Please list School Name, Location, Credits Earned, Courses of Study and did you graduate?
Please list the beginning and ending salary of each position in your employment history
Give three references who are not relatives or former employers. Please list their Name, Address and Phone Number
To empower people in need through mobilizing and developing community resources by creating opportunities for success in Big Horn, Carbon, Stillwater, Sweet Grass and Yellowstone counties.
At HRDC, we envision a world in which individuals don’t have to chose between heating their homes or feeding their families, where jobs pay a living wage and homes are affordable, where children receive early learning to promote healthy development, and all community members are provided equal opportunity, free from economic barriers, to achieve their full human potential.
* HRDC'S services will address significant community needs within our mission area; the community will be critical to assisting in that determination process. * The services provided by HRDC will not only have excellent outcomes, but be delivered in a "best practices" manner. * HRDC will significantly change relationships, behaviors and environments in our service area. * HRDC will be an integral part of all communities it serves. * HRDC believes clients and other agencies are partners in the change process. * HRDC will do no harm to the clients or communities it serves. * Decisions and behaviors will occur within a context of positive values.
By checking this box I acknowledge that falsification or misrepresentation of information may disqualify me from employment. I certify that I am the individual that I claim to be and that all information provided is true and accurate to the best of my knowledge. I also authorize all former employers to release job related information to District 7 HRDC. I release all persons or companies from my liability or responsibility for providing such information. I have read the job description and am able to perform the essential functions of the position with or without accommodations.
This is equivalent to a signature
In an effort to comply with requirements regarding government record keeping, reporting and other legal obligations, we ask that you complete this applicant data survey. Your cooperation is appreciated. Please be advised that this is a voluntary survey and not a part of your official applications for employment. This information is considered confidential and will be used only for statistical reports and other lawful uses. We consider applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other legally protected status.
If other put down source:
(A person of Cuban, Mexican, Puerto Rico, South or Central American or other Spanish culture or origin, regardless of race)
Please Check All That Apply
