Employment Application
Email *
Welcome to Angels' Place we look forward to talking to you.
Contact Information
First Name *
Last Name *
Street Address *
City, State, ZIP *
Phone Number where you can be reached *
Email Address *
How did you hear about Angels' Place? *
If you were referred by a current employee, what is their name?
Are you 18 years old or older? *
Are you a U.S. Citizen? *
Have You Ever Worked For Angels' Place Before? *
Education and Skills
Please give us as much information as possible regarding your education, professional background and any certifications, license or trainings that you may have that will compliment the career you are applying for.
Which of the following do you have? (check all that apply)
Please email a copy of your certificates, resume, CPR and or First-Aid cards to Jobs@angelsplace.com
Describe a circumstance where you made a difference. *
Employment History
1. Employer *
Current or Most Recent Employer. Please complete the employment section starting with the most current.
Start Date *
MM
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DD
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YYYY
End Date
MM
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DD
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YYYY
Telephone Number (with area code) *
Your position with this company *
Job Duties *
Reason for leaving *
Rate of Pay
May we contact your employer? *
2. Employer
Prior to the above employer who did you work for? Your second most recent employer.
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Telephone Number (with area code)
Your Position
Job Duties
Reason for leaving
Rate of Pay
3. Employer
Prior to the above employer who did you work for? Your third most recent employer.
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Telephone Number (with area code)
Your Position
Job Duties
Reason for leaving
Rate of Pay
If there are employment gaps greater than 1 (one) month, please tell us why?
Availability
I am looking for.... *
What position are you interested in *
I am available to work... *
Required
Background Check
As a condition of employment, Angels' Place will conduct a Criminal History Background Check through the Michigan State Police and the FBI and will verify your eligibility to work in the U.S.A. and your Social Security Number with the Department of Homeland Security. (responding yes does not necessarily disqualify you from employment)
Please Read Carefully Before Submitting.
I certify that all information provided on this application is true, complete and correct. I further understand and agree that any falsification, misrepresentation or omission of facts on this application or in any interviews or pre-employment process are grounds for disqualification for consideration for employment or termination of employment if the discovery is made after employment begins. I agree that either party may terminate the employment relationship with, or without notice or cause at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the executive director of the agency.
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