Child Advocacy Center : Who We Are : Employment Opportunities

We're hiring! Please see the job description below for details.

Employment Application

Today's Date

First Name

Last Name

Middle Initial

Social Security Number

Other names by which you have been known

Current Street Address

City

State

Zip Code

Home Phone

Cell Phone

E-mail Address

Additional Details

Salary Desired

Type of Work Desired

Full Time
Part Time

When will you be available to start work?

Immediately
One Week
Two Weeks
One Month

Are you legally able to work in the United States?

Are you a Veteran?

Have you ever been fired from a job?

Work Experience

Most Recent Position

Company

Location

Dates Employed

Starting Salary

Ending Salary

Reason for Leaving

Responsibilities

Supervisor

Telephone

Previous Position

Company

Location

Dates Employed

Starting Salary

Ending Salary

Reason for Leaving

Responsibilities

Supervisor

Telephone

Previous Position

Company

Location

Dates Employed

Starting Salary

Ending Salary

Reason for Leaving

Responsibilities

Supervisor

Telephone

Education and Training

High School

Name and Location

Years Attended

Degree or Diploma

College

Name and Location

Years Attended

Degree

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College

Name and Location

Years Attended

Degree

Trade, Vocational, Business School

Name and Location

Years Attended

Degree

Please describe any other education and training relevant to the position:

Computer Skills

Language Skills

Are you fluent in any language other than English?

If yes, please list language(s):

Gallup Strength Finder

If you have completed the Gallup Strength Finder in the last two years, please list your top five signature themes:

Professional References

In addition to your supervisors listed previously, please supply three additional professional references (not related to you) who can supply first-hand information on your work skills and performance within the past four years.

Name

Daytime Phone

Relationship

Years Known

Name

Daytime Phone

Relationship

Years Known

Name

Daytime Phone

Relationship

Years Known

Please Read Before Signing

I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorable. I understand that Falsification could result in termination of my employment. I authorize the Child Advocacy Center to make such investigation and inquiries of my personnel, employment and educational history as may be necessary in arriving at an employment decision. In addition to the references provided above, I understand my current supervisor will also be contacted. I further understand that if I am a top applicant for the position, a criminal history background check, including the Central Registry of Abuse and Neglect, will be conducted. Verification of academic credentials may also be requested.

Signature

Date