Equal Opportunity Employer
Family & Children’s Service is an Equal Opportunity Employer and does not discriminate in any aspect of employment on the basis of race, color, religion, gender, gender identity, age, national origin, disability, citizenship status, sexual orientation, veteran status, marital status, ancestry, pregnancy, ethnicity, or any other legally protected status in accordance with the requirements of federal, state, and local law.

Diversity, Equity and Inclusion (DEI)
We, at Family & Children’s Service, are committed to creating an environment where Diversity, Equity and Inclusion are recognized and celebrated. Diversity, Equity and Inclusion are integrated into our values and we aim to promote these key concepts throughout all levels of our organization. When united with our common set of ideals, FCS’s diversity and differences make us stronger, more creative, and adaptable to the changing needs of our community. FCS’s commitment to embracing diversity makes us unique as a social service community-based organization.

We offer employees comprehensive medical, dental and vision benefits; an employer-matched 403(b) retirement plan; paid time off and holiday pay, and much more.

We are currently accepting applications for the following positions:

Applicant Information

Position applied for:

Name: *

First

Middle

Last

Preferred Name:

Current Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Referred by:

First

Last

FCS Employee Email:

Date Available: *

Desired Salary:

Phone: *

Email: *

Confirm Email

Are you a citizen of the United States? *

If no, are you authorized to work? *

Have you ever worked for this company? *

If yes when?

Education

High School

High School Name: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

From:

To:

Did you graduate? *

College

College name:

Degree:

College Address:

Address Line 1

Address Line 2

City

State

Zip Code

From:

To:

Did you graduate?

College

College (2):

Degree (2):

College Address (2):

Address Line 1

Address Line 2

City

State

Zip Code

From: (2)

To (2):

Additional Training

Training Type:

License
Certification
other

Did you complete the training?:

Training Address:

Address Line 1

Address Line 2

City

State

Zip Code

From:

To:

Please describe:

Employment History

(Please list all employers worked for during past 12 months):

Company Name: *

Supervisor: *

Supervisor Email:

Employer Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Employer phone: *

Job Title: *

Date of Employment - From: *

Date of Employment - To: *

Responsibilities: *

Please describe

If Current Employer, may we contact? *

(FCS will contact if position offered and accepted.)

Employer 2

Company Name:

Supervisor:

Supervisor Email:

Employer Address:

Address Line 1

Address Line 2

City

State

Zip Code

Employer phone:

Job Title:

Date of Employment - From:

Date of Employment - To:

Responsibilities:

Please describe

If Current Employer, may we contact?

(FCS will contact if position offered and accepted.)

Employer 3

Company Name:

Supervisor:

Supervisor Email:

Employer Address:

Address Line 1

Address Line 2

City

State

Zip Code

Employer phone:

Job Title:

Date of Employment - From:

Date of Employment - To:

Responsibilities:

Please describe

If Current Employer, may we contact?

(FCS will contact if position offered and accepted.)

References

Please list three professional references.

Full Name: *

First

Last

Relationship: *

Company: *

Email *

Phone: *

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference 2

Full Name: *

First

Last

Relationship: *

Company: *

Email: *

Phone: *

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference 3

Full Name: *

First

Last

Relationship: *

Company: *

Email: *

Phone: *

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Other

License/Certification Type:

Issuing Authority:

License/Certification Number:

Expiration date:

RN's Only

Name of Malpractice Insurer:

Address of Malpractice Insurer:

Address Line 1

Address Line 2

City

State

Zip Code

Policy No.:

Military Service

Branch:

Service From:

Service To:

Rank at Discharge:

Type of Discharge:

If other than honorable, please explain:

Resume & Documents

Please upload your resume and any additional documents for employment.

Resume:

Click or drag files to this area to upload. You can upload up to 3 files.

Upload your resume.

Additional document:

Click or drag files to this area to upload. You can upload up to 2 files.

Additional document:

Click or drag files to this area to upload. You can upload up to 2 files.

Applicant Signatures

Type your name: *

First

Last

I hereby authorize FCS to request and receive from all prior employers within 1 year of the date of this application, any and all pertinent information concerning my prior employment and its termination, including the reasons for such termination.

Today's Date

Disclaimer and signature: *

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release:

Name

FCS Job Application

Applicant Information

Education

High School

College

College

Additional Training

Employment History

Employer 2

Employer 3

References

Reference 2

Reference 3

Other

RN's Only

Military Service

Resume & Documents

Applicant Signatures