bcfs job application - email to [email protected] (1).pdf
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8/19/2019 BCFS Job Application - Email to [email protected] (1).pdf
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8/19/2019 BCFS Job Application - Email to [email protected] (1).pdf
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Previous Employment
Company: Phone:
City/State: Supervisor:
Job Title: Starting Salary: $ Ending Salary: $
Responsibilities:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference? YES NO
Company: Phone:
City/State: Supervisor:
Job Title: Starting Salary: $ Ending Salary: $
Responsibilities:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference?YES NO
Company: Phone:
City/State: Supervisor:
Job Title: Starting Salary: $ Ending Salary: $
Responsibilities:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference?YES NO
Disclaimer and Signature
Applicants are considered without regard to race, color, sex, national origin, age, or the presence of a disability that does notimpair the individual from performing the functions of the position with or without reasonable accommodations. The applicantwill be fairly considered; however, the completion of application does not imply that he applicant will be employed or acceptedas a volunteer. BCFS maintains a "Zero Tolerance" for abuse or harassment.
CERTIFICATION I certify that the answers given by me to the foregoing questions are true and correct without any material or consequentialomissions. I understand that any misleading or incorrect statements may render this application void, and, if discoveredafter approval for employment or as a volunteer, would be cause for my termination. I further agree that BCFS, or a controlledentity of BCFS, shall not be liable in any respect if my position is terminated because of my having falsified or madeerroneous statements, answers, or omissions on this application. T also release the companies, schools, or persons fromany and all liability for any damage for issuing a reference or information about me, my job performance, or record to BCFS,or a controlled entity of BCFS. I also understand that background checks will be made of my driving record, any criminalrecord, and any abuse/neglect investigations.
Furthermore I understand and agree that if I am hired, my position with BCFS, or a controlled entity of BCFS, is for anindefinite period of time and is at-will, so that either BCFS or I are free to choose to end our relationship at any time for anyreason, with or without notice.
Signature: Email this completed application to [email protected]. Attach a resume to the email, if possible.
Date: