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If you are interested in employment opportunities at Zerbe Sisters and Woodland Heights, please use the form below to submit your information.  In addition, feel free to email your resume to info@zerbesisters.com.  Thank you for your interest.
General Information
Position(s) applied for
Social Security Number
First Name
Middle Initial
Last Name

Street Address
Address Line 2
City
State / Province
Zip/Postcode

Email address
Telephone
Cell Phone

If you are under 18, and it is required, can you furnish a work permit? Yes No
If NO, please explain
Have you ever been employed here before? Yes No
If YES, gives position and dates
Are you legally eligible for employment in this country? Yes No
Have you lived outside the state of Pennsylvania in the last 2 years? Yes No
Date Available For Work M : D: Y:
What is your desired salary range?
Type of employment desired
Are you able to meet the attendance requirements of the position? Yes No
Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? Yes No
If YES, please provide date(s) and details
Answering 'Yes" to these questions does not consititue an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
Employment History
Provide the following information of your past four (4) employers, assignments or volunteer activites, starting with the most recent.
Employer 1 (Most Recent)
Dates Employed
Employer
Address
Telephone Number
Job Title
Supervisor
Hourly Rate/Salary
Reason for Leaving
Employer 2
Dates Employed
Employer
Address
Telephone Number
Job Title
Supervisor
Hourly Rate/Salary
Reason for Leaving
Employer 3
Dates Employed
Employer
Address
Telephone Number
Job Title
Supervisor
Hourly Rate/Salary
Reason for Leaving
Employer 4
Dates Employed
Employer
Address
Telephone Number
Job Title
Supervisor
Hourly Rate/Salary
Reason for Leaving
Skills and Qualifications
Summarize any training, skills, licenses and/or certificates that may qualify you for the position for which you are applying.
Educational Background
High School
Name
Years completed
Degree
Course of Study
College
Name
Years completed
Degree
Course of Study
Other
Name
Years completed
Degree
Course of Study
References
Reference 1
Name
Phone Number
Reference 2
Name
Phone Number
Reference 3
Name
Phone Number
Applicant Statement
I certify that all the information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I many have regarding the employer, its agents, employees or representatives for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration from employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement of contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

DO NOT SUBMIT THIS APPLICATION UNTIL YOU HAVE READ THE ABOVE STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Yes No


 

 
 

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