Employment Application

Note: The policy of the Bangor Area Homeless Shelter is to provide equal employment opportunities to all applicants without regard to race, color, religion, sex, sexual orientation, age, national origin, disability and/or veteran status

Date*

Name*

First Last

Are you at least 18 years old?*

Yes
No

Email

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Position Applying for*

Citizenship*

Only U.S. Citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the U.S.? *

Yes
No

Are you willing to work overtime, if asked?*

Yes
No

Have you ever applied to work at BAHS?*

Yes
No

Please indicate date(s) and positions.

Education

Name of High School*

Years Completed

Did You Graduate?

Yes
No

Name of College

Years Completed

Did you graduate?

Yes
No

Area of Study / Degree Earned

Other

Prior Employment - List your last 3 employers starting with the most recent

Name and Address*

Dates Employed*

Employer Phone Number

Position and Duties*

Reason for Leaving*

Salary / hourly wage

Name and Address*

Dates Employed*

Employer Phone Number

Position and Duties*

Reason for Leaving*

Salary / hourly wage

Name and Address*

Dates Employed*

Employer Phone Number

Position and Duties*

Reason for Leaving*

Salary / hourly wage

PLEASE READ CAREFULLY BEFORE SUBMITTING:

I certify the facts set forth in this application for employment are true and complete. I understand that, if employed, any erroneous, false or misleading statements about or omissions of requested information on this application or otherwise provided during the pre-employment process shall result in my dismissal. I authorize Bangor Area Homeless Shelter and/or affiliates to verify all statements contained in this application, to make any and all necessary reference checks, background checks, (including internet sites) and/or driving record checks and to contact any or all of my prior and current employers. I authorize the references and employers listed previously to give Bangor Area Homeless Shelter and/or affiliates any and all information concerning my previous and current employment and any pertinent information they may have, personally or otherwise, and I release all persons, employers, and Bangor Area Homeless Shelter and/or affiliates from liability for any damage or injury that may result fro furnishing such information to Bangor Area Homeless Shelter and/or affiliates. If employed, I agree to conform to all policies, rules and procedures of Bangor Area Homeless Shelter and/or affiliates. I recognize that employment at Bangor Area Homeless Shelter and/or affiliates is at-will, and if employed such employment can be terminated by Bangor Area Homeless Shelter and/or affiliates or me at any time for any or no reason. I fully understand that, unless otherwise expressly agreed to in writing, signed by a duly authorized official of Bangor Area Homeless Shelter and/or affiliates, my employment at Bangor Area Homeless Shelter and/or affiliates is at will.

By submitting this electronic application, I attest that I fully understand and accept all terms and conditions of the preceding statement