Complete this form to submit your application. Your application won’t be admitted until you click the “Done” button at the end of this form.

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Which position are you applying for? (Required.)

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Name

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Address

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Phone

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What is your preferred way of contact? (Required.)

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Are you legally authorized to work in the United States? (Required.)

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Are you willing to relocate for this position? (Required.)

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How did you hear about this position? (Required.)

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If hired, what date can you start work?

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Have you ever applied for work at Valley CAPS?

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Why are you applying for work at Valley CAPS?

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Do you know anyone who works at Valley CAPS?

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Do you have any relatives who work at Valley CAPS?

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Who do you know?

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Are you at least 18 years of age?

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Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Education, Training, and Experience

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High School

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College/University

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Vocational/Business

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Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at Valley CAPS?

Employment History
List all present or past employment starting with your recent employer (last five years is sufficient).

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Past Employment History 1

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Position and Duties

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Reason for leaving?

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Dates of Employment

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Past Employment History 2

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Position and Duties

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Reason for leaving?

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Dates of Employment

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Past Employment History 3

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Position and Duties

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Reason for leaving?

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Dates of Employment

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Upload your resume

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Upload your cover letter (Optional)

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Anything else you would like us to know about you?

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I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

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I hereby authorize Valley CAPS to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment unless specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

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I understand that nothing contained in the application, or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.

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In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

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