Bishop Noa Home - Application for Employment

First Name

Last Name

Email address

Phone Number

e.g., 555.555.5555

Home Address

Are you a United States citizen?

Yes No

Are you authorized to work in the United States?

Yes No

Have you previously been employed by BNH? If yes, include dates.

Yes No

Start Date

End Date

List your friends or relatives who work here:

e.g., My aunt Jill Smith, My neighbor John Doe

What method of transportation will you use to get to work?

What shifts are you available to work?

Day

Afternoon

Night

Any

What employment status are you seeking?

Full time

Part time

What are you expecting for a starting wage?

When can you start?

Do you have any special training, skills, qualifications or experiences that relate to the position you are applying for?

How did you learn about the position you're applying for?

Facebook Listing

Newspaper Advertisement

Google Ad

Job Site

e.g., Indeed, Monster, GlassDoor, etc.

Word of Mouth

Other

Please detail your three most recent places of employment, starting with the most recent.

Previous employer number 1:

Employer

Start Date

End Date

Business Address

Phone Number

Supervisor's Name

What was your position?

What was your responsibilities?

Why did you leave?

Previous employer number 2:

Employer

Start Date

End Date

Business Address

Phone Number

Supervisor's Name

What was your position?

What was your responsibilities?

Why did you leave?

Previous employer number 3:

Employer

Start Date

End Date

Business Address

Phone Number

Supervisor's Name

What was your position?

What was your responsibilities?

Why did you leave?

What is the highest level of education you've completed?

GED

High School Diploma

Vocational Certificate or Training

Associate's Degree

Bachelor's Degree

Master's Degree

Doctorate

Area of study or concentration?

What is the name of the last school you attended?

Tell us more about your education, if you'd like.

Please provide contact information for professional references. Please do your best to verify that the info you provide is current and accurate.

Professional reference number 1:

Name

Relationship

e.g., College Professor

Phone Number

Professional reference number 2:

Name

Relationship

e.g., Colleague

Phone Number

Professional reference number 3:

Name

Relationship

e.g., Professional Peer

Phone Number

By clicking submit:
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

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