Marissa Sternke

Job Application

Employment Application, Fill out completely.

"*" indicates required fields

Contact Information

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Email*

Phone*

Work & Employment History

Upload Resume*

Max. file size: 256 MB.

Foreign Language

What do you like about the jobs you have worked?*

What do you dislike about the jobs you have worked?*

Other Skills

Military History- Branch of Service

Years of Service

Upload DD214

Max. file size: 256 MB.

Other Information

Previous Experience working with vulnerable adults or those with prior convictions or addiction (work, volunteer, personal)- Include Dates:*

Criminal Background

Have you ever been convicted of a Felony?*

Yes

If so, please give a brief description of the offense(s) with dates:

Have you ever been convicted of a Misdemeanor?*

Yes

If so, please give a brief description of the offense(s) with dates:

Consent

FreedomWorks has my permission to undertake a criminal background check.

References

1) Name*

First Last

Phone*

Email*

Occupation:*

Relation to you:*

2) Name*

First Last

Phone*

Email*

Occupation:*

Relation to you:*

3) Name*

First Last

Phone*

Email*

Occupation:*

Relation to you:*

Consent*

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions, or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an "at will" employer. Therefore, any employee (regular, temporary, or other type of category) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

By digitally signing this document I agree to the terms therein*

Date*

Business Manager