House Parent Couple Application

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize the investigation of all information contained in this application for employment as may be necessary in arriving at an employment decision. I understand that all job and personal references will be checked, and I authorize (unless I have specifically noted otherwise on the application) the release of information by my current and past employers and personal references without liability to any person or company releasing such information.

I understand that a criminal background check will be conducted as part of my pre-employment qualification and that information obtained from background checks will be a factor in the hiring decision. I understand and acknowledge that, in order to be hired, I must pass a drug screening test and must be found to be free of tuberculosis as a condition of my employment. I further acknowledge that I will comply with any additional pre-employment screenings or testing that may be necessary for AMARILLO CHILDREN’S HOME to conduct in order to comply with regulatory or internal guidelines.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization 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 an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

If this application is submitted electronically, I affirm that typing in my name constitutes in all respects my valid and binding signature.

We are an Equal Opportunity Employer: We do not discriminate in regards to race, color, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

E-Verify Notice: Amarillo Children’s Home participates in E-Verify and provides the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s Form I-9, Employment Eligibility Verification, to confirm work authorization. Information is submitted through E-Verify after an offer of employment is made and accepted, and the E-Verify process is never used to pre-screen or discriminate against applicants. For more information on E-Verify, you may contact DHS at 888-897-7787 or www.dhs.gov/E-Verify.

Professional/Personal References – This information is required

Applicant #2: Faith Orientation

Additional Information

Statement of Purpose

Applicant #2: Acknowledgment and Authorization

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize the investigation of all information contained in this application for employment as may be necessary in arriving at an employment decision. I understand that all job and personal references will be checked, and I authorize the release of information by my current and past employers and personal references, unless specifically noted otherwise on the application.

I understand that a criminal background check will be conducted as part of my pre-employment qualification and that information obtained from background checks will be a factor in the hiring decision.

I understand and acknowledge that, in order to be hired and as a condition of employment, I must pass a drug screening test and I must be found to be free of tuberculosis. I further acknowledge that I will comply with any additional pre-employment screenings or testing that may be necessary for Amarillo Children’s Home to conduct in order to comply with regulatory or internal guidelines.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization 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 an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

If this application is submitted electronically, I affirm that typing in my name constitutes in all respects my valid and binding signature.

We are an Equal Opportunity Employer: We do not discriminate in regards to race, color, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

E-Verify Notice: Amarillo Children’s Home participates in E-Verify and provides the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s Form I-9, Employment Eligibility Verification, to confirm work authorization. Information is submitted through E-Verify after an offer of employment is made and accepted, and the E-Verify process is never used to pre-screen or discriminate against applicants. For more information on E-Verify, you may contact DHS at 888-897-7787 or www.dhs.gov/E-Verify.