Job Application

– Step 1 of 9

Date of Application *

Position(s) applied for: *

How did you hear about us?

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Friend
Relative
Employment Agency
LinkedIn
Indeed
Walk-In

Name: *

First

Middle

Last

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

Social Security:

Email Address: *

Have you filed an application here before? *

If yes to the above, give date:

Have you (or an immediate family member) ever been a client of New Beginnings? *

If yes to the above, which programs and give dates:

Have you ever been a New Beginnings employee? *

If yes to the above, give date:

Do you have an immediate family member who is a current employee? *

If yes, name and relationship of family member and department they work in:

Are you employed now? *

May we contact your employer? *

On what date would you be available for work?

Can you travel if a job requires it? *

New Beginnings is required by State/Federal regulations to do Bureau of Investigation background & fingerprint checks.
If these checks show criminal convictions and you have answered NO in the below application, this could be a basis for dismissal.

List any moving traffic violations, or any pending charges against you (including OUI) in the past 5 years: (Certain positions require a driving record which is acceptable to our insurance company) *

Have you any criminal or civil convictions or any pending charges against you? *

If yes to the above, please explain:

Has there ever been an allegation of child abuse or neglect against you, which has been substantiated by the Maine Department of Human Services or its counterpart in other states? *

If you are an immigrant, can you work legally in the United States? *

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities. Exclude organizations names which indicate race, color, religion, sex or national origin.

Job 1

Employer: *

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

Supervisor: *

First

Last

Job Title: *

Work Performed: *

Date Employed From: *

Date Employed To: *

Reason for Leaving: *

Add a second job?

Job 2

Employer:

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Phone:

Supervisor: *

First

Last

Job Title:

Work Performed:

Date Employed To:

Date Employed From:

Reason for Leaving:

Add a third job?

Job 3

Employer:

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Phone:

Supervisor: *

First

Last

Job Title:

Work Performed:

Date Employed From:

Date Employed To:

Reason for Leaving:

Special Skills and Qualifications

Summarize social skills and qualifications acquired from employment or other experiences:

What are your career goals?

What do you feel qualifies you for this position?

What personal accomplishments would you hope to achieve through this position?

Education

Elementary/Middle School (Grades 4-8):

School Name/Address

High School (Grades 9-12):

School Name/Address

College:

School Name/Address

Graduate School:

School Name/Address

Years Completed (Elementary and High School)

Selected Value: 4

Years Completed (College)

Selected Value: 0

Years Completed (Graduate)

Selected Value: 0

Diploma/Degree (date/degree):

High School:

College:

Graduate:

Describe course of study for:

High School:

College:

Graduate:

Honors Received:

Describe specialized training, apprenticeships, skills and extra – curricular activities:

List professional, trade, business or civic activities and offices held: (You may exclude those which indicate race, color, religion, sex or national origin)

References

List three (3) references, including your last two supervisors. Please do not include any relatives.

Reference 1

Name: *

First

Last

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

Relationship: *

Reference 2

Name: *

First

Last

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

Relationship: *

Reference 3

Name: *

First

Last

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

Relationship: *

Applicant's Statement

Typing your name and entering the date below will count as your signature to the following statement.

I certify that answers given herein are true and complete to the best of my knowledge. I hereby authorize New Beginnings, Inc. to contact those persons it deems appropriate to investigate or verify any information provided by me in this application to discuss my suitability for employment or volunteer service, including my background, past performance, education or related matters.
I also authorize New Beginnings to obtain information pertaining to any charges and/or convictions I may have had for federal and state criminal law violations. I understand that this information will be gathered from any law enforcement agency of this state or any state or federal government, to the extent permitted by state and federal law.
I expressly give my consent to any discussions regarding the foregoing and I voluntarily and knowingly waive all rights to bring an action for defamation, invasion of privacy, or similar causes of action, against anyone providing or seeking such information.
I understand that this application is not intended to be a contract of employment and that New Beginnings employs its personnel “at will” under Maine State law.

Name *

First

Middle

Last

Date *

Employment Experience

Job 1

Job 2

Job 3

Special Skills and Qualifications

Education

Diploma/Degree (date/degree):

Describe course of study for:

References

Reference 1

Reference 2

Reference 3

Applicant's Statement

Marian’s Place

Youth Shelter

Street Outreach

Basic NEeds

Counseling

Housing

Drop-In Center

Prevention

Education

Get Help 24/7: Call our helpline at (207) 795-4070

New Beginnings, Inc.

Make a Difference in the Lives of Homeless Youth