Alpert Jewish Family Service | AJFS Job Application - Care Manager (Social Worker/MSW)

Name

First

Last

Email

Home Phone

Mobile Phone

Address

City

State/Province

Zip/Postal

Country

Are you 18 years of age or older?

Yes

No

Have you ever applied to Alpert JFS or Levine JRFS?

Yes

No

If yes, when?

Were you referred by a current employee?

Yes

No

If Yes, who?

What are your salary requirements?

Have you ever been convicted of, or plead guilty or nolo contendere, or no contest to a crime?

Yes

No

Are you currently awaiting trial, sentencing or other disposition of a criminal charge?

Yes

No

If the answer to either of the last two questions is yes, please explain (state the date, type of crime, place of occurrence, disposition). Conviction of a crime will not necessarily disqualify you for employment. Each conviction will be judged on its own merit with respect to time and job relatedness.

High School Diploma or GED

Yes

No

College Degree

Yes

No

Other

Last 7 years of work experience. Must fill out even if resume is attached.

Please list employer, position , start date, end date.

By clicking below, I understand that ALPERT JFS/LJRFS will attempt to verify statements made on my application and made during my employment interview. When contacted by ALPERT JFS/LJRFS I give permission for my former employers and others to answer any and all questions based upon information available to them in my prior employment records. I understand that it is possible that my prior employment records may not be accurate. Nonetheless, in consideration of ALPERT JFS/LJRFS’s review of this application I agree to release, indemnify and hold harmless all persons and other entities (third parties) providing the information requested by ALPERT JFS/LJRFS, their agents, officers or employees. I also agree to release, indemnify and hold harmless ALPERT JFS/LJRFS and their agents, officers and employees from any and all liability in connection with its conducting such investigation as it deems appropriate and the use of the information received from Third Parties. I understand that my failure to sign this reference release so that ALPERT JFS/LJRFS can contact references and make a full background check of my previous work history will be deemed interference with and a withdrawal of my application for employment. I further agree to hold harmless and indemnify ALPERT JFS/LJRFS, and its agents, officers and employees from any and all liability that may be caused by ALPERT JFS/LJRFS relying on inaccurate information. I understand that ALPERT JFS/LJRFS requires certain information about me to evaluate my qualifications for employment and to conduct its business if I become an employee. I understand that false, incomplete or misleading statements or omissions on this application or any other pre- or post-employment form may be considered sufficient cause for dismissal, if and when discovered. The use of this application blank does not indicate there are positions open and does not in any way obligate ALPERT JFS/LJRFS. I authorize personal references as well as developed references, other persons, companies, corporations, schools, and law enforcement agencies to furnish to ALPERT JFS/LJRFS and/or its agents or representatives any information they have concerning me. I understand that I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of this investigation. I understand that prior to obtaining any information from a credit reporting service; ALPERT JFS/LJRFS must first obtain my written consent in a disclosure separate from this application. I understand that ALPERT JFS/LJRFS shall treat all this information in a confidential manner. I understand that if I am employed by ALPERT JFS/LJRFS, I must conform to the rules of ALPERT JFS/LJRFS. I understand that I have the right to terminate my employment at any time with or without notice, with or without cause, and that ALPERT JFS/LJRFS has a similar right. I understand my employment by ALPERT JFS/LJRFS does not constitute a guarantee that any position be continued for any length of time or that any job assignment or shift be permanent. I understand that I may be required to work scheduled and unscheduled overtime and scheduled weekend and holiday work when required by ALPERT JFS/LJRFS. I understand that no one other than the CEO of ALPERT JFS/LJRFS has authority to make any other agreement. I understand that I may be required to submit to drug testing now or at any time in the future and I agree to such testing. I also understand that I may be required to submit to a medical evaluation. Moreover, I understand that my failure or refusal to undergo such testing will result in the withdrawal of my employment application. The Immigration Reform and Control Act of 1986 require that, after employment, employers verify the legal work authorization and identity of all new employees. An offer of employment will depend upon ALPERT JFS/LJRFS’s ability to verify this necessary information. I understand that if I am hired, confidential information regarding ALPERT JFS/LJRFS, and/or its customers and employees, may be available to me and that this information must not be disseminated or used except for ALPERT JFS/LJRFS’s benefit. If employed, I agree to keep all information about ALPERT JFS/LJRFS, including such information regarding its business methods, protocols, customers and employees, confidential and shall not disclose this information to any unauthorized personnel whether within or without ALPERT JFS/LJRFS.

I understand

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AJFS Job Application - Care Manager (Social Worker/MSW) - Part Time

Last 7 years of work experience. Must fill out even if resume is attached.

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