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Employment Application
An Equal Opportunity Employer

 

Applicant Information

Name
Address
City
State
Zip
Phone
E-Mail Address
Applying for
Desired Salary
Education


   
   

 

Previous Employment
Company
Address
City
State
Zip
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
 
May we contact your previous supervisor for a reference?




Company
Address
City
State
Zip
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
 
May we contact your previous supervisor for a reference?



Agreement and Signature
  • The Arc Mid-South is an equal opportunity employer and will consider applicants for all positions without regard to race, age, color, religion, marital status, national origin, disability, veteran status, or any other legally protected status.
  • No applicant will be rejected as a result of any impairment, which, with reasonable accommodation, does not prevent performance of the work.
  • The Arc Mid-South will not tolerate sexual harassment or harassment on the basis of any protected status in the workplace.
  • I understand that, if selected, I will be required to provide proof of my identity and legal right to work in the United States prior to actual employment at The Arc Mid-South.
  • I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that any misrepresentation or material omission on the application will result in my being eliminated from further consideration. I further understand that, if selected for employment, any misrepresentation or material omission that becomes known to The Arc Mid-South may result in immediate termination of my employment.
  • I hereby authorize all previous employers and supervisors, including all persons with and for whom I have worked, to give The Arc Mid-South’s representatives any and all information regarding me and my previous employment. I release The Arc Mid-South and all previous employers and supervisors from liability for any damages that may result from furnishing information to The Arc Mid-South.          
  • In consideration of my employment, I agree to adhere to all existing and future instructions, rules and policies of The Arc Mid-South. I also understand that The Arc Mid-South reserves the right to change wages, hours, and working conditions as deemed necessary and that no representatives of The Arc Mid-South has any authority to enter into any agreement for employment for any specified  period or to make any agreement contrary to the foregoing.
  • I understand that all employees of The Arc Mid-South, with respect to length of employment, are considered to be “at will”.  This means that I may terminate my employment with The Arc Mid-South at any time, without notice, without liability, for any extended period. Similarly, The Arc Mid-South may terminate my employment with The Arc Mid-South at any time without notice, without liability, for any extended period. There is no guaranteed length of employment for any employee. Similarly, any representation by any agent or employee of The Arc Mid-South to the contrary is not authorized or binding upon The Arc Mid-South unless in writing and signed by the Executive Director and/or the Board of Director of The Arc Mid-South.
Signature
Date


Our Policy

It is the policy of this agency to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

The Arc Mid-South
3485 Poplar Ave, Suite 210 Memphis, TN 38111-4633
T (901) 327-2473 (F) 901 327-1197 www.thearcmidsouth.org


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