Employment Application To apply for available positions at the Child Advocates of Blair County, fill out the employment application below. Employment Position Applying For First Name * Middle Initial Last Name * Phone Number * Email Address * Your Address * Are you a current or former Head Start parent? * No Yes Are you a former Child Advocate employee? * No Yes Are you a current licensed PA driver? * No Yes Do you have reliable transportation? * No Yes Would you accept part time work? * No Yes Would you accept full time work? * No Yes Would you like to upload a resume? * No Yes End Section Upload Your Resume File Upload End Section Submit Personal Info Does your resume contain your at least 2 previous employers? No Yes Employment History Please include at least 2 previous employers. Employer Name Supervisor Name Supervisor Phone Job Title Job Duties When did you start this job? When was your last day? Starting Salary * Ending Salary * Reason for leaving * May we contact this employer to verify your information? * No Yes End Section Submit Employment History Does your resume contain your education history? No Yes Education History Elementary School Attended Elementary School Location Years Completed 4 5 6 7 8 High School Attended High School Location Years Completed 9 10 11 12 College / University Attended Years Completed 1 2 3 4 Diploma / Degree Describe Course of Study Graduate / Professional Years Completed 1 2 3 4 Diploma / Degree Describe Course of Study List any continuing education, training, or special skills that would benefit the job for which you are applying: List professional, trade, business, or civic activities and offices held. (You may exclude those which indicate race, color, religion, sex or national origin). End Section Submit Education History List your professional references Please list at least 3 professional references. Reference Name Phone Number Email Address Describe your affiliation with this reference End Section Submit References EOE Statement CABC is committed to the fundamental principle of Equal Employment Opportunity, whereby employment-related decision are based on individual qualifications and merit. Therefore, it is CABC policy to make employment-related decisions without regard to the individual's race, color, religion, sex, age, national origin, disability, genetic information, military status, or any other basis prohibited by federal, state or local law. Applicant Authorization* I certify that the answers given herein are true and complete to the best of my knowledge. I authorize Child Advocates of Blair County, Inc. to check my references. In doing so, I hereby release from any liability, any and all individuals, organizations, schools, or former employers who, in good faith and without malice, provide information to Child Advocates of Blair County, Inc. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Child Advocates of Blair County, Inc. Photocopies of this statement shall be considered as valid as the original. I have read and understand the above. I agree with the above EOE statement and Applicant Authorization as stated above. Additionally, I permit CABC to contact my previous employers and references. Furthermore, I have read the job description for the position for which I am applying. I attest that I am capable of performing the essential functions of the position. Yes No End Section If you are human, leave this field blank. Submit Employment Application