Better Living Counseling Services Employment Application

Please fill out the following information as best you can.  If you do not understand what is needed, then please indicate so in the Comments section at the end. Take your time, and submit the application in one sitting. Be sure your contact information is correct, as this is how we will call/email you in regards to a possible interview.

 

Name *
Name
Please enter your full legal name
This is your current street address. The house number, street name and any modifiers such as Apartment Number.
What city your current residence is located?
What state do you currently hold residence?
Contact Telephone Number *
Contact Telephone Number
Which phone number are you best reachable at
This could be verified by your driver's license or through any other official state identification cards?
Position and Availability
Descriptions of Acronyms - (IFP) Intensive Family Preservation - (EM) Electronic Monitoring
Be Specific
What days are you available to work? *
Employment Desired *
Date available to start *
Date available to start
An answer of Yes to the previous question does not exclude you from being considered for a position with Better Living Counseling.
Please say who, or which site you were referred to us through
Education
Driver's License / Transportation
Which state did you receive your driver's license through
Driver's License Expiration Date *
Driver's License Expiration Date
References
Use the text area below to include TWO references. Please include their Name, Position, Company, Address and Telephone Number
Armed Services
If Yes to either question - Date Entered
If Yes to either question - Date Entered
If Yes to either question - Date Discharged
If Yes to either question - Date Discharged
Employment
Please list the names of your present employers in chronological order with present, or most recent first. Be sure to account for all periods of time, including military service as well as periods of unemployment. If self-employed give the name of the firm or business and supply your business references. Fill in addition information in the comments box provided below
A Yes response does not exclude you from being considered for a position with Better Living Counseling Services.
Current Employer
Current Employer's Address
Current Employer's Address
Current Employer's Phone Number *
Current Employer's Phone Number
Date Employed From *
Date Employed From
Date Employed To
Date Employed To
This is my current Employer
List your starting pay followed by your most current pay. This can be in yearly, salary, or by hourly rates.
Please be specific.
Give details.
Previous Employment
Previous Employer's Address
Previous Employer's Address
Previous Employer's Phone Number
Previous Employer's Phone Number
Date Employed From - Previous Employer
Date Employed From - Previous Employer
Employed To - Previous Employer
Employed To - Previous Employer
List your starting pay followed by your most current pay. This can be in a yearly, salary, or by hourly rate.
Please be specific
Give Details
Additional Details
This can be additional work or education experiences or other pertinent information. If you have any comments, questions or concerns, please use the Contact our Human Resource Staff with the contact button above.
Equal Opprotunity Employer
BLCS is an equal opportunity employer. BLCS does not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, military status, disability, or on any other basis that would be in violation of any applicable federal, state, or local law. BLCS will maintain this application in its active files only until the position for which it was submitted is filled. You must submit a new application for other and future positions.
Declaration and Authorization
I certify that all of the statements on my application, resume, and those made during any job interview are and will be true and correct. I will disclose to Better Living Counseling Services, Inc. (“BLCS”) all additional or new information that becomes known to me after completing my application, resume or job interviews. I understand that any false or misleading statements or failure to make such disclosures are grounds for immediate termination, regardless of when such a falsification or failure to disclose is discovered.
I authorize all schools I have attended, my past or present employers, references and government and law enforcement agencies to release all information about me as requested by BLCS. I release all such schools, employers, government and law enforcement agencies and BCLS from all liability or causes of action that may arise from BLCS’s employment investigation and the release of information or records.
I understand that BLCS strictly prohibits employee use of illegal drugs or abuse of prescription drugs and/or alcohol. If employed, my use or abuse of such substances will result in disciplinary action up to and including termination. I understand that BLCS may require me to pass a drug and/or alcohol test at any time for any reason. My refusal to take a drug and/or alcohol test is grounds for immediate termination.
I acknowledge that access to BLCS premises is conditioned upon the BLCS’s right to search me, my personal effects and my vehicle or that of any visitor.
If employed, I agree that upon termination of my employment, I will return to BLCS all property in my possession. I agree that the cost of any BLCS property not returned at the end of my employment shall be deducted from any wages or monies due me.
I understand that if I am employed by BLCS, the employment relationship will be employment-at-will, meaning that my employment is not for a definite term and my employment and compensation can be changed or terminated with or without cause and with or without notice at any time, at my option or at BLCS’s option. BLCS has provided no guarantee of employment or continued employment to me.
I understand that the information that i submitted is to the best of my knowledge, that the information I submit will be used to determine my candidacy for the applied position. I Certify that I have read and understand the previous Declaration and I agree by typing my name in the box below, that it is the same as my official signature.
By typing your name in this area, you are electronically signing this digital agreement.