Mountain Youth Resources

Jobs @ Mountain Youth Resources

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Click here to download, print and mail MYR Application or fill out the form below and click submit.

Applicants will receive consideration for all positions without regard to race, color, creed, sex, national origin, age, marital or veteran status, the presence of a non-job related medical condition or handicap, or any other legally protected status. Sex or age is a bona fide occupational qualification in some positions

Fields with an * are required.

Date or Application:	*Social Security Number:
Position You Are Applying For:	Date Available for Employment:

*Last Name:	*First Name:	*Middle/Maiden Name:
*Address:	*City:	*State:	*Zip:
County:	*Home #:	Other Phone:
Drivers Licence #:	State:	Expiration:
Can you travel if Position Requires it?		Email Address:

Education

Highest Grade Completed:	College:	Grad School:
Under S/Q Hours list the hours of credits received and if they were (S) semester or (Q) quarter hours
High School - Name and Location:	Dates Attended to Graduate: S/Q Hours: Major/Minor: Degree:
College / University - Name & Location:	Dates Attended to Grad: S/Q Hours: Major/Minor: Degree:
Graduate Professional - Name & Location:	Dates Attended to Grad: S/Q Hours: Major/Minor: Degree:
Other - Name & Location:	Dates Attended to Grad: S/Q Hours: Major/Minor: Degree:
Special training programs, workshops, and seminars you have completed in the last 5 years:
Current Professional Status: Registration: State: No: Registration: State: No: Registration: State: No:
Membership in Professional, honorary or technical societies:

Licenses and Certifications
(List, giving dates and sources of issuance)

SKILLS (Check the following skills, experience, etc. which you have)
Chauffeur’s License -Number: State: Car for use at work Braille Sign language Foreign language (specify) Word Processing	Adding machine/calculator Shorthand/speed writing (specify WPM): Computer Technology Typing (specify WPM) Other:

Employment History
Please give accurate, complete full-time and part-time employment and relevant volunteer work. Start with your
present or most recent employer. Use additional sheets as necessary.

Employer:	Date Employed From: to
Address:	Starting Salary:	Ending Salary:
Job Title:	Supervisor:	Phone #:
Reason for Leaving:	List Major Duties in order of their importance in the job:

Employer:	Date Employed From: to
Address:	Starting Salary:	Ending Salary:
Job Title:	Supervisor:	Phone #:
Reason for Leaving:	List Major Duties in order of their importance in the job:

Employer:	Date Employed From: to
Address:	Starting Salary:	Ending Salary:
Job Title:	Supervisor:	Phone #:
Reason for Leaving:	List Major Duties in order of their importance in the job:

The employers listed above will be contacted unless you indicate those Employers Name you do not want contacted.

Reason:

Military

Did you serve in the U. S. Armed Forces? If Yes, Which Branch:

Describe any training received relevant to the position for which you are applying:

References

Name: City: Phone #:

Have you ever been convicted of an offense against the law other than a minor traffic violation? (The offense and how
recently you were convicted will be evaluated in relation to the job for which you are applying.)
If yes, Explain:

Have you ever been discharged or asked to resign from a position?
If yes, Explain:

Have you ever been criminally convicted of child abuse? (Employees or volunteers who have a criminal conviction are not permitted any contact with children.)

APPLICANT STATEMENT

I certify that I have given true, accurate and complete information on this application for employment. I authorize educational institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications.
I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications. (Authority: G.S. 123-30, 14-122.1)
I understand that filing an application does not imply that I will be interviewed or hired, but only provides consideration for vacancies for which I qualify.
I understand that acceptance of an offer of employment does not create a contractual obligation upon MYR to continue to employ me in the future.
I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Mountain Youth Resources is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the authorized executive of this organization.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at that time.

*Full Name of Applicant: *Date: