AFH Employment Application

  • Employment Application 

  • Personal Information


  •
  • Format: (000) 000-0000.
  • Date of Bith*
     / /
  • Are you a US citizen?*
  • If you are not a US citizen, do you have a valid VISA to work in the US?
  • Have you ever been denied a security clearance of had a bond cancelled?*
  • Do you have a criminal record or have any pending charges against you?*
  • Have you ever been accussed of convicted of abuse or neglect of a child or adult?*

  • Education

  • Employment History

    • Employer #1 
    • Employer #2 
    • Employer #3 
    • Termination History 
    • Have you ever been dismissed or terminated from any position?*
  • Will you be willing to work overtime as needed?*
  • Are you available to work Holidays?*
  • Are you available to work weekends?*
  • Do you have any scheduling limitations?*
  • Have you had CPR training within the past two years?*
  • Have you had First Aide Training within the past three years?*
  • The Department of Human Services requires all staff participate in annual training, are you willing to participate in continuing eduation and training?*
  • Do you have a valid, unrestricted drivers licencse?*
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  • Background Check Authorization

    Our company advises you that as your employment application is being processed an investigative report may be ordered; including information as to your character, general reputation, and personal characteristics. Upon your written request within a reasonable time from the date of this application, additional information as to the nature and scope of the report will be provided. The purpose is, among other things, to verify the completeness and accuracy of the employment application.

    A Friend's House all prospective employees to undergo a comprehensive background investigation after an offer of employment has been made. This investigation is repeated annually. This may include, but is not limited to, driver’s license and record, certification and/or professional licensure, education, employment, and criminal checks. Should the background check disclose any misrepresentation on the application form or information indicating that employee is not suited for hire or continued employment, the applicant will not be hired, or if already employed, may be terminated. 

  • I hereby authorize A Friend's House to obtain a copy of my driving history, criminal background check, and work history.*

  • ADA Notice

    Under the Americans with Disabilities Act of 1991, we are required tp reasonably accommodate individuals with a disability. 

    The reasonable accommodation requirement applies to the application process, any pre-employment testing, interviews and actual employment, but only if the program supervisor is made aware that an accommodation is required.  If you are disabled and require accommodation, you may request it at any time during the interview process.  You are obligated to inform the program director of your needs if it will impact your ability to perform the job for which you are applying.  We are an Equal Opportunity Employer.

  • Having read the job description for the posiiton in which you are applying, are you able to adequately perform the duties as decribed?*

  • Confirmation Statement

    The information that I have provided on this application is accurate to the best of my knowledge and subject to validation by the company. I understand and agree that any misrepresentation or omission of a fact in my application may be justification for refusal of employment or if employed, termination from the company.

     

  • Date
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