PERSONAL INFORMATION

Personal Information

Questions

Have you previously worked for Highlands Community Services?

Do you have any friends or relatives that currently work for or serve on the board for Highlands Community Services?

How did you hear about us?

Email Registration

Employment History:

Education:

Certificates/Licenses:

Professional References:

Resume Attachment

Additional Information

For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the United States?

Have you ever been convicted of a Barrier Crime?

Please click here for a description and list of Barrier Crimes.

Have you ever been convicted of, pled guilty or no contest to, a misdemeanor or felony (including traffic violations)?

A conviction is not an automatic disqualification for employment.

Have you ever received disciplinary action or been placed on probation or investigated by any state licensing board(s)?

Have you ever been dismissed or asked to resign from a job?

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability.

Disclosures and Authorizations

FAIR CREDIT REPORTING ACT DISCLOSURE
As an applicant for employment with Highlands Community Services, you have rights under the Fair Credit Reporting Act (FCRA). By this document, Highlands Community Services discloses to you that a consumer report may be obtained for employment purposes as part of the pre-employment background investigation and at any time during your employment, if you are hired. If Highlands Community Services obtains a consumer report about you, and if Highlands Community Services considers any information in the consumer report when making an employment related decision that directly and adversely affects you, Highlands Community Services will provide you with a copy of the consumer report and a summary of your rights under the FCRA before the decision is finalized. You also may contact the Federal Trade Commission about your rights under the FCRA. 

EMPLOYMENT DISCLOSURE
I certify that my answers herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that any false, misleading, or incomplete information given during my application or interview(s) may result in denial of employment or in the termination of employment. I authorize Highlands Community Services to check my references and to verify information contained on this application. Further, I authorize my former employers, personal references and others to give my information concerning me requested by Highlands Community Services, whether or not it is in their records, and I hereby release them from any liability whatsoever.

I understand that if I receive an offer of employment, I may be required to take a drug screen. I understand that the offer and my continued employment may be contingent upon completed references, successful completion of these and any other required post-offer screens, and that I am required to abide by all rules and regulations of the employer. This application for employment shall remain active for 6 months.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Highlands Community Services is of an “at will” nature, which means that I may resign at any time and Highlands Community Services may discharge me at any time with or without cause. I further understand that this “at will” employment relationship may not be changed by any written document or by conduct unless an authorized executive of Highlands Community Services specifically acknowledges such change in writing.

AUTHORIZATION
By submitting this application, I acknowledge that I have received the foregoing disclosure that Highlands Community Services may obtain a consumer report as part of its pre-employment background investigation and/or during the course of my employment, if I am hired. By submitting this application, I voluntarily authorize Highlands Community Services to obtain consumer reports about me and to consider the consumer report in its pre-employment background investigation and/or when making decisions during the course of my employment, if I am hired. I understand that I have rights under the Fair Credit Reporting Act, including the rights discussed above.

NON-DISCRIMINATION
In accordance with Federal Law and the U.S. Department of Aggriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, age, disability, religion, sex, familial status, sexual orientation and reprisal.  (Not all prohibited bases apply to all programs).

To file a complaint of discrimination, write to:

USDA, Assistant Secretary for Civil Rights

Office of the Asistant Secretary of Civil Rights

1400 Independence Avenue, S.W., Stop 9410

Washington, DC  20250-2410

Or call toll-free at (866)632-9992 (English) or (800)877-8339 (TDD) or (866)377-8642 (English Federal-relay or (800)845-6136 (Spanish Federal-relay).  USDA is an equal opportunity provider and employer.

I understand that by applying for a position with Highlands Community Services, I may be subject to a DMV check and may not be eligible for hire if I have active points on my driver’s license as a result of traffic violations.

I understand that my employment may be contingent upon the receipt of an acceptable criminal history check received with my authorization. I understand that I may not be eligible for employment if I have had a felony conviction within the previous ten years and/or misdemeanor conviction in the previous three years involving violence, theft, and/or sexual misconduct.

In order for your application to be considered, you must sign and date below.  Any omission or misrepresentation of material fact in this application may result in refusal or separation from employment.