Application Form

Employment Form

"*" indicates required fields

Primary position*

Are you seeking full-time or part-time employment?*

How did you hear about us?*

Employee's Name*

Board Member's Name*

Friend/Relative/Community Member Name*

You can add up to 3 names

PERSONAL INFORMATION

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Phone Number*

Email*

Have you ever been employed with us before?*

Yes

Do you have a valid drivers license?*

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof required upon employment)*

Yes

On what date would you be available to start?*

MM slash DD slash YYYY

What time(s) would you be available to work on Sunday?*

What time(s) would you be available to work on Monday?*

What time(s) would you be available to work on Tuesday?*

What time(s) would you be available to work on Wednesday?*

What time(s) would you be available to work on Thursday?*

What time(s) would you be available to work on Friday?*

What time(s) would you be available to work on Saturday?*

Would you consider working an overnight shift?*

Yes

Note: Work Schedules Are Based Upon The Needs Of The Business And May Be Subject To Change On A Weekly Basis.

WORK HISTORY

Begin With Your Most Recent Employment (1) And Continue With Past Employment

Employment #1

Employer

Address

Street Address City State ZIP Code

Phone Number

Job Title

Name & Title of Supervisor

Reason for Leaving

Employed From

(mm/yyyy)

Employed To

(mm/yyyy)

Work Performed

Employment #2

Employer

Address

Street Address City State ZIP Code

Phone Number

Job Title

Name & Title of Supervisor

Reason for Leaving

Employed From

(mm/yyyy)

Employed To

(mm/yyyy)

Work Performed

ATTENDANCE AND PUNCTUALITY INFORMATION

Consistent attendance and punctuality are essential requirements of every job with this business. Is there anything which would interfere with your regular attendance and punctuality if you are offered a job with this business?

Yes

EDUCATION

Education History - List High School and any post High School education. Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools*

Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools

Type of School

Name and Address Of School

Highest Grade Or Year Completed

Received Diploma?

Describe any specialized training, apprenticeship, skills, extra-curricular activities, or additional information for consideration.*

PERSONAL OR BUSINESS REFERENCES

Please add 3 References

Reference 1

Click the + button on the far right to add additional references.

Name

Address

Phone Number

NOTIFICATION AND AGREEMENT

The information that is provided in this application is accurate and complete. I certify that I have provided a true representation of my previous job history, personal qualifications, and other relevant information. I authorize representatives of Great River Homes, Inc. to investigate information about my application, including references from previous employment or personal references noted.

I understand that Great River Homes, Inc. will complete a criminal background check, and I authorize the agency to make this inquiry. I further understand that I may be disqualified from employment with the organization if I have a substantiated record of criminal activity that warrants disqualification according to law.

This application for employment is considered active for a period of 45 days. If the applicant wishes to be considered for employment with Great River Homes, Inc. beyond that period of time, the applicant should request that their application continue to be considered.

Great River Homes, Inc. has an "at will" relationship with its employees. This means that an employee is not required to work for the agency for any set period of time, and that Great River Homes, Inc. is not required to employ an individual for any set period of time. Great River Homes, Inc. may discharge an employee at any time with or without cause.

I understand that by accepting employment with Great River Homes, Inc. that I am required to take direction from my supervisors and abide by the policies, procedures, and regulations of the Agency. I also agree to participate in all required orientation and training which is provided to me by Great River homes, Inc.

I understand that by presenting false or misleading information on my application or during the application process, the management of Great River Homes, Inc. can take immediate action to disqualify my application or terminate my employment.

I have read and agree to these statements*

Yes

I acknowledge that all available positions for Great River Homes, Inc. are located in southeastern Minnesota only.*

Yes

Resume

If you have an electronic version (Word, PDF, etc.) of your resume, you may attach it here.

Max. file size: 50 MB.

Today's Date

MM slash DD slash YYYY

Golf Tournament

Grumpy Plunge

All Events

Donate

Volunteer

Advocate

Employment Form

PERSONAL INFORMATION

WORK HISTORY

Employment #1

Employment #2

ATTENDANCE AND PUNCTUALITY INFORMATION

EDUCATION

PERSONAL OR BUSINESS REFERENCES

NOTIFICATION AND AGREEMENT