Name *

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Which position(s) are you interested in? *

I have reviewed the job description and meet the minimum qualifications for the position. I have read the complete job description, which is posted at https://judisplace.org/careers. * *

Desired Salary *

Are you willing to submit to a criminal background check and child abuse/ neglect central registry check and other background checks, as required *

List Education *

Please write a brief statement as to why you are interested in the position and how you would be a good fit *

Company 1 *

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Job Title *

Supervisor *

Responsibilities *

Dates of Employment *

Reason for Leaving *

Starting and Ending Salary *

May we contact this employer *

Company 2 *

Address *

Telephone Number *

Job Title *

Supervisor *

Responsibilities *

Dates of Employment *

Reason for Leaving *

Starting and Ending Salary *

May we contact this employer *

Company 3 *

Address *

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Job Title *

Supervisor *

Responsibilities *

Dates of Employment *

Reason for Leaving *

Starting and Ending Salary *

May we contact this employer *

Resume-upload or copy and paste resume below *

Please list three professional references including name, relationship, company, address, and phone number. Do not include family members. *

Disclaimer & Electronic Signature * By checking this box and submitting the application, I certify that I have read and understand the applicant rejection information listed above and the application responses are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *

Applicant Rejection * A staff applicant is rejected if he/she refuses to sign a release of information form or submit the required information or fingerprints for any of the checks required, which includes a social security number verification check; criminal records check from the court jurisdiction in which the applicant currently resides and works; state criminal records check; FBI or other national criminal database check; national sex offender registry check; child abuse registry or child protective services check where permissible by law. Any applicant found to have been convicted of, or having charges pending for a felony or misdemeanor involving a sex offense, child abuse or neglect, or related acts that would pose risks to children or the credibility of the programs is not accepted for employment.