Oak House Employment Application

Oak House Employment Application

Page 1: Applicant Information — Please complete all required fields to begin your application.
Full Legal Name

First NameMiddle NameLast Name
Preferred Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
ZIP Code
County
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email (optional)
example@example.com
Preferred Contact Method
Position Applying For
Desired Employment Type
Selecting a preference does not guarantee placement in that employment category.
Earliest Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How did you hear about Oak House?
Completion of this application does not guarantee employment. Qualified applicants selected to continue in the hiring process may be asked to provide additional information, documentation, and participate in interviews, background checks, reference checks, and other pre-employment requirements.

Employment History
Are you currently employed?
Current or Most Recent Employer
Current or Most Recent Employer Name
Job Title
Supervisor Name
Employer Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employment Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employment End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Average Hours Per Week
Starting Pay
I currently work here
Ending/Current Pay
Primary Job Responsibilities
Reason for Leaving (or reason for seeking new employment)
Reason (optional)
May we contact this employer?
Employment Gaps
If applicable, please explain any significant gaps in employment.
Employment history will be reviewed as part of the hiring process. A lack of previous employment does not automatically disqualify an applicant.
Would you like to provide information for a previous employer?
- What accomplishment or experience from your previous employment are you most proud of?
- Program or Training Name
- Organization or Provider
- Completion Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Brief Description
- License or Certification Name
- Issuing Organization
- License or Certification Number
- Expiration Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate

Education, Training & Certifications
Highest Level of Education Completed
School or Institution Name
City and State
Area of Study / Degree / Program
Graduation or Completion Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Have you completed any additional education, workforce training, professional development, or specialized programs relevant to the position?
Program or Training Name
Organization or Provider
Completion Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Brief Description
Do you currently hold any professional licenses or certifications?
Licenses and Certifications
Applicants selected to continue in the hiring process may be asked to provide copies or verification of education, licenses, certifications, and training.

Professional References
Please provide at least two professional references who can speak to your reliability, work ethic, character, or relevant experience. A third reference is encouraged but optional. Do not list relatives unless they directly supervised your work.
Reference 1 Full Name

First NameLast Name
Relationship to Applicant
Example: Supervisor, Manager, Coworker, Volunteer Coordinator, Instructor
Organization or Employer
Job Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
May Oak House contact this reference?
How long have you known this person?
Reference 2 Full Name

First NameLast Name
Relationship to Applicant
Organization or Employer
Job Title
- Reference 3 Full Name
  
  First NameLast Name
- Relationship to Applicant
  Example: Supervisor, Manager, Coworker, Volunteer Coordinator, Instructor
- Organization or Employer
- Job Title
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
  example@example.com
- How long have you known this person?
- May Oak House contact this reference?
- Oak House may contact references during the hiring process. References will not be contacted without your permission if you selected “Only after an interview.”

Final Comments (Optional)
Is there anything else you would like us to know about you or your application? (Optional)
Thank you for your interest in joining Oak House. Your application has been received and will be reviewed by our hiring team. If your qualifications match our current needs, you may be contacted for an interview and asked to complete additional employment documentation as part of the hiring process.
Should be Empty:

Education, Training & Certifications