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CHANGE, Inc.Community Action Agency

Careers

Employment Application

CHANGE, Inc. Application for Employment
Your Personal Information

Are you over the age of 18 years?

Do you have any relatives presently employed with CHANGE, Inc.?

Have you ever worked for CHANGE, Inc. before?

Have you been convicted of a misdemeanor? *

Have you been convicted of a felony? *

Position You’re Applying For

Are you currently employed?

If “Yes”, may we contact your employer?

Education

High School

College

Graduate

Professional

Business/Trade

Employment History

Begin with most recent. Please list your previous employers, the dates you worked, and the position you held.

Most Recent

Previous Employer

Previous Employer

Previous Employer

References

Please list two professional references:

Please list two personal references that are not related to you.

Tell Us About Yourself

Terms and Conditions * — please read carefully before signing

  • CHANGE, Inc. is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, national origin, ancestry, age, or disability.
  • It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by CHANGE, Inc. I understand and agree that if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either myself or CHANGE, Inc. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of CHANGE, Inc.
  • I understand that I may be subject to drug/alcohol testing and/or a background check according to CHANGE, Inc.’s policies, and that passing the drug/alcohol test and background check is a condition of employment. Refusal to submit to testing and/or a background check, or a positive result, shall be sufficient cause for denial of employment or discharge.
  • I authorize and give CHANGE, Inc. consent to conduct reference checks.
  • I certify that the information in this application is true, complete, and correct. I understand that false answers, statements, or significant omissions made by me on this application shall be sufficient cause for denial of employment or discharge.