Job Application

Please complete the form to apply for a position with us.

I. PERSONAL INFORMATION

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Social Security Number (SSN)

Available Start Date

Desired Pay

Select a Rate

HOURLY

SALARY

Position Applying For

Employment Desired

FULL-TIME

PART-TIME

SEASONAL

II. EMPLOYMENT ELIGIBILITY

Are you legally eligible to work in the U.S.?

YES

Have you ever worked for this employer?

YES

Have you ever been convicted of a felony or incarcerated within the past 5 years?

YES

Start Date

End Date

If yes, please explain:

Are you above the age of 18?

YES

(If no, you may be required to provide authorization to work.)

III. EDUCATION

HIGH SCHOOL

City

Region/State/Province

Graduated?

YES

Diploma Type?

COLLEGE

City

Region/State/Province

Graduated?

YES

Diploma Type?

OTHER EDUCATION

City

Region/State/Province

Start Date

End Date

Degree/Certification:

IV. PREVIOUS EMPLOYMENT

(START WITH YOUR CURRENT OR MOST RECENT POSITION)

EMPLOYER #1

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Start Pay

Select a Rate

HOURLY

SALARY

End Pay

Select a Rate

HOURLY

SALARY

Job Title

Start Date

End Date

Responsibilities?

Reason for Leaving?

EMPLOYER #2

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Start Pay

Select a Rate

HOURLY

SALARY

End Pay

Select a Rate

HOURLY

SALARY

Job Title

Start Date

End Date

Responsibilities?

Reason for Leaving?

EMPLOYER #3

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Start Pay

Select a Rate

HOURLY

SALARY

End Pay

Select a Rate

HOURLY

SALARY

Job Title

Start Date

End Date

Responsibilities?

Reason for Leaving?

Have you completed any courses, seminars and/or training directly related to the position for which you are applying?

YES

If yes, please explain:

List any other certifications that you may have:

V. GIVE THREE REFERENCES

(NOT RELATIVES)

REFERENCE #1

RELATIONSHIP

Company

Title

Phone

REFERENCE #2

RELATIONSHIP

Company

Title

Phone

VI. MILITARY SERVICE

Are you a veteran?

YES

Branch

Rank at Discharge

Type of Discharge

If not honorable, please explain:

VII. BACKGROUND CHECK CONSENT

If asked, are you willing to consent to a background check:

YES

VIII. DISCLAIMER

Applicant understands that this is an Equal Opportunity Employer and is committed to excellence through diversity. To ensure this application is acceptable, please fully complete this application to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. if this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Submit Resume' Here

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Address

662 Wolf Ledges Parkway

Akron, Ohio 44311

Email

Call

Follow

info@alphahomes.org

330-376-8787