- Current Address
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
- TO THE APPLICANT
It is the policy of Family Development Services, Inc. (FDS) to consider applicants for all positions without regard to gender, race, color, religion, age, marital status, national origin, citizenship, disability, veteran status, or any other status protected under state and federal law. It is also the policy of FDS to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment will be contingent upon: 1) successful completion of a medical examination which requires providing body substance samples, and 2) an acceptable original state criminal history report.
- Employment Information
(Conviction will not necessarily disqualify a person from employment.)
- Educational History
- Employment Record
Please include all employment for the last five years. Start with your current or most recent job.
- Professional References
- Work Availability
- Work Availability
- Applicant’s Certification Agreement
I authorize the investigation of all statements contained in this application, and release from all liability any persons or employers supplying such information, and I also release the company from all liability that might result from making the investigation. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on this application (or any other required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered. I understand that, if hired, my employment will be at-will, meaning that either party can end the employment relationship at any time and for any or no reason. I also understand any employment offer will be contingent upon my providing, valid proof of identity and eligibility to work in accordance with the Immigration Reform and Control Act of 1986.
I have read and reviewed the information provided in this application and the above statements. By signing this application for employment, I certify that I understand all parts of it and have answered all questions completely and fully.
U.S. Equal Employment Opportunity/Affirmative Action Information
Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.
Please Note: Completion of this form is voluntary
Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.