Employment Application

Please complete the entire application.

Employer Information

Employer: Paths To Wholeness

Address: PO Box 1402

City/State/ZIP: Orangeburg, South Carolina 29116

Telephone: (803) 387-8226

It is the policy of Paths To Wholeness to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.

Applicant Information

Emergency Contact

Who should be contacted if you are involved in an emergency?

Job Position Applied For: House Manager

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

Applicant's Skills

Check those skills you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience and circle the number that corresponds to your ability for each p/articular skill. (One represents poor ability, while five represents exceptional ability.)

Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

Applicant's Education and Training

References

List any two non-relatives who would be willing to provide a reference for you.