Menu

Careers Application

Personal Information

Position(s) Applying For:



Have you ever worked for this company before?




Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expumged or sealed by a court? If yes, please describe in full.



Education

Elementary School

Did You Graduate?



High School

Did You Graduate?



College/University

Did You Graduate?




Subjects Studied/Majored:

Trade/Bus. School

Did You Graduate?




Employment

Previous Employer 1

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

Previous Employer 2

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

Previous Employer 3

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

Previous Employer 4

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

Previous Employer 5

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

Previous Employer 6

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

Previous Employer 7

Dates of Employment:
From: To: Name, Address & Phone Number of Employer. Include Name of IMMEDIATE Supervisor: Salary/Hourly Wage: Reason for Leaving: Position Description of Duties:

I have read and completed all of the material and information contained in this Employment Application form. I verify that all of the information I have supplied is true and correct to the best of my knowledge, information and belief, and that I have not withheld any information requested. I understand that in the event that I am hired by OPPORTUNITY HOUSE, and it is later determined that I made a material misrepresentation or failed to provide certain information requested, I may be subject to immediate discharge by the Company. I authorize any former employer, person, firm, corporation; or government agency to answer any and all questions and to release or provide any information, within their knowledge or records and agree to hold any or all of them blameless and free of liability for releasing any truthful information that is within their knowledge or records (check one) In consideration of my employment I agree to conform to the rules and regulations of the Company. This application is not an employment contract.

As an at-will employee either I or OPPORTUNITY HOUSE can terminate employment at any time, for any or no reason, with or without notice.

I understand that the Company will require, prior to employment, urine samples to determine drug or alcohol contamination. I realize that a positive drug/alcohol test will disqualify me from employment. If an offer of employment is made, the company will require a physical evaluation to determine fitness for duty.

I authorize you or another entity to make such investigations and inquiries of my employment, criminal history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or individuals from all liability in responding to inquiries in connection with my application.

It is OPPORTUNITY HOUSES’ policy to make employment selections on the basis of qualification and proper evidence of ability. Recruitment and treatment of employees are exercised without discrimination because of age, race, color, creed, national origin, sex, veteran status, Vietnam veteran, or disability.

InstagramBlogLinkedInTwitterFacebook

Connect With Us

Opportunity House

430 North 2nd Street
Reading, PA 19601

Phone: (610) 374.4696
Fax: (610) 374.3165

Email: info@opphouse.org

Top