We
are an equal opportunity employer. As required by law,
we do not discriminate on the basis of race, color, creed,
religion, age, sex, national origin, disability,
ancestry or any other trait protected by law. |
Full
Name: |
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Email Address: |
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18+ Years Old? (must
provide proof) |
YES NO |
Mailing Address: |
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City, State, Zip: |
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If hired, you will be
required to provide your social security and driver's license
numbers. |
Primary
Phone:
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Cell or Other
Phone:
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Have you applied to work, or
worked for Schaefer Enterprises before?
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If yes, please tell us
when:
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Can you
verify your eligibility to legally work in the United States?
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Have you ever been convicted of,
plead guilty to, nolo contendere or no contest to, or
otherwise been found guilty (including a suspended imposition
of sentence) of, any criminal offense?
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If yes, please
explain:
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I wish to work:
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Minimum Salary
Requirement:
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If offered a position, when
can you start? |
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If there are specific times you
cannot work, please tell us. |
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Please tell us about your
education:
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Name of High School
School Location (City,
State):
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Any college or vocational
training?
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Name of College or Vocational
School
School Location (City, State):
Degree or Certification:
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Please list any experiences / skills /
awards that might pertain to working with people with
developmental disabilities; or list anything else that you
would like us to consider:
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Please note: Background
Checks and Drug & Alcohol Tests are also
required for employment at Schaefer Enterprises,
Inc. |
List employers in
reverse order, starting with the most recent. Please include
military service: |
Current or Last
Employer:
Name of Supervisor:
Started work date:
Ended work date:
Starting Position:
Ending Position:
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Employer
Address:
Employer Phone:
Starting salary:
Ending salary:
Description of Duties:
Reason for Leaving:
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Previous
Employer:
Name of Supervisor:
Started work date:
Ended work date:
Starting Position:
Ending Position:
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Employer
Address:
Employer Phone:
Starting salary:
Ending salary:
Description of Duties:
Reason for Leaving:
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Previous
Employer:
Name of Supervisor:
Started work date:
Ended work date:
Starting Position:
Ending Position:
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Employer
Address:
Employer Phone:
Starting salary:
Ending salary:
Description of Duties:
Reason for Leaving:
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Have you been discharged or
asked to resign from a job?
YES
NO |
If yes, please
explain:
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Please provide
contact information on three individuals, other than family
members, who could tell us something about your suitability
for work. (Examples: supervisors or co workers, teachers,
counselors, community or other volunteer service leaders,
colleagues, etc.) |
Reference Name:
Relationship to you:
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Reference
Telephone:
Reference Email:
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How long have you known this
person? |
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Second Reference Name:
Relationship to you:
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Reference
Telephone:
Reference Email:
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How long have you known this
person? |
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Third Reference Name:
Relationship to you:
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Reference
Telephone:
Reference Email:
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How long have you known this
person? |
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By submitting this
application, I certify that the information on this
application is true and complete to the best of my knowledge.
I understand and agree that any misrepresentation or omission
on this application may result in either rejection of my
application or, if hired, dismissal whenever it is
discovered. I authorize Schaefer Enterprises, Inc. and/or its
agents to investigate, directly or indirectly, all statements
contained on this application. I also authorize the
references, employers, educational institutions, others listed
and any other person/entity with any information about me to
release any such information to Schaefer Enterprises, Inc.
and/or its agents. I also release all such parties as well
as Schaefer Enterprises, Inc. and its agents from any and all
liability or damage that may result from seeking, furnishing
or using such information in connection with my applying for
employment, employment with Schaefer Enterprises, Inc., or any
legal obligation. I understand and agree that, if I am
hired, I must comply with the rules and policies of Schaefer
Enterprises, Inc. which exist when I am hired or which may
come into existence during the course of my employment. I
also understand and agree that, if I am hired, my employment
will be for no definite period and may, regardless of the
date of payment of my compensation, be terminated by me or
Schaefer Enterprises, Inc. at any time, for any or no reason,
with or without notice. No representation to the contrary is
valid unless in writing, setting a definite term of
employment, and signed by the President of Schaefer
Enterprises, Inc. I have been advised that a job offer
for some positions is conditioned on the applicant passing, to
Schaefer Enterprises, Inc. satisfaction, a pre¬employment
drug/alcohol test. I have been advised and agree that no
handbook, manual, policy and/or procedure of Schaefer
Enterprises, Inc. is intended or should be construed as
contractual in nature. |
BY CLICKING THE
SUBMIT BUTTON, YOU ARE CERTIFYING THAT YOU HAVE READ AND YOU
AGREE TO THE TERMS AND CONDITIONS LISTED
ABOVE!
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