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Counseling Position Employment Application Form

The Center • A Place of HOPE


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Additional Information:

Please include on a separate sheet any other information you think would be helpful to us in considering your employment. I certify that the answers given by me to the foregoing questions and statements are true, correct and without omissions. I authorize The Center • A Place of HOPE to investigate the foregoing and any other information that might assist The Center • A Place of HOPE to determine my qualifications for employment. I release The Center • A Place of HOPE and my former employers, and all others, from liability for damage, which may result from such investigation. If, upon investigation, anything contained in the application is found to be untrue, I understand and I will be subject to dismissal at any time during employment.

It is the policy of The Center • A Place of HOPE to recruit, hire and promote for all job classifications on the basis of merit, qualification and competence without regard to race, color, national origin, religion, sex, age or handicap. All employment decisions will be made solely upon the basis of the individual’s qualifications as related to the requirements of the position being filled.

Please note: You are not required to furnish any information which is prohibited by federal, state, or local law.