Online Employment Application - Domestic Violence Services Snohomish County

DOMESTIC VIOLENCE SERVICES OF SNOHOMISH COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER DEDICATED TO A POLICY OF NON-DISCRIMINATION
IN EMPLOYMENT (INCLUDING APPLICATION FOR EMPLOYMENT) ON ANY BASIS INCLUDING RACE, COLOR, RELIGION, NATIONAL ORIGIN, ANCESTRY,
CITIZENSHIP, SEX, AGE, PHYSICAL OR MENTAL DISABILITY, MEDICAL CONDITION, PREGNANCY, VETERAN OR MILITARY STATUS, OR ANY OTHER BASIS
PROHIBITED BY LOCAL, STATE, AND FEDERAL LAW.
APPLICANTS WITH DISABILITIES MAY BE ENTITLED TO REASONABLE ACCOMMODATION UNDER THE TERMS OF THE AMERICANS WITH DISABILITIES
ACT AND CERTAIN STATE OR LOCAL LAWS. A REASONABLE ACCOMMODATION IS A CHANGE IN THE WAY THINGS ARE NORMALLY DONE WHICH WILL
ENSURE AN EQUAL EMPLOYMENT OPPORTUNITY WITHOUT IMPOSING UNDUE HARDSHIP ON DOMESTIC VIOLENCE SERVICES OF SNOHOMISH
COUNTY. PLEASE CONTACT DOMESTIC VIOLENCE SERVICES OF SNOHOMISH COUNTY IF YOU NEED ASSISTANCE COMPLETING THIS APPLICATION OR
TO OTHERWISE PARTICIPATE IN THE APPLICATION PROCESS.
PLEASE READ AND ANSWER ALL QUESTIONS CAREFULLY. YOUR FAILURE TO RESPOND TO ALL QUESTIONS MAY DISQUALIFY THIS APPLICATION FROM
FURTHER CONSIDERATION. ALL INFORMATION MUST REFLECT A COMPLETE AND ACCURATE RECORD OF YOUR EDUCATION AND EMPLOYMENT
HISTORY.

Personal Information

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Present Street Address

Home Phone

Please include area code

Cell Phone

Please include area code

Work Phone

Please include area code

Email *

Position Applying for *

Are you legally authorized to work in the United States? *

Yes
No

Are you at least 18 years of age? *

Yes
No

Will you now or in the future require sponsorship for an immigration-related employment benefit? *

Yes
No

Job Interest

Date Available *

Will you relocate, if necessary? *

Yes
No

Salary Desired *

Hourly/Annual

Are you available to work: *

Full Time
Part Time
Contract

Have you previously applied for work at DVS? *

Yes
No

If "yes", when and what position?

How did you learn about this opportunity?

If an employee referred you, include the employee's name

Education

Please list your educational background, beginning with High School. Include technical school and military, etc.

Name and Location of school *

Name and Location of school

Major/Degree

List any vocational or business related courses and training.

Professional References

List names and telephone number of three work or school references who know your employment qulifications, include supervisors.

Name *

Phone *

Job Title *

Relationship to you *

Emplpyment/Work Experience

Complete this portion eben if attaching your resume. PLease list your emplyment history with your current / most recent employer. Include military service and self-employment. PLease account for the last 10 years of employment. Ude additional paper if necessary.

Employer Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Position Held *

Dates Employed From *

Dates Employed To *

May we contact this employer? *

Yes
No

Phone *

Supervisors Name and Position *

Reason for Leaving *

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Held

Dates Employed From

Dates Employed To

May we contact this employer?

Yes
No

Phone

Supervisors Name and Position

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Held

Dates Employed From

Dates Employed To

May we contact this employer?

Yes
No

Phone

Supervisors Name and Position

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Held

Dates Employed From

Dates Employed To

May we contact this employer?

Yes
No

Phone

Supervisors Name and Position

Reason for Leaving

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Held

Dates Employed From

Dates Employed To

May we contact this employer?

Yes
No

Phone

Supervisors Name and Position

Reason for Leaving

Have you been dismissed or asked to resign from any position? *

Yes
No

Please identify and explain any gaps in employment greater than 90 days:

Pre-Employment Statement

I have read and fully understand the questions in this application and I certify the answers I have given this application are true and complete to the best of my knowledge, and I understand that any false or misleading answers, omissions or concealment of facts will disqualify me from consideration of employment or, if hired, may lead to my immediate separation of employment.
I understand that I may be subjected to a criminal background check where it is substantially job related and consistent with business necessity or credit check where it is substantially job related after receiving a conditional offer of employment where allowed by law.
I understand I may be subject to a pre-employment drug test after receiving a conditional offer of employment, and must receive a negative result in order to be permitted to commence work with Company where allowed by law. I understand that where permissible under applicable federal, state and local law, I may be required to provide authorization for verification of my driving history and driving licenses if such information is related to the position for which I am applying consistent with business necessity.
If hired, I agree to abide by the policies and expectations of the Company. I understand that my employment is “at will” and can be terminated by me or by the Company at any time without notice or cause subject only to applicable requirements of law and I will be paid only for services rendered to the time of my termination. In the event the Company advances me money or other items of value, or I otherwise become indebted financially to the company, I agree to repay the Company and also agree any wages due to me upon termination may be offset by payroll deductions against such monies due the Company, except where prohibited by applicable law.
. If hired, I agree to abide by the policies and expectations of the Company. I understand that my employment is “at will” and can be terminated by me or by the Company at any time without notice or cause subject only to applicable requirements of law and I will be paid only for services rendered to the time of my termination. I understand that no language in this application or any statement made during employment may change my at will employment, with the sole exception of an agreement in writing signed by the President of the Company.
By signing below, I certify and acknowledge that I have read the statements and that I understand them.

Name *

First

Last

Resume *

Click or drag a file to this area to upload.

Cover Letter *

Click or drag a file to this area to upload.

Please see employment page for requirements

Date *

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.