Employment with ALCDC

Welcome Abundant Life Community Development Corporation Employment Form

Fill in your Details Correctely

GENERAL INFORMATION Position Applied For *

How did you learn about Abundant Life Community Development Corporation? *

APPLICANT INFORMATION

First name * Last name *

Date of birth

Address *

State City ZIP Code

Phone * Email address * Are you able to do work that requires lifting

CRIMINAL HISTORY Have you ever had an allegation of caregiver abuse, neglect, or mistreatment substantiated against you?* Have you ever been convicted of a felony?*

Conviction will not necessarily disqualify an applicant from employment. Note: An applicant for employment with a sealed record on file with the Commissioner of Probation may answer “no record” with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. In addition, any applicant for employment may answer “no record” with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the Superior Court for criminal prosecution.

EDUCATION

HIGH SCHOOL

School name * School Location*

Grade Level Completed(9,10,etc..)

Certificate of Completion *

Note: Proof of high school diploma or equivalent will be required.

COLLEGE / UNIVERSITY

College name * College Location*

Years Completed(1, 2,etc..) Degree Comments

Other Education Other Education

Describe the name and location of other educational institutions you have attended, plus any certifications received. Please be specific.

Specialized Training Specialized Training

Describe any specialized training, apprenticeship, or skills that you possess.

Honors

Describe any honors you've received.

Activities & Offices

List professional, trade, business or civic activities and offices you have had or do hold. You may exclude membership which would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status if you wish..

Military Training

If you have ever had any job-related military training in the United States Military, please describe it below.

AVAILABILITY On what date are you available to start work? Are you available to work (check all that apply) Full-Time Part-Time Relief/Per Diem Weekends Days & Times Available Day (8am-4PM)

The precise times of shifts may vary from home to home. These times are approximate.

EMPLOYMENT HISTORY

Employer 1

Company name

Company Address

State City ZIP Code Country

Company Phone From (Month/Year) To (Month/Year) Job Title Supervisor Hourly Rate/Salary

Work Performed Reason for Leaving Check this box if you DO NOT want us to contact this employer Do not contact this employer.

Employer 2

Company name

Company Address

State City ZIP Code Country

Company Phone From (Month/Year) To (Month/Year) Job Title Supervisor Hourly Rate/Salary

Work Performed Reason for Leaving Check this box if you DO NOT want us to contact this employer Do not contact this employer.

Employer 3

Company name

Company Address

State City ZIP Code Country

Company Phone From (Month/Year) To (Month/Year) Job Title Supervisor Hourly Rate/Salary

Work Performed Reason for Leaving Check this box if you DO NOT want us to contact this employer Do not contact this employer.

Resume Other Documents

Possible file types: DOC, PDF. Maximum file size: 10 MB.