Meeker County Community Homes Online Application

All applicants will be considered for employment without regard to race, color, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status. We are an Equal Opportunity Employer.

Online Application for Employment

* Indicates required field

Name *

First

Last

Date *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Referred By: *

If you are under 18 years of age, can you provide required proof of your eligibility to work? *

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Importation status? *

Yes No

Position Applied For (please note if part or full time) *

Are you currently employed? *

Yes No

May we contact your current employer? *

Yes No

EDUCATION:

Name and location of school, course of study completed, Diploma/degree:

Name of Highschool and Number of Years Completed: *

Name of College, Number of Years Completed and Degrees: *

Indicate special qualifications or skills: *

EMPLOYMENT EXPERIENCE:

Start with your present or last job. You may exclude organizations, which indicate race, color, religion, gender, national origin, disabilities or other protected status.

1. Please provide the Name of Employer, Full Address, Telephone Number, Dates of Employment, Your Job Title, Supervisor, Hourly Rate and Reason for Leaving: *

2. Please provide the Name of Employer, Full Address, Telephone Number, Dates of Employment, Your Job Title, Supervisor, Hourly Rate and Reason for Leaving: *

3. Please provide the Name of Employer, Full Address, Telephone Number, Dates of Employment, Your Job Title, Supervisor, Hourly Rate and Reason for Leaving: *

List professional, trade, business or civic activities and offices held. You may exclude membership that would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. *

ADDITIONAL INFORMATION Other Qualifications: summarize special job-related skills and qualifications acquired from employment or other experience. *

REFERENCES:

1. Please list NAME, PHONE NUMBER and ADDRESS of each reference. *

2. Please list NAME, PHONE NUMBER and ADDRESS of each reference. *

3. Please list NAME, PHONE NUMBER and ADDRESS of each reference. *

DISCLAIMER: All applicants are subject to a background study. MCCH is not permitted to hire employees who are disqualified from working because of their past criminal history.

By submitting this application I certify that answers given 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.

Submit