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Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

At this time we do not offer the ability to save your progress. Please allow 15-20 minutes to fill out the entire application.

Note to Applicants: PLEASE ENSURE YOU'VE READ THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING PRIOR TO FILLING OUT THE APPLICATION.

Position Information

* denotes required fields
Position Applying For: *
Date of Application:
Are there any other positions you're interested in? If so, please list them here:
* How did you learn about the Homemakers opportunity?

Please upload your Cover Letter, Resume, etc. if available :

Remove attached files

Document must be in Doc, Docx or PDF format. File size must be less than 5 MB
* Email Address:

Personal Information

* Last Name:
* First Name:
Middle Initial:
* Address:
* ZIP:
City: *
State: *
Phone number: *
Example: (212) 269-3988
Alternate phone:
Example: (212) 269-3988
Best time to contact you is:

Salary and Work Info

* Have you ever been employed with Homemakers ?
  1. From: *
    To: *
    Department:
* Are you authorized to work in the United States?
Are you available to work:
Please indicate:
Date available for work:
Salary Range Desired:
 

Education

  1. Highest Level of Education: *
    Specify Level of Education: *
    Name/City/State of School: *
    Course of Study:*
    Years Completed: *
    Diploma/Degree: *
    Diploma/Degree Year: *

Work Experience

*Have you ever been employed?
  1. Employer: *
    Address: *
    Phone number: *
    Example: (212) 269-3988
    Alternate phone:
    Example: (212) 269-3988
    Job Title: *
    Supervisor:
    Dates Employed:
    From: *
    To:
    Hourly Rate/Salary:
    Starting: *
    Final: *
    Work Performed: *
    Reason for Leaving: *

Other Job-Related Information

* Have you ever been convicted of a felony? (The conviction may be relevant if job-related, but does not necessarily bar you from employment).
Date:
Comments: Include explanation of any gaps in employment.
Describe any specialized training, apprenticeship, skills, secondary languages and extra-curricular activities
List professional, trade, business or civic activities and offices held.
Other Qualifications: Summarize special job-related skills and qualifications acquired from employment or other experience.
State any additional information you feel may be helpful to us in considering your application

Note to Applicants: PRIOR TO ANSWERING THIS QUESTION, PLEASE ENSURE YOU HAVE READ THE REQUIREMENTS OF THE JOB WHICH YOU ARE APPLYING.

* Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.

Applicant's Statement

I certify that all of the information provided by me on this application or an attached resume is true and complete.

I understand that employment will be contingent upon successfully passing a pre-employment drug screen and background check. I authorize investigation and verification of all statements contained in this application and/or resume for employment as may be necessary in arriving at an employment decision. I release the reporting companies from any liability resulting from the verification process of my application for employment.

This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application, resume or interview(s) may be grounds for my discharge from employment when ever discovered. I understand that I am required to abide by all rules and regulations of the employer.