Employment Application

Please contact Brittney Hogan, Human Resource Development Manager, at (907) 348-9294 with questions about a position, the agency or problems with the application process.

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Contact Information

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How did you hear about us?

 


 

Position Details

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Personal History & Documentation

 


 

Education

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Name of school, city & state

 


 

Name of school, city & state

 


 

Name of school, city & state

 


 

Employment History

Cover the past 10 years starting with your most recent position. Include relevant internships and volunteer experiences. Résumés may be used to supplement your application but can not be used in lieu of completing the employment boxes provided below.

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Personal References

List three references other than relatives or employers who have knowledge of your character.

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Certification of Applicant

I certify that the information supplied by me is true and correct to the best of my knowledge and that I have not knowingly withheld or falsified any fact or circumstance. I understand that, if employed, false statements on this application will be considered sufficient grounds for immediate dismissal. I understand that my initial and continued employment, if such an agreement is reached, is subject to: 1. Obtaining and renewing any and all permits, licenses, or registrations to practice, serve or work as may be required. 2. Verification of my identity and eligibility to work in the United States 3. Verification that I am not on the Office of Inspector General's exclusionary list for participation in federal health care programs. 4. Verification that I am free of active tuberculosis. 5. Certification through a post-offer physical examination of my ability to perform certain functions of the job (if required for the position). 6. Receipt of a satisfactory criminal background check. 7. Receipt of a satisfactory Division of Motor Vehicles driving record (if required for the position).

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I understand that if employed: 1. I must observe all AK Child & Family policies and procedures. 2. I may be transferred to another department and/or shift. 3. The amount of time I am scheduled to work may be adjusted at the sole discretion of AK Child & Family. 4. No AK Child & Family employee other than the President and CEO has the authority to enter into any employment agreement for any specific period of time and in writing. 5. I am employed without commitment to duration of employment due to fiscal uncertainties, fluctuations in student census, and other business reasons. This means that I may resign or that AK Child & Family may terminate the employment relationship at any time.

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Employment Verification Release: I understand that the information on this application is subject to check and verification by AK Child & Family and that any of the employers I have listed on my application or resume may be asked for information relative to my character and employment record with them. I hereby release from all liability and damage those individuals or companies who provide such information. Reproduced copies of this certification may be used as authorizations for the release of information between my previous employer and AK Child & Family.

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Accepted formats: Word (.doc or .docx); Plain Text (.txt); Rich Text (.rtf); Adobe PDF (.pdf)