Employment Application

We’re always looking for good people. If you’re interested in joining us, follow the steps below, and we will be in touch.

Step 1: Fill out Online Application Below

Step 2: Take this Short Survey

Online Application

Full Name:

Address:

Phone Number:

Alternate Phone Number:

Email Address:

Are you legally entitled to work in the United States?

Yes

Have you previously worked for this company?

Yes

If yes, when:

Are you 18 years old or older?

Yes

If “No”, give your date of birth:

Do you have a valid driver’s license?

Yes

State Issued:

Exp. Date:

Have you ever been addicted to prescription or non-prescription drugs?

Yes

Would you be willing to submit to random drug screenings?

Yes

Would you be willing to submit to a background check?

Yes

Have you ever been arrested or convicted of a felony or DWI or DUI?

Yes

If yes, please explain:

Have you previously emailed a copy of your resume?

Yes

If “Yes” please indicate date & email address used:

If “No” please attached a copy to this employment application:

File name
Add files

Opps. Still on dinosaur technology? Time to update

Are you related to any InSNC employee?

Yes

If “Yes”, Name/Relationship:

Date Available to Start:

Desired HourlyWage/Salary: $

Education

Included in my Resume

High School

Name of School:

Location:

Years attended:

Did you graduate?

Yes

Date of graduation:

College

Name of School:

Location:

Years attended:

Did you graduate?

Yes

Date of graduation:

What degree did you earn?

GPA:

Major:

Minor:

Graduate

Name of School:

Location:

Years attended:

Did you graduate?

Yes

Date of graduation:

What degree did you earn?

GPA:

Other:

Additional Qualifications

Please tell us about any licensure, certifications, training, education, skills, or achievements that you feel should be considered:

Employment History

Included in my Resume

Employer Name:

Address:

Telephone Number:

Job Title:

Primary Responsibilities:

Dates of Employment:

Salary/Hourly Wage: $

Supervisor’s Name:

Reason for Leaving:

Personal References

Provide two references who are not related to you and who have not employed you in the past.

Reference 1

Name:

Address:

Telephone Number:

Relationship:

Reference 2

Name:

Address:

Telephone Number:

Relationship:

Professional Development Questions:

1. Why are you applying for a position within our organization?

2. What gifts, qualities and talents do you posses that would support our organization in accomplishing our mission?

3. In what capacity have you worked with children in the past? If you have not, in what capacity have you had interactions with children?

4. What are areas in your life in which you seek to grow both personally and professionally?

5. What are your strengths? What are your weaknesses?

6. What are you looking for from an organization in which you are employed?

Use this space to share any additional information that you would like us to consider as part of the application process:

My answers are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge.

Yes

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