Foss Home & Village is an Equal Opportunity Employer. It is Foss Home Policy to recruit employ, pay transfer, discipline, separate from employment and promote qualified personnel without distinction based on race, religion, color, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity or expression.

    Personal Information

    Desired Employment


    High School


    Other Education

    Former Employment or Volunteer Positions

    List your last 4 employers below, in order of most recent.

    Employer 1

    Employer 2

    Employer 3

    Employer 4


    List below the names of 3 persons, not related to you, whom you have known at least 1 year.

    Reference 1

    Reference 2

    Reference 3


    Indicate your understanding and ability to read, write and speak English.

    Licensure or Certification


    In case of emergency, please list a person below.

    Background Check Authorization

    Please review the Background Check Authorization form. You will be asked to fill this out before employment.


    Please upload your resume as a PDF or Word document (optional).

    Terms & Conditions

    All job applications or rehires will undergo testing for the presence of illegal drugs and marijuana as a condition of employment.

    I AUTHORIZE the company to investigate and verify any information contained in my application or pre-hire interviews, including my previous employment, education, background, licenses, certifications and driving record (as required for the position for which I applied). I further release all parties from all liability for any damage that may result from furnishing or receiving such information.

    I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated at any time without previous notice.

    Application is kept active for 90 days.