What type of job are you seeking?
Full-Time
Part-Time
PRN or Temporary
Are you able to work flexible schedules, including evenings and weekends, if required?
Yes
No
What is your highest level of completed education?
High School Diploma or GED
Associate's Degree
Bachelor's Degree
Master's Degree
Less than High School Diploma/GED
Do you have a current, valid Driver's License?
Yes
No
Are you authorized to work in the United States for any employer?
Yes
No
If offered employment with Volunteers of America Texas, how much notice do you need to provide your current employer?
1 Week
2 Weeks
More than 2 Weeks
Are you aware of any situation that may create a conflict of interest if you were employed by Volunteers of America Texas?
Yes
No
Have you ever been excluded, suspended or debarred from, or otherwise been declared ineligible to participate in the Medicare, Medicaid, or any other federally funded health care program?
Yes
No
Have you ever been convicted of a felony or misdemeanor offense?
Yes
No
If yes, please explain conviction. If no, write N/A.
Are you related to a current employee of VOATX?
Yes
No
If yes, what is the employee's name you are related to? If no, write N/A.
Are you currently employed or have you ever been employed at VOATX?
Yes
No
If so, where and when? If no, write N/A.
May we contact your current employer?
Yes
No
How did you learn about this position?
If a VOATX employee referred you, please specify the employee name. If no, write N/A.
Please list all languages you are fluent in.
Please list any former names used. If no, write N/A.
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon.
I authorize investigation of all statements contained herein and to do background checks to give you and all information concerning my previous employment and any pertinent information they may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
I realize that under certain legal provisions, pre-employment drug testing could be a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided.
I also recognize that I could be offered employment subject to appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to physical examination if required.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer."
AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
This employer does not discriminate in hiring or employment on the basis of age, race, color, sex, religion, national origin, disability, military or veteran status
I understand and accept the