General Info

The online application is below. However, if you prefer to have us email you a copy to fill out at home, please contact us at 530-622-9882 and we gladly will make arrangements to send you one.

This form auto-saves until you submit it. You can fill out some now and return later to complete the rest. Simply open up the page again and your previous answers will be there. You MUST use the same computer each time you work on the form.




















Male Female 


No Yes 



Current Marital Status





Children's Names




Yes No 




Yes No 




Yes No 


Emergency Contact







Employment History




















Education

Select Highest Completed









Yes No 


Personal


Yes No 



Yes No 



Have you or your family had personal/professional experience with:

Yes No 


Yes No 


Yes No 


Yes No 


Yes No 


Yes No 


Yes No 


Yes No 



Yes No 



Please answer the following questions and give details if answer is yes:

Yes No 


Yes No 


Yes No 



Please respond to the following:




Yes No 




References

Please provide COMPLETE contact information for three non-family references that have known you for at least one year.




































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Background Check