Simple Job Application Form

Path2Redemption Training & Consulting

Application for Employment
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
SSN#*
Drivers License#*
Have you been convicted of a felony?*
If you answered yes to the above question, we ask that you please explain the charges as this MAY or MAY NOT qualify for further consideration:
Have you ever been investigated for abuse/neglect of a child?*
If you answered yes to the above question, we ask that you please explain the charges as this MAY or MAY NOT qualify for further consideration:
How did you hear about us*
Please click calendar icon to choose the month and day you are available to start*

MonthDayYear
When are you available?*

Full-time (35 hours/week)Part-time (25 hours/week)As Needed (20 hours (or less)/weekOther
If you are applying for fulltime, what shift are you available?

9am-6pm11am-7pm
If you are applying for parttime, what shift are you available?

11am-3pm2pm-6pm
Select your preferred days for scheduling (check all that apply):*

Sunday (6 hour shift)Saturday (6 hour shift)MondayTuesdayWednesdayThursdayFriday
Are you willing to travel to other facilities?*

YesNoMaybe (depending on distance)
Do you have experience working with the youth?*
If you have experience, how many years?
List the experience you have working with the youth?
What other skills do you have?

TypingSchedulingOrganizingOther
Please list your hobbies or areas of interest:
Cover Letter (if applicable)

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Upload Your Resume (if available)

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By signing this application, you are verifying that all of your responses are true and correct and that any false statements or omission of facts may be cause for denial.

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Path2Redemption Training & Consulting