Employment Application | Opportunity Council

Position Applied For: *
Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Phone*
Email*
After reviewing the job announcement, is there any reason that would prevent you from performing the essential functions of the job for which you are applying with or without reasonable accommondation?
- Yes
- No
Please explain the accomodation:
Do you have the legal right to work in the U.S.?
- Yes
- No
Note: All employment offers are contingent upon proof of eligibility to work in the U.S.
Have you ever been employed at Opportunity Council?
- Yes
- No
List dates of employment:
Provide other names you've worked under:
Name of Dept/Program you worked for:
For ELAFS (Head Start, Early Head Start, or ECEAP programs) applicants only: Are you a past or present Head Start / Early Head Start / ECEAP parent?
- Yes
- No
Are you over the age of 18 years? (If no, you may be required to provide authorization)
- Yes
- No
Can you travel if your job requires it?
- Yes
- No
Are you available to work:
- Full-Time
- Part-Time
- On-call
- Temporary
Additional Skills and Experience
Current computer skills and experience:
- MAC
- PC
Years of MAC experience:
Years of PC experience:
Currently proficient in the following software (database, graphics, fiscal, word processing, etc):
Familiar with use of Internet and e-mail?
- Yes
- No
Do you speak, read and/or write any foreign languages?
- Yes
- No
Language(s):
Rate yourself on a scale of 1-5 (5=Proficient)
- 1
- 2
- 3
- 4
- 5
Describe any other specialized training, knowledge, skills or abilities that relate to this position or the Opportunity Council:
List your professional organizations/memberships that relate to this position or the Opportunity Council:

Education
High School and Field of Study
Degree or Certificate
- Yes
- No
College or University and Field of Study
Degree or Certificate
- Yes
- No
Graduate School and Field of Study
Degree or Certificate
- Yes
- No
Business or Tech. School and Field of Study
Degree or Certificate
- Yes
- No
Other Relevant Training or Courses
Licenses / Certificates / Credentials

(do not include Driver's License)
Description / State (Issuing Authority if National) / Number / Expiration

Work History

•Beginning with your present or most recent employer, list your work experience, including internships, volunteer work and military experience, for the past ten years which relates to the qualifications as required on the Job Announcement.

•List all jobs separately. If more than one position has been held with the same employer, list each position separately.

•A resume will not substitute for the information required in this section.
Job #1
Date of Employment (Start Date - End Date)
Employer
Your Job Title
Type of Business
Supervisor
Address
Hourly Rate/Salary (Start - End)
Average Hours Per Week
Phone Number
Reason for leaving or considering change:
Duties:
Job #2
Date of Employment (Start Date - End Date)
Employer
Your Job Title
Type of Business
Supervisor
Address
Hourly Rate/Salary (Start - End)
Average Hours Per Week
Phone Number
Reason for leaving or considering change:
Duties:
Job #3
Date of Employment (Start Date - End Date)
Employer
Your Job Title
Type of Business
Supervisor
Address
Hourly Rate/Salary (Start - End)
Average Hours Per Week
Phone Number
Reason for leaving or considering change:
Duties:
Job #4
Date of Employment (Start Date - End Date)
Employer
Your Job Title
Type of Business
Supervisor
Address
Hourly Rate/Salary (Start - End)
Average Hours Per Week
Phone Number
Reason for leaving or considering change:
Duties:
Job #5
Date of Employment (Start Date - End Date)
Employer
Your Job Title
Type of Business
Supervisor
Address
Hourly Rate/Salary (Start - End)
Average Hours Per Week
Phone Number
Reason for leaving or considering change:
Duties:
Job #6
Date of Employment (Start Date - End Date)
Employer
Your Job Title
Type of Business
Supervisor
Address
Hourly Rate/Salary (Start - End)
Average Hours Per Week
Phone Number
Reason for leaving or considering change:
Duties:
Please include a brief cover letter here:*

Opportunity Council is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status or any other status protected by law.
Applicant Acknowledgement and Authorization

*PLEASE READ CAREFULLY BEFORE SIGNING*

• I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

• I understand that submission of an application does not guarantee employment.

• I further understand that, should an offer of employment be extended by the Opportunity Council (hereinafter referred to as "OC") that such employment with OC is at will, for no specified duration and may be terminated by either OC or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of OC or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of OC except the Board of Directors has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by Opportunity Council Board President.

• In consideration for employment with OC, if employed, I agree to conform to the rules, regulations, policies and procedures of OC at all times.

• I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to OC and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. If I wish to be considered for employment for other positions I must follow the application process at the time of the posting.

• I understand the Opportunity Council participates in E-verify and is committed to ensuring all staff are legally eligible to be employed in the United States.

• If hired, I understand that the OC will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with the information I provide on the Form 1-9, Employment Eligibility Verification, to confirm work authorization.
BY CHECKING "YES" BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.*
- YES
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Step 1 of 4

Additional Skills and Experience

Education

Licenses / Certificates / Credentials

Work History

Job #1

Job #2

Job #3

Job #4

Job #5

Job #6

Opportunity Council is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status or any other status protected by law.

Applicant Acknowledgement and Authorization