| Forms to use | |
Employment Application |
| Name |
| OK | | What is your name? Have you ever used another name?
Is any additional information relative to a change of name, use of an assumed name
or nickname necessary to enable a check on your work and education record? If yes, please explain. |
| | No | | What is your maiden name? |
|
| Residence |
| OK | | What is your place of residence? |
| | No | | Do you own or rent your home? |
|
|
| Age |
| OK | | If hired, can you provide proof of age? Are you over
eighteen years of age? If under eighteen, can you, after employment, submit a work permit?
|
| | No | | What is your age, birthdate, when did you attend elementary
or high school or any other questions which tend to identify applicants over age 40.
|
|
| Citizenship |
| OK | | Can you, after employment, submit verification
of your legal right to work in the U.S.? Job offers may be made contingent on such proof, after a decision is made to hire the candidate.
|
| | No | | Where were you, your parents
or other relative born? Are you a U.S. citizen? You cannot require to see naturalization papers or an alien card prior to a decision to hire. |
|
| National Origin |
| OK | | If use of a language other than English
is relevant to the job for which the applicant is applying, you may ask the languages
the applicant speaks or writes. |
| | No | | Questions on nationality,
lineage, ancestry, national origin, descent, parentage of applicant or relatives, mother tongue,
language commonly used by applicant, how the applicant acquired the ability to read, write or speak a foreign language.
|
|
| Sex, marital status, family |
| OK | | If the applicant is a minor, you may ask the name and
address of a parent or guardian. If the company has a policy regarding work assignments of
employees who are related, you may advise the applicant.
|
| | No | | Questions which indicate the applicant's sex, marital status,
number or ages of children, provisions for child care, information on pregnancy,
child bearing or birth control, who the applicant lives with, or the name or
address of relatives, spouses or children of adult applicants. |
|
| Race, color, sexual orientation |
| OK | | None |
| | No | | Questions on race, color, complexion, color of skin, eyes or hair. Questions about applicant's sexual orientation. |
|
| Credit report |
| OK | | Credit report inquiries which do not provide information which would otherwise be illegal to ask. |
| | No | | Credit reports with information that is normally illegal to ask. |
|
| Physical appearance |
| OK | | You can advise the applicant that a photograph may be required after employment. |
| | No | | Questions on applicant's height or weight, requests to submit
photos before employment. |
|
| Mental/physical condition, handicap |
| OK | | You can make a job offer contingent on the
applicant passing a job-related physical or mental examination, provided that it is job related and all applicants for the same job classification are subject to the same examination and inquiry. You can ask about physical
conditions or handicaps which may limit their ability to perform the job applied for,
but must also ask what can be done to accommodate the limitation.
|
| | No | | Questions regarding applicant's
general medical condition, state of health, illnesses, receipt of workers
compensation or whether applicant has any physical disabilities or handicaps.
|
|
| Religion |
| OK | | The employer can state the business'
regular days, hours or shifts to be worked. |
| | No | |
Questions regarding applicant's religion or religious days observed. |
|
| Criminal record |
| OK | | If the employer clearly states that the
answer will not necessarily disqualify an applicant from employment, the employer may
ask the applicant: have you ever been convicted of felony?
|
| | No | | Questions about arrest record. |
|
| Bonding |
| OK | | You can advise the applicant that bonding is a condition of hire. |
| | No | |
Questions about bonding refusal or cancellation. |
|
| Military service |
| OK | | You can ask about the relevant skills
acquired during the applicant's US military service.
|
| | No | | Questions about date of military
service, type of discharge or any foreign (non-US) military service. |
|
| Organizations, activities |
| OK | | You can ask applicants to list job-related organizations,
clubs, professional societies, or other associatons to which they belong, omitting,
if they wish, any that indicate their race, religious creed color, national origin,
ancestry, sex or age.
|
| | No | | List all organizations, clubs, societies and lodges to which you belong.
|
|
| References |
| OK | | You can ask who referred the applicant for a
position and the names of persons willing to provide professional and/or character references for the applicant. |
| | No | | Questions of applicant's former employers or acquaintances
which elicit information about the applicant's race, color, religious creed,
national origin, ancestry, physical handicap, medical condition, marital status, age or sex.
|
|
| Emergency notification |
| OK | | The name and address of a person to be notified in
case of accident or emergency. |
| | No | | The name, address and relationship of a relative to be notified in case of accident
or emergency.
|
|
| Questions? |
| Call the Department of Fair Employment
and Housing
at (800) 884-1684 or visit http://www.dfeh.ca.gov/
|
