Yes, gives dates From To

Are you legally eligible for employment in this country ? Yes No

Date available for work

What is your desired salary rate of pay? $ Per

Type of employment desired :


Full Time Part Time Educational Co-Op Seasonal Temporary

Will you relocate if job requires it ? Yes No

Will you travel if job requires it ? Yes No

If they have been explained to you,are you able to meet the attendance requirements of the position? N/AYesNO

Will you work overtime if required? Yes No

If No. please explain

Are you able to perform the essential functions of the job for which you are applying (with or without resonable accomodation) ?

The question is not designed to elicit information about an applicant's disability.Please do not provide iinformation about the existence of a disability,perticular accomodation,or whether accomodation is necessary.These issues may be addressed at a later stage to the extent permitted by law.

Yes
No
Need more information about the job's "essential functions" to respond

Driver's license number required if driving may be required in the job for which you are applying:

State

Have you ever been bounded? Yes No

Answering "yes" to the following question does not constitue an automatic bar to the employment.Factors such as date of offense,seriousness,and nature of the violation ,rehabilitation and position applied for will be taken into account.

Have you ever pled "guilty" or "no contest" to, or been convicted of a crime ? Yes No

If Yes please provide date(s) and details