(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.
Applicants are considered for all positions, and employees are treated during employment without regard to race, color, creed, religion, sex, national origin, ancestry, age, marital or veteran's status, physical handicap or disability, or any other legally protected status.
As an employer and a governmental contractor, we comply with government regulations, including affirmative action responsibilities where they apply.
YOUR COOPERATION IS VOLUNTARY. Solely to help us comply with governmental record keeping, reporting and other legal requirements, we request that you please fill out this Applicant Data Record. We appreciate your cooperation.
This data is for periodic government reporting and will be kept in a Confidential File separate from the Employment Application.
Important Instructions: When filling out this form, do not press the <Enter> 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.