Employment Application

  • Personal Data

  • (Used for certification, reference, and criminal history record checks)
    (If offered employment, you will be required to provide documentation to verify eligiblity)

  • Education

  • High School

  • College/University

  • Graduate Study


  • Position Data


  • Student/Intern Experience


  • References


  • Skills


  • Certification Licensure


  • Work Experience

    List ALL paid employment beginning with most recent years.
  • Past Employer 1

  • Past Employer 2

  • Past Employer 3


  • General Information

  • (A felony conviction is not an automatic bar to employment. The agency will consider the nature, date, and relationship between the offense and the position for which you are applying.)

  • Verification

  • I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from sub sequent employment. I authorize the references listed on the previous page to give you any and all information concerning my previous employment and any pertinent information they may have, per sonal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to you. I understand that any offer of employment I may recive from Bringing Famileis Together is contingent upon successful completeion of Bringing Families Together total preemployemnt screening process inclduing satisfactory references, physical exam as well as driving record history, criminal hisotry and child abuse/neglect history. I understand that as a condition of employment, I may be required to undergo and sucessfully pass a screening for alchol and/or drugs.
  • This application becomes the property of Bringing Families together and the agency reserves the right to accept or reject it.
  • *BFT Holding Corp./Bringing Families Together affirms that it does not and will not discriminate on the basis of race, ancestry, color, religion, gender, age, national origin, sexual orientation, gender identity, gender expression, marital status, military service, veteran status, or disability except where the disability would prevent the performance of the job with or without reasonable accommodations, or any other basis protected by Federal, State or Local laws,, nor will it condone any act of discrimination or harassment on the part of its employees. It is the policy of BFT Holding Corp./Bringing Families Together to provide equal opportunity for all qualified persons. This provision includes all aspects of hiring, employment, training, promotion, transfer, wages, discipline, dismissal and all other conditions and details of employment.