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Employment Application
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We receive applications and employ persons without regard to race, color, sex, religion, age, national origin, physical or mental disability, veterans status, marital status, citizenship status, genetic information or any other category protected by local, state or federal statute. In addition, we make reasonable accommodation to the needs of disabled applicants and employees, so long as this does not create an undue hardship or affect the safety and health of others art work. We appreciate your interest in Friends of Children & Families.
General Info
First
*
Middle
*
Last
*
Street Address
*
Address 2
City
*
State
*
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
How Long have you lived at this residence?
Phone
*
Email
*
Are you 18 years of age or older?
*
Yes
No
Position Applying For
*
Desired Compensation
*
Days/Hours Available To Work
*
Sun
Mon
Tue
Wed
Thu
Fri
Sat
How many hours can you work weekly?
Can you work nights?
Yes
No
Employment Desired
Full Time Only
Part-Time Only
Either
Date Of Availability
*
How did you hear about this position?
Education
High School
Name of School
Location City/State
Number of Years Completed
Major & Degree
College
Name of School
Location City/State
Number of Years Completed
Major & Degree
Bus. or Trade School
Name of School
Location City/State
Number of Years Completed
Major & Degree
Professional School
Name of School
Location City/State
Number of Years Completed
Major & Degree
Transportation
Do you have a driver’s license?
*
Yes
No
State of Issue
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Type of License
Operator
Commercial (CDL)
Chauffeur
Expiration Date
Do you have reliable transportation to work?
Yes
No
Have you had any accidents during the past three years?
Yes
No
Have you had any moving violations during the past three years?
Yes
No
References
Please list two references other than relatives or previous employers
Reference #1
First Name
Last Name
Position
Company
Street Address
Phone
Address 2
City
State
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Reference #2
First Name
Last Name
Position
Company
Street Address
Phone
Address 2
City
State
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Past Convictions
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain
Work Experience
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.
Employer #1
Name of Employer
Phone
Street Address
Address 2
City
State
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Name of last supervisor:
First
Last
Your Last Job Title
Employment Dates:
From
To
Pay or Salary:
Start
Final
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Employer #2
Name of Employer
Phone
Street Address
Address 2
City
State
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Name of last supervisor:
First
Last
Your Last Job Title
Employment Dates:
From
To
Pay or Salary:
Start
Final
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Employer #3
Name of Employer
Phone
Street Address
Address 2
City
State
– Select Province/State –
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
====================
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Name of last supervisor:
First
Last
Your Last Job Title
Employment Dates:
From
To
Pay or Salary:
Start
Final
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Have more work experience to list? Attach your resume.
Accepted file types: doc, pdf. Please attach in Word or PDF format
May we contact your present employer?
Yes
No
Additional Skills
In your own words, please state why you want this position, what you hope to achieve, and qualifications you have to succeed.
Where did you hear about this position?
– Select a source –
Website
Newspaper
Friend
Other
Where specifically did you hear about this position? Which website/newspaper/friend?
Agreement (please read carefully before submitting)
By clicking the submit button below, I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with FRIENDS OF CHILDREN AND FAMILIES creates an actual or implied contract of employment. I understand that, if I accept employment with FRIENDS OF CHILDREN AND FAMILIES, it will be on an at-will basis. This means that either FRIENDS OF CHILDREN AND FAMILIES or I have the right to terminate the employment relationship at any time, with or without notice and with or without cause. I agree to submit to drug testing and release FRIENDS OF CHILDREN AND FAMILIES, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize FRIENDS OF CHILDREN AND FAMILIES to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Friends of Children and Families and its employees from all liability arising from such investigation. FRIENDS OF CHILDREN AND FAMILIES is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with FRIENDS OF CHILDREN AND FAMILIES depends solely on your qualifications.