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


    Education

    High School

    College

    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

    References

    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

    English

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

    Licensure or Certification

    Emergency

    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.

    Terms & Conditions

    In keeping with Foss Home & Village’s drug and alcohol policy, all job applications or rehires will undergo testing for the presence of illegal drugs and/or alcohol and marijuana as a condition of employment.

    Application is kept active for 90 days.

    I authorize investigation of all statements contained in this application. 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.