Employment

Please begin by telling us a bit about your experience...

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The Children’s Community Development Center, Inc. (herein known as “CCDC”) is committed to equal employment opportunity for all employees and applicants for employment. CCDC will not discriminate or permit discrimination against any person or group of persons, except in the case of bona fide occupational qualification, on the grounds of race, color, religious creed, age, marital status, familial status, national origin, ancestry, sex, mental retardation, mental disability, learning disability, lawful source of income, sexual orientation, or physical disability, including but not limited to blindness or deafness.

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Your Information

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Current Address

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Previous Address

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Employment Status

As a condition of employment, you are required to submit proof of employment and identity in compliance with the Immigration Reform and Control Act of 1986.

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Desired Position

What position are you interested in? + Additional Position

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CCDC Relationships

List any relatives currently or priorly employed with CCDC Add Another Relative

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This section is absolutely required, regardless of inclusion in your resume.

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High School

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College or University

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Graduate or Business School

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Trade School

Please describe all your work experience. Where appropriate, include work experience during periods of education.

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Current / Most Recent Employer

List four people who are not related to you but who have knowledge of your qualifications for the position for which you are applying (i.e., co-worker, peer, subordinate, committee member, senior management member) and indicate relationship and organization.

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Add Another Reference

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How were you referred to us?

Please describe any special skills, qualifications, professional memberships, licenses, volunteer work etc. that may be pertinent to your qualifications for the position you are applying for. (Exclude those activities which indicate your race, creed, color, gender, marital status, sexual orientation, age, national origin or ancestry, religion, veterans status, or disability.)

Please note: (1) Applicants are not required to disclose the existence of any arrest, criminal charge or conviction, the records of which have been erased pursuant to section 46b-146,54-76o or 54-142a of the Connecticut General Statutes. (2) Criminal records subject to erasure pursuant to section 46b-146, 54-76o or 54-142a of the Connecticut General Statutes are records relating to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed for which the person was found not guilty or a conviction for which a person received an absolute pardon. (3) Any person whose criminal records have been erased pursuant to section 46-b-146, 54-76o or 54-142a of the Connecticut General Statutes shall be deemed to have never been arrested within the meaning of the general statutes with respect to the proceedings so erased and may so swear under oath.

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Please note that a conviction record will not necessarily be a bar to employment. All relevant factors such as seriousness/nature of the infraction, date of the conviction and rehabilitation will be considered, and relationship of the nature of the crime to the position desired. + Add Conviction

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I solemnly swear and certify that all answers given in this application are true and complete to the best of my knowledge and belief. In the event of an offer of employment and/or subsequent employment, I understand that false, misleading or omitted information in my application shall be grounds for withdrawal of an offer of employment or discharge at any time.

It is my understanding that CCDC, or its agents, may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers or oral interviews. I understand that CCDC, or its agents, may disclose to third parties some or all of the information given in my application as part of the background investigation. I authorize such investigation and the giving and receiving of any information requested by ABC Company, or its agents, and I release from liability any person or organization giving or receiving any such information. I understand and agree that CCDC may obtain a consumer report from a third-party consumer reporting agency, as these terms are defined in the Fair Credit Reporting Act, for the purpose of obtaining such information and completing such investigations.

I understand that any employment will, among other things, be contingent upon the results of a background investigation. I understand and agree that any commitment will be based on verification of all data given or received regarding my application for employment, related papers, oral interviews or references.

I understand that this is an application for employment and that no employment contract or promise is being offered. I understand that if I am employed, such employment is for no definite period of time and that CCDC can change wages, benefits, practices, policies and conditions at any time. No application, brochure, policy statement, procedure, benefit plan, summary, work rules, employee handbook, or other written or oral communication between the company and its employees is intended to create an employment contract other than an “at will” employment contract. I further agree that the “at will” employment contract means that both the company and the employee have the right to terminate the relationship without recourse or liability at any time with or without cause and with or without notice. I fully understand and agree that if employed by CCDC I am an “at will” employee.

I am willing to work nights, weekends and holidays if my work assignment requires it.

I have read and understand the above.

I understand that an investigative background inquiry is to be made on myself including, but not limited to, consumer credit history, criminal history, driving history, education and other reports. These reports may include information as to my character, work habits, job performance, and experience, along with reasons for termination of past employment. I further understand that information will be requested from various Federal, State, and other agencies, which may maintain records concerning my past activities relating to my driving, credit performance, criminal conduct, civil court, and other experiences.

I authorize, without reservation, any party or agency contacted to furnish the above information.

I hereby consent to your obtaining the above information. And, I further understand that, to aid in the proper identification of my file or records, I am providing the following information, as well as any other information that may be required at a later date.