test page – summer only – yes Position Sought*First Name*Last Name*Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code General Information Work Availability (check all that apply)*Full TimePart TimeReliefMorningsAfternoonsEveningsOvernightsWeekdaysWeekendsHow did you hear about the opportunities at Aspire?*Are you 18 years of age or older?*YesNoHave you previously worked for Aspire?*YesNoDo you possess a valid driver's license?*YesNoHave you ever been convicted of a Felony or Misdemeanor?*YesNoAre there any pending criminal charges against you?*YesNoHave you ever been a subject of an indicated report of child abuse or maltreatment?*YesNoEducation Highest Level of Education Completed:*High School DiplomaGEDName of High School you attended:*If "Other" Education Completed, name of College you attended:Employment History 1) Current or Most Recent EmployerName of Business/Organization*Job Title*Number of Hours Worked*Date Started*Date Left*Reason for Leaving*2) Second Most Recent EmployerName of Business/OrganizationJob TitleNumber of Hours WorkedDate StartedDate LeftReason for Leaving3) Third Most Recent EmployerName of Business/OrganizationJob TitleNumber of Hours WorkedDate StartedDate LeftReason for LeavingOther Information Describe Specialized Training, Certifications, Licenses, Qualifications, and other experience relevant to the position you are applying for (exclude any groups that indicate race, religion, sex or national orgin)Optional Resume (pdf, doc, docx) Drop files here or Accepted file types: pdf, doc, docx. Applicant Agreement Aspire of WNY is an Equal Opportunity Employer. Qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, disability, veteran, marital status, sexual orientation or any other protected class under Federal and/or State laws. I authorize Aspire of WNY to verify any of the information provided on this application. I authorize all persons, schools, companies, organizations, and law enforcement authorities to release any information concerning my background. This includes but is not limited to: criminal activity/history checks and motor vehicle driving records. Certain positions at Aspire of WNY have been designated as a position that is required to complete a fingerprinted background check under Section 16.33 of the New York State Mental Hygiene Law, Section 845-b of the Executive Law and 14NYCRR Section 633.22. I hereby release these persons from any liability for furnishing this information. I understand and agree that as part of Aspire's overall employment policy, pre-employment testing for illegal use of drugs will be performed. I affirm I have read this completed application and have not withheld any information and that the information that I have furnished is true and correct. A false answer to any question, misleading statement and/or any omitted information in the application process is grounds for terminating the application process or, if discovered after employment, terminating employment. By initialing here I agree that I have read and understood the above applicant agreement*Captcha
