• Application for Employment

    Missouri Protection and Advocacy Services (Mo P&A)
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  • Approximate rate of pay expected:  $*  per   *   

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  • When were you last employed by Mo P&A?
    Start Date:   Pick a Date   
    End Date:   Pick a Date   

  • Contact Information

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  • Criminal Background

    Mo P&A conducts Missouri Background Checks, National Background Checks, and Caregiver Background Screenings.

  • Employment Experience

    Please provide an accurate, complete full-time and part-time employment record. Start with your current or most recent employment. Include military service assignments and volunteer activities.
    • 1. Add Current or Most Recent Employment 

    • Dates Employed: From Pick a Date   to Pick a Date   

    • 2. Add Previous Employment Experience 

    • Dates Employed: From Pick a Date   to Pick a Date   

    • 3. Add Previous Employment Experience 

    • Dates Employed: From   to   

    • 4. Add Previous Employment Experience 

    • Dates Employed: From Pick a Date   to Pick a Date   

    • Additional Employment Experience

  • Other Experience, Skills, and Qualifications

  • Education History

    If any fields are not applicable (i.e. if you did not attend college or university), please leave those fields blank.
    • Add Elementary School 
    • Add Junior High/Middle School 
    • Add High School 
    • Add College/University 
    • 0/255
    • Add Graduate/Professional School 
    • 0/255

  • References

    Individuals may not be previous employers or related to you.

  • Upload Documents

    Please upload the required documents below. Only documents in PDF or Word format are accepted. If you are unable to upload these documents to this form, we may ask you to provide them later in the application process.
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  • Equal Opportunity Employer

    Applicants are considered for all positions without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, veteran status, sexual orientation, or gender identity or expression.

    We value diversity of culutre, disabilities, and other life experiences, and are an equal oppotunity employer by choice.

    Statement of Truth and Investigation Authorization

    I certify that the facts contained in this application are true, accurate, and complete to the best of my knowledge. I understand that, if employed, falsified statements or omission of fact on this application or any other pre-employment documents shall result in termination when discovered.

    I authorize Mo P&A to obtain an investigative consumer report and/or a report from any law enforcement agency which may include both general and personal information about me.

    I authorize investigation of all statements contained herein, and authorize the references and employers (including supervisors and coworkers) that I have listed on this application to give Mo P&A any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to Mo P&A.

    At Will Employment Statement

    In consideration of my employment, I agree to conform to the rules and regulations of Mo P&A and agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either Mo P&A or myself, and without notice or liability for wages or salary, except such earned at the date of such termination.

    I understand that no manager, supervisor, or representative of management, other than the Executive Director, has any authority to enter into an agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

    In the event that I am employed, I understand that, regardless of the job and program designation that I am first assigned, I may be required to accept a change of job, or program designation depending on my demonstrated skills after employment and Mo P&A's needs.

    Examination and Testing Consent

    I consent to take any physical or medical examinations, including blood and urine or other tests for alcohol and/or drugs, requested by Mo P&A during my employment, if I am offered and accept a job.

    I understand that such an examination may be needed in order to determine my competence to perform the job or work for which I was hired, or to identify any physical or mental condition bearing on my job performance.

    I understand that refusal to submit to any physical or medical examination ordered by Mo P&A is grounds for disciplinary action up to and including immediate discharge.

    I further understand that any information obtained through such exams may be retained by Mo P&A and is exclusively Mo P&A property. I also understand that the examinations will be performed by medical personnel, clinics, or laboratories qualified to do the necessary work; and costs for such examinations will be borne by Mo P&A.

     

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