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Social Security Number

Please list all education beginning with most recent.

EDUCATION, TRAINING & CERTIFICATIONS

EMPLOYMENT HISTORY

List all employment including military and volunteer services starting with the most current position held. Show employment history for at least 10 years or from the time you left school. You may attach certificates or a resume to supplement the information.

Attach your
resume here:

PROFESSIONAL REFERENCES

DO NOT INCLUDE PAST SUPERVISORS OR FAMILY MEMBERS.
By listing these references, you are giving CDD permission to contact these people and release CDD from liability
for using information given for employment purposes.

I understand and agree that:

  1. Any falsified information or significant omissions on this pre-employment application will be grounds for termination of employment.
  2. This is an application for employment and that no employment contract is being offered.
  3. If I am employed, such employment is for an indefinite period of time and the agency can change wages, benefits and conditions at any time.
  4. Employment is at-will employment
  5. Even though the agency makes every effort to accommodate individual preference, resident needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule, holiday work, work schedule other than Monday through Friday.
  6. I understand that CDD may take adverse action affecting my employment, based on information in my criminal history background check.

CENTER FOR DEVELOPMENTALLY DISABLED IS AN EQUAL OPPORTUNITY EMPLOYER

APPLICANT - COMPLETE BEFORE SUBMITTING

I hereby authorize the employer listed below to provide information regarding my employment to the Center for Developmentally Disabled. I release you and CDD from and and all liability from damages for providing/using the information requested for employment purposes.

Application for Employment

PERSONAL INFORMATION

Application Sections

CDD

1.)  Personal Information

2.)  Education

3.)  Employment History

4.)  Personal References

5.)  Reference Check

1010 W. 39th St.
KC, MO 64111
T. 816-531-0045
F: 816-756-5612
www.cddkc.org

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