test page – summer only – yes "*" indicates required fields Position Sought* First Name* Last Name* Phone* Email* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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?* Yes No Have you previously worked for Aspire?* Yes No Do you possess a valid driver's license?* Yes No Have you ever been convicted of a Felony or Misdemeanor?* Yes No Are there any pending criminal charges against you?* Yes No Have you ever been a subject of an indicated report of child abuse or maltreatment?* Yes No Education Highest Level of Education Completed:* High School Diploma GED Other What High School did you attend?* If "Other" Education Completed, what College did 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/Organization Job Title Number of Hours Worked Date Started Date Left Reason for Leaving 3) Third Most Recent EmployerName of Business/Organization Job Title Number of Hours Worked Date Started Date Left Reason for Leaving Other 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 Select files Accepted file types: pdf, doc, docx, Max. file size: 10 MB. 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
