Copy of Employment Opportunity Form - E.C.E. Position

Our Process

1. Once we receive your completed application, we will review it and if you make a good fit for a final candidate in the face to face interview.

2. During the face to face interview, you will be asked more detailed questions pertaining to the position you are applying for. Your answers will be recorded on an interview form and further reviewed by the Executive Team.

4. Upon approval from the Executive Team, you will be contacted via phone and email inviting you for a final interview with the Executive Director.

5. By the end of the business day following the final interview, you will receive a phone call offering you the position if you are selected for the position. During this phone call, you will receive further information on the next steps such as orientation, training, and what to bring.

We look forward to meeting you and Good Luck!

Question Title

* 1. Applicant Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Do you have reliable transportation?

Question Title

* 3. Do you have the following clearances and certifications/Able to pass the following clearances and certifications?

Yes

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* 4. Please answer the following questions

	Are you a United States Citizen?	If you are not a United States citizen, are you authorized to work in the United States?	Have you ever been convicted of a felony?	May we contact your previous employer for a reference?	Did you graduate High school or earn a G.E.D.?	Did you serve in the military?
Yes	Yes Are you a United States Citizen?	Yes If you are not a United States citizen, are you authorized to work in the United States?	Yes Have you ever been convicted of a felony?	Yes May we contact your previous employer for a reference?	Yes Did you graduate High school or earn a G.E.D.?	Yes Did you serve in the military?
No	No Are you a United States Citizen?	No If you are not a United States citizen, are you authorized to work in the United States?	No Have you ever been convicted of a felony?	No May we contact your previous employer for a reference?	No Did you graduate High school or earn a G.E.D.?	No Did you serve in the military?

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* 5. High school Education Information

Name of High school

Address

City/Town

State/Province

ZIP/Postal Code

Did you Graduate?

What years did you attend? (example: Aug 90-June 94)

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* 6. Post High school Information

Name of College or Trade School

Address

City/Town

State/Province

ZIP/Postal Code

Did you Graduate?

What years did you attend? (example: Aug 90-June 94)

What degree did you earn?

Question Title

* 7. Previous Employment #1

Job Title

Name of Company

Address

Reason for Leaving?

City/Town

State/Province

Phone Number

Starting Salary

Ending Salary

What dates were you employed?

Question Title

* 8. Previous Employment #2

Job Title

Name of Company

Address

Reason for Leaving?

City/Town

State/Province

Phone Number

Starting Salary

Ending Salary

What dates were you employed?

Question Title

* 9. Previous Employment #3

Job Title

Name of Company

Address

Reason for Leaving?

City/Town

State/Province

Phone Number

Starting Salary

Ending Salary

What dates were you employed?

Question Title

* 10. I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.

If you agree with this statement, please type I agree in the provided space.