Employment Application | helpinghands

Helping Hands Employment Application

First name

Last name

Date available to start

Are you over the age of 18? Required

Yes

Phone

We are open 5am-6pm. What hours are you available to work?

What is your expected pay?

Please tell us about yourself and any education or experience you have working with children.

Previous Employer

Beginning Date

Ending Date

Employer Phone Number

Position

Beginning Pay

Ending Pay

Please explain your duties and responsibilities

Reason for leaving

Previous Employer

Beginning Date

Ending Date

Employer Phone Number

Position

Beginning Pay

Ending Pay

Please explain your duties and responsibilities

Reason for leaving

Post-Secondary Education

Location

Degree or Field of study

Dates Attended/Graduated

Professional Reference

Employer

Position

Phone Number

If yes, please provide date, incident, city/state of charge

If no, please explain

By checking this box, I hereby certify that the above information, to the best of my knowledge, is true, accurate and complete: Any misrepresentation or willful omissions of fact shall be sufficient cause for disqualification of this application or termination of employment. I authorize verification of any of this information. I authorize all current and former employers to release any information concerning my background. I understand that this application is not a contract of employment and that if hired, regardless of any oral representation to the contrary, the employment relationship is terminable-at-will. I understand that if offered a position of employment, it is contingent upon the results of background checks. A pre-employment physical and TB test is required at the employees expense and must be completed before the first day of employment. I understand that random drug tests are given throughout the length of my employment in which I must pass in order to maintain my position with Helping Hands.

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