Care4All Children Services

BECOMING A FOSTER PARENT

Application For Employment.

Name *
Name
Address
Address
Phone *
Phone
Are you legally authorized to work in the U.S.? *
You will be required to furnish documents to verify your eligibility in accordance with the Immigration Reform and Control Act. Your employment is contigent upon furnishing such documents. Only applicants legally authorized to work in the United States will be considered for employment.
What schedule are you available to work: *
Are you at least 18 years of age? *
Can you travel if a job requires it?
Are you presently employed? *
If so, may we contact your employer?
Have you lived outside of Georgia in the past ten years? *
Have you ever worked for Care4all Children Services, Inc.? *
Have you ever been convicted of a crime other than a minor traffic violation or are there any pending charges against you? *
(A conviction does not automatically bar you from employment.)
If hired, when will you be available for work? *
If hired, when will you be available for work?
What are your salary expectations?
Employment History
Type Of School
Address
Address
Phone
Phone
Employed: (Mo/Yr)
Education
Graduated
Recieved Degree?
Professional References:
Reference 1
Reference 1
Phone
Phone
Reference 2
Reference 2
Phone
Phone
Reference 3
Reference 3
Phone
Phone
Additional Information / Community Involvement
Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge. I understand that falsification, omission or misstatement of information may result in refuse to hire, or, if hired, termination of employment. I hereby give permission to Care4allchildren Services, Inc. to conduct a personal check on my background including but not limited to, information as to my criminal background, character, general reputation, personal characteristics and mode of living, discerned through County, State and Federal records check, employment and education verifications, professional references, personal interviews, work history, business and personal records, and hold harmless to the above refenced. This informationwill be obtained and used to verify information I have provided to Care4allchildren Services, Inc. I understand that any offer of employment is contingent upon the results of the aforementioned background checks. This application is considered active for 60 days, if the position remains open and an applicant has new information and wishes to re-apply, a new application is required after 60 days of the initial application. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Care4allchildren Services, Inc. is of an "at will" nature, which means that, I (the employee) may resign at any time and the company (the employer) may terminate my (the employee) employment at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by either the President/C.E.O. or the C.F.O. of the company. I further understand that I am required to abide by all rules and regulations of the employer.
Name
Name
Date
Date