Online Job Application Form

Job Application Form

Please Fill Out the Form Below to Submit Your Job Application!
Name*

First NameLast Name
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Applied Position*
What is your desired salary range?*
Type of employment desired*

Full-timePart-timeTemporaryEducational Co-Op
Earliest Possible Start Date*

MonthDayYear
Date
How did you hear about this position?*
Have you ever pled "guilty" or "no contest" to or been convicted of a crime?*

YesNo
If yes, please provide date(s) and details:
Employment History
Current or most recent employer:*
Phone number:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor and title:*
Start Date:*
End Date:*
Reason for leaving:*
Skill and Qualifications
Summarize any special training skills, licenses, and/or certificates that may assist with the position you are applying for:*
References

List three references who are not related to you. Preferred reference are individuals from your employment history. All references will be contacted before hire.
Name:*
Title:*
Relationship to you:*
Number of years known:*
Phone number:*
Email:*
Name:*
Title:*
Relationship to you:*
Number of years known:*
Phone number:*
Email:*
Name:*
Title:*
Relationship to you:*
Number of years known:*
Phone number:*
Email:*
Upload Resume:*

Cancelof
Upload Cover Letter:*

You can share certificates, diplomas etc.
Cancelof
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with Safe Harbor Child Advocacy Center ofthe Smokies is true, complete and correct.

I expressly authorize, without reservation, Safe Harbor CAC of the Smokies, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institution and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that Safe Harbor CAC of the Smokies does not discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant for consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from Safe Harbor CAC of the Smokies and still wish to be considered for employment it may be necessary for me to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and Safe Harbor CAC of the Smokies reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of Safe Harbor CAC of the Smokies is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by Safe Harbor CAC of the Smokies' President and Executive Director.

I also understand that if I am hired, I will be required to provide proofof identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from Safe Harbor CAC of the Smokies' service, whenever it is discovered.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Signature:*

Clear
Should be Empty:

Job Application Form

Employment History

Skill and Qualifications

References

Applicant Statement