Village Home Employment Application
Please complete this application for consideration for employment at Village Home. If you are applying to be a facilitator or teacher, you must also complete at least one Course Proposal to complete the application process. If you have questions, please call 503-597-9100 or email office@villagehome.org. Thank you for your interest in working for Village Home.
Last Name *
Your answer
First Name *
Your answer
Today's Date *
MM
/
DD
/
YYYY
Current Home Address *
Your answer
Daytime Phone *
Use format 5035554444
Your answer
Email Address *
Your answer
Indicate the job you are applying for. *
Required
If under 18, please list current age:
Your answer
Days generally available *
Indicate days you are generally interested in working, 9am and 5pm
Required
How many hours do you prefer to work at Village Home weekly? *
Your answer
How did you learn about this job at Village Home? *
Required
Employment desired *
Most positions at Village Home are part-time.
Work Experience *
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Your answer
Educational History *
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Your answer
Are you certified to teach in any state? if so, please include certification details here.
For TEACHER/FACILITATOR applicants only.
Your answer
Please write a short bio of yourself (in third person) as it would appear on your course description in our online catalog.
For TEACHER/FACILITATOR applicants only.
Your answer
Have you ever been convicted of a crime? *
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
References *
Please list two profressional references. Include how you know them, and their daytime phone and email.
Your answer
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
Your answer
May we contact your current employer noted above? *
Application Waiver -- Please read carefully. I verify that the statements on this application are true and authorize investigation of all statements contained in this application. I hereby give Village Home Education Resource Center permission to contact previous employers (unless otherwise indicated), references, and others, and hereby release Village Home from any liabilty as a result of such contact. I also understand that Village Home requires a background check and employment is based on the successful passing of the background check. I further understand that any employment with Village Home Education Resource Center is terminable at will for any reason by either party, without specified notice or reason. Village Home is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability.
By typing my name below, I am signing that I agree to the terms in the Application Waiver.
Your answer
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