(If you are offered an interview, please bring proof of your education. Please bring original documents.)
List below all present and past employment. (Begin with most recent and account for the last 10 years)
By signing/initialing this application, I am representing that the facts set forth in the application are true and complete. I agree that any false or incomplete statement in this application shall be sufficient reason for rejection or dismissal, whenever discovered. The Institute is authorized to make an investigation of any information included in this application and to contact any of the schools, employers, government agencies or individuals noted for purposes of references or verification. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.
I expressly authorize the Institute at any time hereafter, either while I am employed at the Institute or after conclusion of my employment at the Institute, to supply information about my employment to any prospective employer, government agency, financial institution, or other party deemed by the Institute to have an appropriate interest in the information. I hereby expressly release the Institute from any and all liability in connection with the release of any such information.
I understand that the use of this application does not mean that there are any positions available and does not in any way obligate the Institute.
I recognize and agree that if I am offered and accept employment that there are certain criteria that will need to be met as prerequisites to the position for which I have been offered. To meet these requirements:
I must submit a favorable Act 33 Clearance (Child Abuse History Clearance) and an Act 34 Clearance (State Police Criminal Record Check) to the Barber National Institute at my time of hire. If I am not a resident of Pennsylvania, have not been a resident of Pennsylvania for the entire two years immediately (without interruption) preceding employment, currently live out of state, or will be working with children; then in addition to the report from the PA State Police, a criminal history report from the Federal Bureau of Investigation must be submitted. These clearances must be dated within the last year.
If I do not have current clearances, I must apply for them on or before my first day of employment through the Human Resources Office.
After receiving completed Clearances, I must submit them to the Human Resource Office within 30 days of hire. I have 90 days from hire to submit FBI clearance results.
Failure to meet these requirements will result in my suspension or termination.
I must also satisfy medical criteria by receiving favorable Physical and T.B. test results. (Physicals and T.B. tests are agency paid)
I must also, if position requires, possess and maintain a valid driver's license and be eligible to drive for the Agency. To establish eligibility, Motor Vehicle Reports will be requested and reviewed based on the Agency's Fleet Safety Program.
I also recognize and agree that if I am offered and accept employment, I am not guaranteed any tenure of specific length of employment, and that my employment may be terminated at any time, with or without cause. I understand that no contract of employment exists between the employer and myself unless contained in a separate written and signed document which is expressly stated to be an employment contract. On occasion, the Institute may establish and distribute policies relating to various aspects of my employment. I recognize that these are intended for my instruction, information and guidance and do not create any specific rights on my part or obligations on the part of the Institute.
I acknowledge that the Institute has legitimate reason to be concerned with my standards of physical appearance and personal conduct since these matters can reflect upon the Institute and my fellow employees. If accepted for employment, I agree to abide by all rules, regulations, policies and instructions established by the Institute. I recognize that these may change from time to time over the course of my employment.
As an employer and government contractor, we comply with government regulations, including but not limited to the Vietnam Era Veteran's Readjustment Assistance Act of 1974 (VEVRAA), the Jobs for Veterans Act of 2003, as amended where applicable, as well as all other applicable current local, state and federal Equal Employment Opportunity Statutes. Our affirmative action responsibilities include but are not limited to employing and advancing in employment qualified minorities, females, disabled individuals and veterans in protected classifications as identified below. As a federal contractor, the company is required to take affirmative action to employ and advance in employment protected veterans, minorities, females and the disabled pursuant to applicable legislation. You may provide this information at this time and/or at any time in the future. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with applicable current legislation. The information you submit will be kept confidential, except that (i) Supervisors and managers may be informed regarding restrictions on the work or duties of disabled individuals, and regarding necessary accommodations; (ii) First aid and safety personnel may be informed, when and to the extent appropriate, if you have a condition that might require emergency treatment; and (iii) Government officials engaged in enforcing laws administered by OFCCP, or enforcing the Americans with Disabilities Act, may be informed.
Important Instructions: When filling out this form, do not press the key. Use the key to move from one response to the next. When you have finished completing the form, click the 'Submit' button at the bottom of this page.
All following definitions apply to persons who served in the active military ground, naval, or air service of the United States, and who were discharged or released therefrom under conditions other than dishonorable.
Disabled Veteran: A “disabled veteran” is one of the following: (a) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation
(or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or (b) A person who was discharged or released from active duty because of a service-connected disability. (See Reasonable Accommodation Section)
Recently Separated Veteran: Any veteran during the three-year period beginning on the date of such veterans discharge or release from active duty in the U.S. military, ground, naval, or air service.
Armed Forces Service Medal Veteran: Veterans who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985 (62 FR 1209). For those with internet access, the information required to make this determination is available at http://www.opm.gov/veterans/html/vg,edal2.htm A copy of the list may also be obtained by calling (301) 306-6752 and requesting that a copy be mailed to you.
Active Duty Wartime or Campaign Badge Veteran: A veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to
qualified people with disabilities. you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way. To help us measure how well we are doing, we are asking you to tell us if
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.
Disabilities include, but are not limited to: