SMOKY MOUNTAIN CHILDREN"S HOME Personal Record for Employment 449 McCarn Circle Sevierville, TN 37...

Smoky Mountain Children's Home

Personal Application for Employment
449 McCarn Circle Sevierville, TN 37862 | Phone 865-453-4664 | Fax 865-453-8812
Please read the following before completing our application There is no guarantee of a job offer or a job interview by completing our application. Your application will be considered with all others who have submitted an application for the designated position and interview decisions will be based on candidate comparison. Our application must be completely filled out in order for you to be considered for employment. If the information provided on your application cannot be satisfactorily verified by employment reference checks, your application may be considered incomplete. Applications are filed according to job title. Be as specific as possible in stating the job applied for: ANY position is not an acceptable response. Due to the large number of applications we receive and the competitive nature of our employment process, specific reasons for employment decisions will not be released. In completing our application you will be subject to the following checks: - Employment Reference Checks - Criminal Record Checks
Signature of Applicant
I have read and fully understand the above statements.
To Applicant: We deeply appreciate your interest in the Smoky Mountain Children"s Home and assure you we are sincerely interested in your qualifications. A clear understanding of your background and work history will aid us in placing you in the position that best meets your qualifications and may assist us in potential future advancement.
Position Applying for
Date Applied

- Month - Day Year
Date
If considered for employment, on what date will you be available for work?

- Month - Day Year
Date
How did you hear about us?

Family Friend Church School Other option
PERSONAL INFORMATION
Last Name
First Name
Middle Name
Address
City
State
Zip
Primary Telephone
Secondary Telephone
Email Address
Place of Birth
U.S. Citizen

Yes No
If NO, Explain
Legal resident of what state?
How long at current address? Years / Months

EDUCATION Please list all education, beginning with high school.
Name and Address of School
Course of Study
Years Completed
Degree or Diploma
Name and Address of School
Course of Study
Years Completed
Degree or Diploma
Name and Address of School
Course of Study
Years Completed
Degree or Diploma
Name and Address of School
Course of Study
Years Completed
Degree or Diploma
WORK EXPERIENCE Please list all present and past employment, beginning with the most recent.
Name and Address of Company
Phone
Position
Supervisor
From MM/YY
To MM/YY
Describe Duties
Salary (start)
Salary (end)
Reason for Leaving
Name and Address of Company
Phone
Position
Supervisor
From MM/YY
To MM/YY
Describe Duties
Salary (start)
Salary (end)
Reason for Leaving
Name and Address of Company
Phone
Position
Supervisor
From MM/YY
To MM/YY
Describe Duties
Salary (start)
Salary (end)
Reason for Leaving
Name and Address of Company
Phone
Position
Supervisor
From MM/YY
To MM/YY
Describe Duties
Salary (start)
Salary (end)
Reason for Leaving

Are there any other experiences, skills, or qualifications which you feel would especially fit you for work with our organization? Include any computer related skills.
PERSONAL REFERENCES List 3 Non-relative References
Name
Title
Relationship to You
Address
Phone
Years Known
Name
Title
Relationship to You
Address
Phone
Years Known
Name
Title
Relationship to You
Address
Phone
Years Known
Please Read Carefully and Sign Below The facts set forth in my application for employment are true and complete to the best of my knowledge. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. SMCH is hereby authorized to make an investigation of my personal history, financial, and credit record through any investigative or credit agencies or bureaus of their choice. In completing this application for employment I authorize you to make an investigative consumer report whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. This inquiry, if made, may include information as to my character, general reputation, and personal characteristics. I understand I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of any such investigative report.
Enter Legal Name Here to Sign
Date

- Month - Day Year
Date

Disclaimer I understand and agree that: 1. Any misrepresentation or deliberate omission of a fact in my application may be justification for refusal, or if employed, termination of employment. 2. I understand the Smoky Mountain Children"s Home may investigate my entire work history and verify data given in my personnel record for employment, related papers, or oral interviews. I authorize such investigation and the dissemination of information requested by the Smoky Mountain Children"s Home. I release from liability any person giving or receiving any such information. I understand any derogatory information discovered as a result of this investigation may prevent my being hired, or if hired, may subject me to immediate dismissal. 3. I agree my employment may be terminated by the Smoky Mountain Children"s Home at any time without liability of wages or salary except such as may have been earned up to the date of such termination. I authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the duties of a job for which I am being considered prior to employment or in the future during my employment with the Smoky Mountain Children"s Home. 4. Although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule, or a work schedule other than Monday through Friday. I understand and accept these as reasonable conditions of my employment. 5. If employed, I hereby agree with the Smoky Mountain Children"s Home to accept the provisions of the Workmen"s Compensation Law and other Insurance Plans as provided. I further agree, should I resign from employment I will give thirty (30) day"s notice prior to my resignation. 6. I understand this is an application for employment and no employment contract is being offered at this time. 7. I understand if I am employed, such employment is for no definite period of time and that wages, benefits, and conditions can be changed at any time by the Smoky Mountain Children"s Home.
Disclosure of Information Notice to Applicant: Read Before Signing 1. I authorize the release of all high school, college, or other education records pertaining to my attendance, course work and other school activities. 2. I further consent to the disclosure of any and all information about me contained in private and governmental files (including criminal records) relative to this application for employment or relating to my present and former employment history. I request all former employers as well as federal, state, and local government agencies to supply such information to the Smoky Mountain Children"s Home upon its request. The Smoky Mountain Children"s Home is also authorized to make an investigation of my personal history and financial and credit record through any investigative agency, credit agency, or bureaus of its choice. 3. All former employers are hereby authorized and compelled to furnish the Smoky Mountain Children"s Home with personal information requested concerning my potential employment. I release my former employers from any and all liability that may arise as a result of providing such information to the Smoky Mountain Children"s Home 4. I authorize the Smoky Mountain Children"s Home to supply my employment record, in whole or in part, to any prospective employer, governmental agency, or any other party with a proper and appropriate interest, and I release the Smoky Mountain Children"s Home from any and all liability that may arise as a result of its providing such information to any prospective employer, governmental agency, or to any other party with a proper and appropriate interest. I certify that all statements made by me on the Personnel Record for Employment are true and complete to the best of my knowledge. I agree to the above terms and conditions and acknowledge receipt of a signed copy of this form.
Enter Legal Name Here to Sign
Date

- Month - Day Year
Date
Please save and print a copy for your records. Applications can also be emailed to bnuckles@smch.org or mailed to: 449 McCarn Circle Sevierville, TN 37862
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Smoky Mountain Children's Home