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Apply for Full Time Community Advocate-Pine $18.00/hour
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Title: Full Time Community Advocate-Pine $18.00/hour
ID: 1748
Location: Pine City, MN
Department: Domestic Violence
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* First Name: *
* Last Name: *
* Address 1:
Address 2:
* City: *
* State: *
* Phone: *
* Email: *
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PERSONAL INFORMATION
EMPLOYMENT DESIRED
Employee Availability
EDUCATION
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.
EMPLOYMENT HISTORY
Give your full employment record, starting with your current or most recent employment
Please provide three references (not relatives).
The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.
I understand that I am required to abide by all rules and regulations of the company.
* Signature (type name)
* Date
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.
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Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender: Female / Male / I Choose Not to Respond
Race/Ethnicity: American Indian or Alaska Native (Not Hispanic or Latino) / Black or African American (Not Hispanic or Latino) / Hispanic or Latino / Asian (Not Hispanic or Latino) / White (Not Hispanic or Latino) / Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) / Two or More Races (Not Hispanic or Latino) / I Choose Not to Respond
Veteran Status: (Please check all that apply) Individual with a Disability / Vietnam Era Veteran / Disabled Veteran / War/Campaign/Expedition Veteran / Armed Forces Service Medal / Recently Separated Veteran / I Choose Not to Respond