Job Application Form - Friends Home Kennett Square

Job Application

Friends Home is an Equal Opportunity Employer. It is the policy of Friends Home in Kennett to employ, train, compensate, and provide other terms and conditions of employment without regard to a person’s race, color, religion, national origin, sex, age, disability, veteran status, or other characteristics protected by law. This application must be completed in full.

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Personal Data

Your Name(Required)

First Last

Current Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Previous Home Address

Street Address Address Line 2 City State ZIP Code

Your Email Address(Required)

Enter Email Confirm Email

Preferred Phone Number(Required)

Preferred Time for a Call

Morning

Afternoon

Evening

Are you under the age of 18?(Required)

Federal regulations prohibit anyone under 18 from working in hazardous occupations.

Yes

Are you a U. S. citizen or an alien legally authorized to work in the U.S.?(Required)

Yes

Job Interest

Position Desired:(Required)

Date Available for Employment:(Required)

Month

Day

Year

Type of Work You Desire:(Required)

Hours per week. Please select all that apply.

Full-time (30 hours or more per week)

Regular Part-time (20 to 29 hours per week)

Flex Part-time (less than 20 hours per week)

Availability(Required)

Certain positions require day, evening, and overnight availability. Please indicate your ability and willingness to work any or all of three shifts.

Day

Evening

Overnight

Are you available to work any of the following?

Weekends

Holidays

Rotating Shifts

Do you have any relatives who are currently or were employed previously at Friends Home? If yes, please list them:

If you are applying for a position that requires driving, do you have a valid driver’s license?

Yes

Not applicable

Education and Training

Education(Required)

To add another education type or degree, please click on the blue plus sign at the far right of the row. You may add up to 4 education types, or degrees.

School Type

School Name

City and State

Major or Concentration

Did you graduate?

Degree

GPA

Previous Employment

Starting with your current or most recent employment, list previous employers. Include self-employment, military service, summer and part-time jobs for at least the last seven years. Include at least your three most recent employers, if applicable. Must be completed in full for each employer.

Previous Employer(Required)

To add another employer, please click on the blue plus sign at the far right of the row. You may add up to 7 previous employers.

Employer

Dates of Employment

Position and Duties

Salary

Address

Supervisor Name and Title

Employer Phone Number

Reason for Leaving

May we contact this employer now, or after job offer acceptance?

Other Personal References

Please list two personal or professional references that we can contact. To add another reference, please click on the blue plus sign at the far right of the row.

Name

Phone Number

Email Address

Additional Information

Tell Us About Yourself

State any additional information you feel may be helpful to us in considering your application. This could include any specialized training or courses you have completed that will aid in evaluating your qualifications for the position you are seeking. (Example: if applying for a clerical position, note training such as Word, Excel, etc) We would welcome an attached resume.

Were you referred to us? If so, by whom?

Upload Your Resume

Upload your resume in .pdf format.

Accepted file types: pdf, Max. file size: 25 MB.

Applicant Acknowledgement(Required)

I understand that Friends Home In Kennett (hereinafter referred to as "FHK") requires certain information about me to evaluate my qualifications for employment and to conduct its business if I become an employee. Therefore, I authorize FHK to investigate my past employment, educational credentials, and other employment-related activities. I agree to cooperate in such investigations and authorize those parties supplying such information to FHK to do so and release them from all liability or responsibility with respect to information supplied.
I agree that the FHK may use the information it obtains concerning me in the conduct of its business. I understand that such use may include disclosure outside of FHK in those cases where its agents and contractors need such information to perform their functions, where their company's legal interests and/or obligations are involved, or where there is a medical emergency involving me. I understand, however, that FHK intends to protect the confidentiality of personal information it obtains concerning me to the extent required by law.
I agree that I will not disclose or use while interviewing with or employed with FHK any confidential or proprietary information of others, including any former employer.
I understand that any employment with FHK is "at will" and would not be for any fixed period of time and that, if employed, I may resign at any time, for any reason, or FHK may terminate my employment at any time for any reason in the absence of a specific written agreement to the contrary. I understand that my employment-at-will status may not be modified or changed except in writing and signed by a duly authorized officer of FHK.
I understand that any false answers or statements made by me on this application, any supplement thereto or in connection with the above-mentioned investigations may be grounds for refusal of employment, invalidate my employment or, if employed, grounds for immediate discharge and render me ineligible for any FHK benefits.
I understand that any offer of employment is contingent upon my successfully passing a background investigation.

I have read and understand the entire application and agree to the terms and conditions outlined above.

Full Name(Required)