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Camp Red Cedar Online Application

Position(s) Applied for *

Date of Application *

First Name *

Last Name *

Middle Name

Address *

City *

State *

Zip *

Email *

Phone

Alt Phone

If \"Current employee,\" enter employee name

Are you legally eligible to work in the United States? *

Yes

Proof of eligibility will be required upon offer of employment

Are you 18 years of age or older? *

Yes

Can you with or without reasonable accommodation perform the essential functions of this job? *

Yes

If you have any questions about the functions of the job, please ask the interviewer before answering this question.

Have you ever applied with Benchmark Human Services or Camp Red Cedar before? *

Yes

Date

Have you ever worked for Benchmark Human Services before?

Yes

Date

Have you ever been convicted of a crime or violation other than a minor traffic violation? *

Yes

If yes, please explain

Do you have a valid driver\'s license? *

Yes

What salary or rate of pay do you expect to receive if employed?

Per

Have you ever been fired or asked to resign from a job? *

Yes

If yes, please explain

On what date would you be available to work? *

Availability

Days and hours available:

Sunday

AM to PM

Monday

AM to PM

Tuesday

AM to PM

Wednesday

AM to PM

Thursday

AM to PM

Friday

AM to PM

Saturday

AM to PM

Education

Name and Location of School

Course of Study/Major

# of Years Completed

Graduated *

Name and Location of School

Course of Study/Major

# of Years Completed

Graduated

Name and Location of School

Course of Study/Major

# of Years Completed

Graduated

Specify

Name and Location of School

Course of Study/Major

# of Years Completed

Graduated

Describe any specialized training, apprenticeships, licenses or skills that you feel may be relevant to the job you are seeking:

Please use (n/a) if not applicable

Employment history

Begin with current or most recent employer. Do not exclude any employment. Include any applicable temporary employment.

Name

Job title

Phone

Address

Supervisor\'s Name and Title:

Dates Employed Start

Dates Employed End

Rate of Pay Begin

hourly/salary

Rate of Pay End

hourly/salary

Reason for leaving

Describe the Duties Performed

Name

Job title

Phone

Address

Supervisor\'s Name and Title

Dates Employed Start

Dates Employed End

Rate of Pay Begin

(hourly/salary)

Rate of Pay End

(hourly/salary)

Reason for leaving

Describe the Duties Performed

Name

Job title

Phone

Address

Supervisor\'s Name and Title

Dates Employed Start

Dates Employed End

Rate of Pay Begin

(hourly/salary)

Rate of Pay End

(hourly/salary)

Reason for leaving

Describe the Duties Performed

Please provide any other information that you feel will help us in considering your application for employment

References

Please list three persons, who are not related to you or previous supervisors, who can provide professional references.

Name *

Phone

Email *

Relationship/Occupation *

Years Known *

Name *

Phone

Email *

Relationship/Occupation *

Years Known *

Name *

Phone

Email *

Relationship *

Years Known *

IMPORTANT: Read before submitting.

Alcohol and Drug Screening Policy: It is the policy of Benchmark Human Services/Camp Red Cedar to maintain a safe, healthy, and productive work environment for all its employees; to produce quality goods & services for its customers in an efficient manner; to maintain integrity & security of its facility & property; & perform all these functions in a fashion consistent with the interests & concerns of the communities in which it is located. Pursuant to these goals, Benchmark/Camp Red Cedar requires candidates for employment to pass a drug/alcohol-screening test covering illegal substances and legal substances subject to abuse. This requires the candidate to submit a urine, hair and/or blood specimen and to sign consent and release statement provided by Benchmark/Camp Red Cedar, that I will be required to submit to a drug/alcohol screening test.

I certify, to the best of my knowledge, that the information submitted is complete & accurate, & I authorize Benchmark/Camp Red Cedar to verify the accuracy of such information & to obtain reference information regarding my work performance. I hereby release Benchmark/Camp Red Cedar from any/all liability of whatever kind & nature, which at any time, could result from obtaining & basing an employment decision on such information. I understand that, if employed, Benchmark/Camp Red Cedar may terminate my employment if I have made any false statements or misrepresentations in this application or during the interview process.

I understand that should an employment offer be extended to me & accepted that I will fully adhere to the policies, rules, and regulations of employment of Benchmark/Camp Red Cedar. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration & at will and that either Benchmark/Camp Red Cedar or I may terminate my employment at any time with or without notice or cause.

I declare that I have never committed an act of abuse or fraud in relationship to a dependent person & have never knowingly violated applicable rules or laws in any previous employment in residential, health care or related employment.

By clicking the Submit Application button below, I indicate that I have read, understand, and agree to the above statements.

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