Step 1 of 4 - GENERAL INFORMATION
Maximum number of entries reached.
I understand that any internship with Families First is voluntarily entered into and, if employed, I may resign at any time for any reason. Similarly, Families First may terminate the employment relationship at any time for any reason.
I authorize the investigation of all statements contained in this application and further authorize Families First to contact my past employers. My present employer:
I certify that all statements and information are true, and acknowledge that any falsification of these facts is cause for separation from Families First service.
I understand that any offer of employment made to me by Families First may be made contingent upon a clear reference and criminal background check and my taking a medical examination and/or passing a drug/alcohol test. Upon employment, I consent to a drug screen test to be performed by a local physician. I understand that Families First maintains a drug-free work place in compliance with the Anti-Drug Abuse Act of 1988. I understand that as an employee of Families First, I may be required to submit to future drug/alcohol testing in response to workplace accidents, injuries, other reasonable cause and random sampling. I understand that failure to pass such testing will result in my termination.
As a Federal Contractor, Families First is subject to certain governmental recordkeeping and reporting requirements for the
administration of civil rights laws and regulations. In order to comply with these laws, voluntary self-reporting or self-identification is the
preferred method for collecting data on race, ethnicity, and gender. Therefore we invite you to complete this self identification form,
attach it to your resume/application and submit both to the appropriate contact listed on the job posting for which you are applying.
Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information
obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and
regulations, including those that require the information to be summarized and reported to the federal government for civil rights
enforcement. When reported, data will not identify any specific individual.
By completing this form, you are verifying that the information you are providing is accurate and that you understand that this
information will be kept confidential; that disclosure of this information does not in any way effect whether or not your
application receives consideration; and that the sole use of this information is for inclusion in statistical reports required by
various governmental regulations and agencies.
Date of Application: 05/28/2022
Race and ethnic designations as used by the Equal Employment Opportunity Commission do not denote scientific definitions of anthropological origins.
Definitions of the race and ethnicity categories used by the EEOC are as follows: