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  • Application for Employment

    Chamberlin House, Inc. (CHI) is an Equal Opportunity Employer and Drug-Free Workplace.
  • We consider applicants for all positions without regard to sex, race, color, age, disability, religion, national origin, veteran, current or future military status, marital status, actual or perceived sexual orientation, gender identify, workers' compensation claims, or any other status protected by local, state or federal law.
    The application must be fully completed to be considered. Please complete each section even if you attach a resume.

    CHI participates in E-Verify
  • Personal Information



  • Position

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  • Employment History

  • Please state your previous employers from most recent to least recent.
  • Education

  • References

  • Please give the names of 3 people (other than family) whom you have known for at least 1 year.
  • First Reference
  • Second Reference
  • Third Reference
  • Applicant Statement

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  • I certify that answers given are true and complete to the best of my knowledge.

    I authorize investigation of all statements contained in this application for employment as may be necessary n arriving at an employment decision.

    This application for employment shall be considerted active for a period of time not to exceed 60 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

    I hereby acknowledge that any employment relationship with Chamberlin House, Inc. is an "at will" nature, which means that the Employee may resign at any time and the Employer may discharege Employee at any time with or with cause. It is further understood this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the Company.

    In th event of employment, I understand that false or misleading informatin given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regualtions of the Employer.

     

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