Employment Form

Employment Application

Thank you for your interest in Pathfinder Village. We consider applicants for all positions without regard to race, color, age, sex, medical condition or disability, or any other legally protected status.

Your submission of and our acceptance of your completed employment application DOES NOT constitute an offer or guarantee of employment. If you are hired by Pathfinder Village, Inc., that employment does not constitute any form of contract, implied or expressed. Any such employment may be terminated at will by either you or Pathfinder Village, Inc, upon notice by one of these parties. Continued employment is dependent upon satisfactory job performance, continued good standing with regards to State and Federal agencies that conduct mandated background checks, and the continued need for services as determined by the organization.

Applicants are requested to send complete Work Histories/Resumes that include former employers' contact information to [email protected]. It is recommended that you send any documents as Adobe Acrobat documents (pdf).

If you are asked to attend an employment interview, you will be required to provide personal and professional references, submit to specific New York State mandated background checks, submit to medical and substance abuse screenings, and have a completed application on file. Other additional forms may need to be completed to continue with the application process.

Verifications & Applicant Statement

Verifications & Applicant Statement Please read the following sections carefully. Indicate if you agree to these pre-employment verifications by Pathfinder Village, Inc. and other State and Federal Agencies. If you select a "No" response to any of these questions, you will not be considered for employment. I understand and acknowledge that Pathfinder Village, Inc. will conduct a Criminal Background/Fingerprint Processing Check with the State Division of Criminal Justice Services and FBI as part of its pre-employment process. *

Yes

I understand and acknowledge that Pathfinder Village, Inc. will request the State Justice Center to conduct a search of my name on the Staff Exclusion List for the Vulnerable Persons Central Register as part of its pre-employment process.*

Yes

I understand and acknowledge that Pathfinder Village, Inc. will request from the State Central Register of Child Abuse and Maltreatment to determine if I am the subject of an indicated report of child abuse or maltreatment as part of its pre-employment process.*

Yes

I understand and acknowledge that Pathfinder Village, Inc. will request a pre-employment medical screening for Tuberculosis, or a current official medical test result (PPD test within 12 months) as part of its pre-employment process.

Yes

I understand and acknowledge that Pathfinder Village, Inc. will request a pre-employment illegal substance screening as part of its pre-employment process. Failure to report for scheduled testing, a positive result, or manipulation of samples will result in a denial of employment.*

Yes

APPLICANT STATEMENT: I certify that the answers provided on this application are true and complete to the best of my knowledge. In the event of employment, I understand that FALSE or MISLEADING information given in this application or interview(s) may result in a withdrawal of an offer of employment, or may result in my dismissal. I authorize investigation of all statements contained in this application for employment. Pathfinder Village, Inc. may check with past employers (unless otherwise indicated) as well as other professional and personal references I have provided.*

Yes

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Work History

Please provide your employment history for your last two jobs; if you have no work history, please state Not Applicable (NA). Applicants with more than two past employers should submit a complete work history by a separate email to [email protected]. Indicate in that email that you have filed an online employment application. It is recommended that any submissions be sent as Adobe Acrobat documents (pdf).

Were you previously employed at Pathfinder Village; if yes, please provide the date you left your job:

How many previous jobs have you held?*

Two or less. My employment history is documented below.

Three or more. I will be sending a complete work history by email to [email protected].

Please provide the name of your most-recent Employer: *

Job Title at Employer 1: Please provide your Job Title at Employer 1. *

City, State, Zip Code of Employer 1:

Telephone No. and/or Email Address of Employer 1; if none, state Not Applicable. *

Name of Supervisor at Employer 1:

Dates worked at Employer 1:

Pathfinder Village may contact Employer 1*

Yes

Not applicable

Please provide the name of your SECOND most-recent Employer; if none, state Not Applicable:

Job Title at Employer 2: Please provide your Job Title at Employer 2

City, State, Zip Code of Employer 2:

Telephone No./Email Address of Employer 2

Name of Supervisor at Employer 2

Dates worked at Employer 2

Pathfinder Village may contact Employer 2

Yes

Not Applicable

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Professional References

Professional Reference 1 - Full Name, Title, Employer *

Professional Reference 1 - Telephone No. and/or Email Address *

Professional Reference 2 - Full Name, Title, Employer *

Professional Reference 2: Telephone No. and/or Email Address *

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Personal References

Personal Reference 1 - Full Name *

Personal Reference 1 - Telephone No. and/or Email Address *

Personal Reference 2 - Full Name *

Personal Reference 2 - Telephone No. and/or Email Address *

Application Completion Date

Submit

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Employment Form

Employment Application

Contact & Background Information

Referrals: Let us know how you decided to apply for work at Pathfinder Village.

Level of Higher Education completed:

Verifications & Applicant Statement

Work History

Professional References

Personal References