Job application form
The staff at Bright Horizon Homes makes a difference in the lives of each and every one of our clients through cerebral palsy treatment and autism care. Bright Horizon Homes is constantly in search of individuals who value honesty, real ability, compassion and a strong work ethic to join our team. If you are a person who really wants to make a difference in someone’s life; apply to join our team. Please send your details online by filling out the application listed below.
Untitled Section
Position Applying for: *
Personal Information:
You must fill out all sections of this application completely and honestly. This information will be used to determine your eligibility for this employment position. NOTE: All applicants are required to submit to both a state and federal background check.
Name *
First and last name
Phone number *
Position applying for: *
Required
Address (Street) *
City: *
State: *
Zip Code: *
Date of Birth: *
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/
DD
/
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Social Security Number:
Work Phone Number:
Are you currently employed?
May we contact your employer?
Are you at least 21 years of age?
When would you be available for work?
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/
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Certain jobs at Bright Horizon Homes require the employee to drive the clients.
Do you have a current, valid driver's license and good driving record?
Have you ever been convicted of a misdemeanor or felony?:
Have you ever been involved in a case of neglected, abuse, maltreatment or domestic violence?:
If YES, please explain why in the space provided.(Conviction will not necessarily disqualify an applicant from employment):
Have you ever been involved in a case of neglected, abuse, maltreatment or domestic violence?:
Are you authorized to work in the U.S?:
Are you authorized to work in the U.S?:
Education & Skills:
Please list all education beginning with most recent. Indicate a diploma or degree, if completed, including GED if obtained.
Name and Location of School:
Number of Years:
Graduation Year:
College:
High School/GED:
If no, approx number of credit hours:
Employment History
List all employment including military and volunteer service starting with the most current position held. Explain gaps in employment history. You may attach a resume, but you must complete the employment section. This information will be used in reference checks. Bright Horizon Homes requires that an applicant has at least three (3) references –two (2) employment references and one (1) personal reference on file. Some positions require that an applicant has at least five (5) references – three (3) employment references and two (2) personal references on file.
Attach Resume:
Dates Employed (month/year):
Employer Name & Address:
Full-time/Part-time, hrs/week
Supervisor's Name:
May we contact for reference?
Supervisor Phone #:
Reson for leaving?
Duties:
City and State of Birth:
How long have you lived at your current address?
List below other locations where you have lived in the past (10) years:
References
REFERENCES
Please list personal references. List at least three (3) references –two (2) employment references and one (1) personal reference from someone not related to you. One (1) of the references must be from a person that has known you for at least five (5) years.
Name (1):
Occupation:
Phone:
Address:
Relationship to applicant:
Length of time knowing applicant:
Name (2):
Occupation:
Phone:
Address:
Relationship to applicant:
Length of time knowing applicant:
Name (3):
Occupation:
Phone:
Address:
Relationship to applicant:
Length of time knowing applicant:
PLEASE READ CAREFULLY: I certify that the above statement area is true and accurate to the best of my knowledge. I understand that false information (or omissions) in this application, or its supporting documents, will be sufficient grounds for refusal to hire me or dismissal without notice. Bright Horizon Homes has the right to review and investigate my education, previous employment, driving and criminal records and other background data. *
Required
NOTICE OF NONDISRIMINATION - Per Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, and Section 504 of the Rehabilitation Act of 1973, Bright Horizon Homes does not discriminate on the basis of race, color, religion, national, origin, ancestry, sex, age, disability, or status as disabled veteran or veteran of the Vietnam Era.
Enter Security Code: *
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