Employment Application

Employment Application

New Pathways, Inc. is an equal opportunity, drug and alcohol-free employer, and does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization. Please fill in all information requested legibly and completely.

mm-dd-yyyy
mm-dd-yyyy
a conviction will not automatically bar employment

Employment History

Please provide all employment information for the past four employers, beginning with the most recent. Please do not write “See Resume.”
mm-dd-yyyy
mm-dd-yyyy

Other Skills and Qualifications

Summarize any job-related licenses, certifications, special training/skills, languages spoken, research work, etc.:
i.e. LCSW, CPR
i.e. American Red Cross
i.e. Certification State
mm-dd-yyyy

Educational History

References

List 4 professional references. Include the relationship to you (i.e. current supervisor, former supervisor, colleague, teacher, client).

I hereby authorize New Pathways, Inc. to contact, obtain, and verify the accuracy of the information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability New Pathways, Inc. and its representatives for seeking, gathering, and using such information to make employment decisions an all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it is discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or New Pathways, Inc. can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of New Pathways, Inc. not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time, shall result in immediate termination of employment.

I warrant that I fully understand the foregoing, and that I seek employment under these conditions.

mm-dd-yyyy
Sending