Application for Employment Form

Application for Employment

Personal Information

Address & Contact Information

Employment & Background Information

If yes, please provide information. NSS performs criminal background checks on all employees. Failure to provide complete and accurate information constitutes and could preclude you from employment.

Education

Please list your educational background. Include GED, High School, College and/or Technical & Trade Schools. If a job offer is extended, you will be required to provide educational documentation at time of employment. Please place each new item on a new line.

Additional Related Training

Include any other training relevant to the position for which you have applied (i.e. CPR, First Aid, DDA, & YIT Training. Med Administration, Computer Skills, and workshops attended. Please include date training was completed and expiration dates if applicable. Please place each new item on a new line.

Personal References

**Please do not list relatives
Please enter phone number for day and night if applicable.
Please enter phone number for day and night if applicable.
Please enter phone number for day and night if applicable.

Employment History

Please provide a complete and accurate job history for at least the last 6 years, beginning with the most recent. NSS performs employment reference checks on all employees. Failure ti provide complete and accurate information could preclude you from employment with NSS.

Statement Regarding Hours of Availability

NSS Understands that employees have interests and obligations other that their work. We encourage our employees to pursue family involvement, religious activities and continued education. We realize that it is necessary to work around other obligations such as childcare and other employment.

Therefore, in an effort to make the scheduling process most effective and satisfying for both the employee and the company we are requiring each applicant to submit their exact hours of availability, keeping other interests and obligations in mind.

Sunday Availability:

Monday Availability:

Tuesday Availability:

Wednesday Availabilit:y

Thursday Availability:

Friday Availability:

Saturday Availability: