General Application Job Application Position(s) applying for: First Name * Last Name * Phone Email * Address * City * State * StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Employment Position How did you hear about this position? What days are you available for work? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday On what date can you start working if you are hired? * Do you have reliable transportation to and from work? * Yes No Are you a U.S. citizen or approved to work in the United States? * Yes No What document can you provide as proof of citizenship or legal status? Will you consent to a mandatory controlled substance test? * Yes No Have you ever been convicted of a criminal offense (felony or misdemeanor)? * Yes No If yes, please state the nature of the crime(s), when and where convicted and disposition of the case: Job Skill/Qualifications (Note: SCKCI, Inc. DBA Dorothy's House complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.) Education and Training High School Name Location Year Graduated Degree Earned College/University Location Year Graduated Degree Earned Vocational School/Specialized Training Location Year Graduated Degree Earned Are you a member of the Armed Services? Yes No If yes, what branch of the military did you enlist? What was your military rank when discharged? How many years did you serve in the military? What military skills do you possess that would be an asset for this position? Previous Employment Employer Name Employer Phone Job Title Supervisor Name Employer Address City State SelectAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code Employer Name Employer Phone Job Title Supervisor Name Employer Address City State SelectAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code Employer Name Employer Phone Job Title Supervisor Name Employer Address City State SelectAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code References Please provide 3 personal and professional reference(s) below. Reference One Contact Information Reference Two Contact Information Reference Three Contact Information At-Will Employment The relationship between you and the SCKCI, Inc. DBA Dorothy's House is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or SCKCI, Inc. DBA Dorothy's House. No representative of SCKCI, Inc. DBA Dorothy's House has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company President. reCAPTCHA Submit Flynn Wright2022-09-12T13:28:02+00:00
