Name:
Present Address:
Previous Address:
High School/GED:
College:
Graduate:
Business, Trade, or Other Training:
Professional Licensure and Certification (Please list with expiration dates) e.g. CPR, first aid, early education, etc.
List below the names, address, phone number, and years acquainted of three people not related to you, whom you have known at least one year:
I hereby certify that all of the facts and information listed on this employment application are true and complete. I understand that any false, incomplete or misleading information given by me on this application is sufficient cause for rejection of this application. I also understand and agree that any such false, incomplete, or misleading information discovered on this application or provided at any point in the hiring process, which is discovered at any time after I am employed, will result in my immediate dismissal. I hereby authorize Friends of Children and Families to investigate all statements/information contained in this application and provided during the hiring process and to interview any and all references and previous employers, to investigate my educational background and to obtain a report from a consumer reporting agency to be used for employment purposes in accordance with the Fair Credit Reporting Act. I authorize any and all references and previous employers to give Friends of Children and Families all facts, opinions and evaluations concerning my previous employment and any other information they may have, personal or otherwise, and release all such parties from any liability which may possibly arise from furnishing such information to Friends of Children and Families, including, but not limited to, any liability for defamation or invasion of privacy. If I am offered employment, I understand that such an offer will be conditioned upon satisfactory results of a background investigation. If then employed, I understand that I will be required to serve a ninety day (90 day) Probationary Period. I further understand that my employment and compensation can be terminated, with or without cause or notice, at any time, regardless of the successful completion of my Probationary Period, at the option of either Friends of Children and Families or myself. I understand that no supervisor or other representative of Friends of Children and Families (other than the President/CEO in writing) has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. I further understand and voluntarily agree as a condition of employment or my continued employment, that I may be requested by Friends of Children and Families to submit to a urinalysis or other drug screen test and that my failure to take such test(s) when requested to do so or my receiving unsatisfactory test results will disqualify me from consideration for employment, or if I am then employed, will result in my immediate dismissal. I certify that I have read, understand and agree with the above.
