Employment Application

Standard Application.

You are applying for: Center Director, HCHS

APPLICANT INFORMATION
First
M.I.
Last
Street Address
Apartment/Unit #
City
State
ZIP
Phone
Email
Cellular
Referred by:
Are you a citizen of the United States? If no, are you authorized to work in the U.S.?
Have you ever worked for this company? If so, when?
Have you ever been convicted of a felony? If yes, explain
Do you have any relative working for Holy Cross Head Start, Inc? If yes, whom
Do you have any children enrolled in the program? If yes, child's name and center:
Please attach your current resume (if available)
File Types : doc, docx, pdf
  
EDUCATION
High School
Address
From To
Did you graduate?
Degree
College
Address
From To
Did you graduate?
Degree
Other
Address
From To
Did you graduate?
Degree
Do you hold any other certificate? CDA, FDC, etc.
If yes, what?
REFERENCES - PROFESSIONAL
Full Name
Relationship
Company
Phone
Address
REFERENCES - PROFESSIONAL
Full Name
Relationship
Company
Phone
Address
REFERENCES - PROFESSIONAL
Full Name
Relationship
Company
Phone
Address
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
CAPTION(starting_salary_) ELEMENT(starting_salary_)
CAPTION(salary_) ELEMENT(salary_)
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference?
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
CAPTION(starting_salary_) ELEMENT(starting_salary_)
CAPTION(salary_) ELEMENT(salary_)
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference?
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
CAPTION(starting_salary_) ELEMENT(starting_salary_)
CAPTION(salary_) ELEMENT(salary_)
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference?

This Agency is an Equal Opportunity Employer. We will not tolerate Discrimination because of Race, Creed, Color, Sex, National Origin, Age Disability or Marital Status. All Qualified Applicants are Welcome to Submit an Application for Employment.

DISCLAIMER
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. I also understand that, if I am hired by Holy Cross Head Start, I will be an employee at will, and I have no contract of employment for any specified period.
I agree