Rancho Cucamonga Chamber of Commerce
Application for Employment
Position: Membership Services Coordinator
Introduction and instructions:
Thank you for your interest in the position of Membership Services Coordinator of the Rancho Cucamonga Chamber of Commerce.
To be considered for employment, please submit the following documents: 1) this completed application, 2) a cover letter from you, and 3) your resume.
We require all sections of the application to be fully completed. Do not reference your resume when completing this document. And, please print clearly.
All documents must be submitted electronically to by March 23, 2016.
The Rancho Cucamonga Chamber of Commerce is committed to providing equal employment opportunities to all employees and applicants. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
Personal Information (How we can contact you):
Name (Last, first, initial): / Phone: ( )Street Address: / City, State and ZIP code:
Email address:
Education (Your education history):
School / Name of School / City and State / No of years completed / Diploma / DegreeHigh School
Undergraduate
Graduate
Other
Work History (Your work experience):
From To / Name and Address of Employer / Position / Supervisor’s Name
and Title / Reason for
Leaving
Describe the work you did:
______
______
______
DatesFrom To / Name and Address of Employer / Position / Supervisor’s Name
and Title / Reason for
Leaving
Describe the work you did:
______
______
______
DatesFrom To / Name and Address of Employer / Position / Supervisor’s Name
and Title / Reason for
Leaving
Describe the work you did:
May we contact the employers listed above? Yes No
If not, indicate which one(s) you do not wish us to contact.
Has your employment ever been involuntarily terminated? _____ Yes _____ No
If yes, please explain:
Have you ever been convicted of a criminal offense within the past 10 years? (do not include minor traffic violations) _____Yes _____ No
If yes, explain each conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Chamber Skills (What skill sets can you bring to the Chamber?):
Please describe any skills you possess that you believe would be beneficial to the Chamber if you were selected as Membership Services Coordinator:
References (Three non-relatives we can contact to learn more about you):
Name / Phone number / Best Time to Call / Relationship to you1.
2.
3.
Certification (Your agreement, understanding, and certification of the facts in your application):
In exchange for the consideration of my job application by Rancho Cucamonga Chamber of Commerce,
I agree that:
I have read and understand the job description and requirements for the position of Membership Services Coordinator of the Rancho Cucamonga Chamber of Commerce.
If I become employed by the Chamber, my employment will be “at-will.” This means that either myself or the Chamber Executive Director may terminate my employment with or without cause and with or without notice. Any employment I may be offered will be at-will regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, or other Chamber practices. The at-will nature of any employment I may be offered cannot be altered except by a written instrument signed by the Executive Director of the Chamber. If employed, I understand that the Executive Director may unilaterally change or revise the benefits, policies and procedures and such changes may include reduction in benefits.
Further, I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for rejection of my application or dismissal from employment at any time without any previous notice. I hereby give the Executive Director permission to review public records regarding my personal and professional background, and to contact schools, previous employers, references, and others, and hereby release the Chamber from any liability as a result of such contacts. I agree immediately to notify the Executive Director if I should be convicted of a crime while my job application is pending, or during my period of employment, if hired.
I further understand that, if selected as a finalist, I may be required to take and pass a drug and alcohol test prior to appointment to this position.
Signature ______
Date ______
Please electronically submit this application along with a cover letter from you, and your resume.
Thank you for your interest in the Rancho Cucamonga Chamber of Commerce
Rancho Cucamonga Chamber of Commerce
9047 Arrow Route, Suite 180
Rancho Cucamonga, CA 91730
909-987-1012
© 2016 – Rancho Cucamonga Chamber of Commerce Page 4 of 4