Employment Application

Contact Information

Educational Background

Work Experience

Please list your last three employers, starting with present or most recent place of employment. You may include any verifiable work performed on a volunteer basis, internships or military service.  We will need the names and contact information of at least two of your current/previous managers/supervisors to use as references.

Employer Two

Employer Three

References

Please provide up to three references below.

I understand that this application is not a contract, offer, or promise of employment. I acknowledge that employment with the company is on an employment at will basis. This means that my employment with the company can be terminated at any time, with or without cause or advance notice and acceptance of employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with the company at any time for any reason. This at-will provision may be modified or waived only in a written agreement signed by the company's president and me. I further understand that I am responsible for being familiar with the Company's policies, rules and regulations and I understand that the company has complete discretion to modify its policies, rules, regulations and practices at any time, to the extent permitted by federal, state and local law, except that it will not modify its policy of employment at will. By my continued employment with the company, I consent to such changes. I certify that the above information is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation or omission of information on this form or relating to my application of employment may result in my denial of employment, or if employed, my immediate dismissal. I hereby authorize the company or its agents to confirm all statements contained in this application and/or resume to the extent permitted by federal, state or local law and i agree to complete any requisite authorization forms (federal law requires a separate release form when obtaining Consumer Credit Reports.) I release all parties from any liability arising out of this provision and the use of such information. Please note that upon an accepted offer of employment The Arc of Bristol County d/b/a proAbility will conduct both a CORI and BCI background check.

APPLICANT CERTIFICATION - PLEASE READ CAREFULLY