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Employment Application

Step 1 of 7

14%
  • GENERAL

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • One name per line
  • PERSONAL DATA

  • If yes, please be prepared to produce your license during the interview.
  • Please type the gender you identify as:
  • One per line
  • CRIMINAL RECORD

  • CONVICTIONS WILL NOT AUTOMATICALLY DISQUALIFY JOB CANDIDATES. DATE OF CONVICTION AND SEVERITY WILL BE CONSIDERED. Please be advised that BRIDGES is required by law to request and review any criminal history information for persons performing certain job duties within the Agency. If the position you are applying for requires this background check, you will be required to provide information, statements and fingerprints according to legal requirements and the Agency shall request information concerning you from the Division of Criminal Justice Services, the Federal Bureau of Investigation, the Excluded Parties List Of the General Services Administration, the Office of the Inspector General and New York State. Also, you will have the right to Obtain, review and seek correction of criminal history information received in response to the criminal background check.
  • If NO violations are listed above, I hereby certify that I have NOT been convicted of any moving violation, suspension, revocation, DWI, or any occurrence involving harm to any person or property. I understand the BRIDGES has the right to verify my record of convictions with the Department of Motor Vehicles. I fully understand that if this certification fails to disclose convictions or offenses, or inaccurately discloses such information, BRIDGES may justly terminate my employment or provisional employment.
  • EDUCATION

    Please provide the name and location.
  • INCLUDE FIELD OF STUDY AFTER THE INSTITUTION
  • ONE PER LINE
  • OTHER RELATED HISTORY/ACTIVITIES/SKILLS

  • EMPLOYMENT RECORD

    LIST YOUR ENTIRE EMPLOYMENT HISTORY. LIST MOST RECENT JOBS FIRST. INCLUDE FULL AND PART-TIME WORK, AND SELF-EMPLOYMENT. ATTACH ADDITIONAL SHEET(S) IF NECESSARY. THE ENTIRE PERIOD MUST BE ACCOUNTED FOR.



  • PDF FORMAT PREFERRED
    Accepted file types: png, pdf, docx, Max. file size: 3 MB.
    Maximum file size - 3 mega bytes.
  • BUSINESS-PERSONAL REFERENCES AND RELEASE


    BUSINESS REFERENCES:PLEASE LIST ALL PAST OR CURRENT IMMEDIATE SUPERVISORS, INCLUDING YOU LAST PLACE OF EMPLOYMENT. PLEASE DO NOT INCLUDE RELATIVES OR BRIDGES EMPLOYEES.

  • PERSONAL REFERENCES: PLEASE PROVIDE TWO PERSONAL REFERENCES, INCLUDING TEACHERS, NEIGHBORS, AND VOLUNTEER ORGANIZATIONS WHO WILL ATTEST TO YOUR SUITABILITY TO WORK IN HUMAN SERVICES. PLEASE DO NOT INCLUDE RELATIVES OR BRIDGES EMPLOYEES.
  • I hereby authorize the above business and personal reference to furnish BRIDGES with any information concerning my employment history, qualifications, work skills, and suitability to work in human services. I release the above from any liability in furnishing the requested information, and understand that this information will be kept confidential.
  • APPLICANT CERTIFICATION


    I hereby state that all the information that I provided on this Application or any other document submitted in connection with my employment, and in any interview, are true and correct. I have withheld nothing that would, if disclosed, affect this Application unfavorably. I understand that if I am employed by BRIDGES and any information is later found to be false in any respect or if I have omitted material information, my employment may be terminated at BRIDGES’s discretion. I acknowledge that acceptance of this application affords no assurance of eventual employment and nothing herein shall create a contract of employment with BRIDGES. No offer of employment guarantees any specific duration of employment, as all employment with BRIDGES is at will -- employment and compensation can be terminated with or without notice, and with or without cause, at any time.

    I understand that if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States. I acknowledge that in order to verify the information I provided in this application, BRIDGES may be contacting my former employers. I authorize and request that any and all of my former employers and any other persons, or companies furnish BRIDGES with any and all information concerning my professional background and experience, and I release each such employer, entity or other person, from any and all liability by reason of furnishing the requested information.

    I am aware that all applicants and employees are covered by BRIDGES’s anti-discrimination and harassment policy and complaint procedures, which provides an avenue for individuals to complain about discriminatory conduct and have such complaints investigated and resolved. I am aware that copies of this policy are provided upon commencement of employment and/or upon request.

    I have been informed and understand that BRiDGES is required by law to request and review any criminal history information for persons performing certain job duties within the Agency. If the position I am applying for requires this background check, I will be required to provide information, statements and fingerprints and the Agency shall request information concerning me from the Division of Criminal Justice Services, the Federal Bureau of Investigation and the Excluded Parties List of the General Services Administration, the Office of the Inspector General and New York State. I understand and accept the fact that my criminal history information (if any) that is communicated to the Agency may result in my disqualification as a candidate for employment, or termination of my employment (if the results of the background check are completed after a job offer has been made). I further understand that I have the right to obtain, review and seek correction of my criminal history information and I have been informed of these rights. Upon the completion of the criminal background check, I will be informed of the procedures necessary to exercise these rights.

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