Employment Application
Email address *
Welcome to Angels' Place we look forward to talking to you.
Contact Information
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City, State, ZIP *
Your answer
Phone Number where you can be reached *
Your answer
How Did You Learn About This Position with Angels' Place? *
Are you 21 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. *
Your answer
Employment History
1. Employer *
Current or Most Recent Employer. Please complete the employment section starting with the most current.
Your answer
Start Date *
MM
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DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Telephone Number (with area code) *
Your answer
Your position with this company *
Your answer
Job Duties *
Your answer
Reason for leaving *
Your answer
Rate of Pay
Your answer
May we contact your employer? *
2. Employer
Prior to the above employer who did you work for? Your second most recent employer.
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Telephone Number (with area code)
Your answer
Your Position
Your answer
Job Duties
Your answer
Reason for leaving
Your answer
Rate of Pay
Your answer
3. Employer
Prior to the above employer who did you work for? Your third most recent employer.
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Telephone Number (with area code)
Your answer
Your Position
Your answer
Job Duties
Your answer
Reason for leaving
Your answer
Rate of Pay
Your answer
If there are employment gaps greater than 1 (one) month, please tell us why?
Your answer
Availability
I am looking for.... *
What position are you interested in *
Your answer
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)
Do you have any pending felony or misdemeanor charges against you? *
Have you ever been convicted of or plead no contest to a misdemeanor or felony? *
Pleae 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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