Employment

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General Information:
  1. (valid email required)
  2. How do you prefer to be contacted? (Check all the apply)



Position Information:
  1. Type of employment desired




Miscellaneous Information:
  1. Are you legally eligible for employment in this country?
    (Proof of U.S. Citizenship or Immigration status will be required upon employment.)
  2. A criminal records background check is required prior to final approval of any offer.
  3. Have you ever been convicted of a felony?
  4. Do you possess a valid Pennsylvania Driver's License?
  5. Do you have a vehicle available for your use on a daily basis?
Employment History:
  1. List your prior employers, assignments or volunteer activities starting with the most recent, including military experience. Explain any gaps in the comment section below.
  2. Please list: (Employer, Address, Phone, Start Date, End Date, Title, Pay Rate, Supervisor Name, Reason for Leaving, May we Contact for a reference, Job Responsibilities)
References
  1. List 3 business/work references that are not related to you and are not listed as your supervisor above. Include Name, Phone Number, Relationship, Years Known
Skills and Qualifications
Resume Upload
Additional Comments
Certification of Facts
  1. I certify that answers given herein are true and complete.

    I authorize the investigation of all statement contained in this application for employment as maybe necessary in arriving at an employment decision.

    I authorize a background check to be performed as may be necessary in arriving at an employment decision.

    This application for employment shall be considered active for a period of time not to exceed 6 months. Any applicant wishing to be considered for employment beyond this time should inquire and re-submit an application.

    I here by understand and acknowledge that, unless otherwise defined by applicable law, and employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in wiring by an authorized executive of this organization.

    In the event of employment, I understand that false or misleading information give in my application or interview may result in discharge. I understand, that I am required to abide by all rules and regulations of the employer.
  2. (required)