Employment Application

Employment Application

Home, Cell, Work
If answer Yes to having a Bachelors or Masters Degree, Please list your Major area of study.
If "Yes" Please describe
This job requires reliable transportation and a valid driver's license.
State, License number
(Example: University of Minnesota, Graduated, Master's degree, Psychology/Philosophy)
If you are completing previous employer sections, all fields MUST BE COMPLETE for consideration
Home, Cell, Work
Street Address, City, State, Zip
If you are completing previous employer sections, all fields MUST BE COMPLETE for consideration
Home, Cell, Work
Street Address, City, State, Zip
If you are completing previous employer sections, all fields MUST BE COMPLETE for consideration
Home, Cell, Work
Street Address, City, State, Zip
If you are completing previous employer sections, all fields MUST BE COMPLETE for consideration
Home, Cell, Work
Street Address, City, State, Zip
1. A background check will be completed. Evidence of a criminal background may deem me ineligible for employment 2. An inquiry will be made of my former employers over the past five years to determine if there has been any history of sexual abuse on my part. If such a history does exist, I understand that I am ineligible to be employed. 3. I consent to and authorize Behavioral Dimensions, Inc. to investigate all of the information contained herein. I also authorize the listed employers, schools, and personal references to release any and all pertinent information to Behavioral Dimensions, Inc. (without further notice to me). I release all parties from liability of damage that may result from furnishing this information. I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I understand that I will need to provide my own transportation for employment purposes and that my personal auto insurance will act as the primary insurance coverage if my vehicle is in use. I understand that this is an application for employment and that no employment contract is being offered.
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