Employment Application

Please complete all blanks on this application providing only information requested. Applicants who need an accommodation to complete the application, can contact the Department of Human Resources. A resume may not be substituted for the Education and Employment sections. Abilities First is an equal opportunity employer and will not discriminate or tolerate discrimination against any employee or applicant in any manner prohibited by law.

Personal Information

Education

Employment Record

Additional Information

Professional References

(Do not include relatives)

Applicant's Statement

I understand that the employer follows an “employment at will” policy, in that I or the employer may terminate my
employment at any time, or for any reason consistent with applicable state or federal law; this “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the Executive Director of this organization. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment. I understand that any offer of employment is contingent upon a satisfactory background check and medical evaluation including a drug test. I understand this application will be active for a period of 6 months; after that time, if I wish to be considered for employment, I must submit a new application. I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me; and I release them from all liability for damage in providing this information. I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

Thank You

Thank you for taking the time to fill out our application for employment. Your application has been forwarded to our HR department and one of our representatives will reply shortly.