Employment Application Form

Application for Employment:

We are an equal opporutnity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local and/or federal law.Equal access to employment services and programs are available to all persons. Those applicants requiring reasonable accomodation to the application and/or interview process should notify a representative of the organization.









Personal Information


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Position Objective





Full-TimeOn-CallPart-TimeTemporary


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AdvertisementWalk-inEmployeeOther



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Education

Not a High School GraduateCompleted G.E.DHigh School GraduateUniversity and/or College Graduate

























Skills and Training

Summarize any job-related training skills, licenses, certificates and/or other qualifications.



Employment History

Please provide information for the past employers, starting with the most/current.








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References

List three people, not related to you, whom you have known for at least one (1) year.












Authorization

Please read the following carefull before signing.

I hereby authorize Sanctuary, Incorporated to contact, obtain and verify accuracy of information contained in this application from all previous employers, educational institutions and references. I also hereby release from liability Sanctuary, Incorporated and its representatives for seeking, gathering and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitued an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at anytime so long as there is no violation of applicable federal or state law.

I understand that it is the policy of his organization not to refuse or hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accomodation as required by the Americans with Disabilities Act.