New Employment Application - NCC Solutions, Inc.

Upload Your Resume

Drop files here or

If you would like to upload a copy of your resume, please Choose File above and attach your resume.

Your Name*

First Middle Last

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Method of Contact*

Email
Phone

Please provide the best way to reach you.

Your Email*

Enter Email Confirm Email

Phone*

Would you like to receive communications by text message?*

Yes
No

Are you authorized to work in the U.S. (You will be required to provide documentation.)*

Yes
No

Have you ever been convicted of a felony or misdeamonor?*

Yes
No

Convictions will not necessarily disqualify an applicant from employment

Have you been employed with us?*

Yes
No

Have you filed out an application with NCC Solutions, Inc. before?*

Yes
No

On what date would you be available to work?*

Are you available to work?*

Full Time
Part Time
On-Call

Position Applied For:

Direct Support Professional
House Supervisor
Manager
Nurse
Driver
Qualified Intellectual Disability Professional (QIDP)

Other

If you were referred by a current or past employee please indicate who:

EDUCATION: Where did you attend high school, receive your GED and/or attend college? (Click the + button to add additional schooling)**

School Name	Location	Major	Degree	Graduate? Yes/No

MOST RECENT EMPLOYMENT

Company	Start Date	End Date	Position	Supervisor Name

Enter your 2 most recent jobs

Active Professional License(s) or Certification(s) (Click the + button to add additional schooling)*

License/Certification

Other Job-related training, skills or qualifications

List professional, trade, business or civic activities and offices held. You may exclude membership that may reveal gender, race, sexual orientation, religion, national origin, age, ancestry, disability, or protected status.

REFERENCES (Personal or Professional)*

Name of Reference	Address	Phone

Enter 2 personal or professional references

*Applicants completing this form electronically will be required to sign a printed copy of this application as a condition of employment.
*Applicants completing and signing his application will be considered for employment, but this application is not to be considered an offer of employment.

This notice is supplied in accordance with your rights under the Fair Credit Reporting Act (“FCRA”). A summary of these rights are attached hereto and are also available on the Federal Trade Commission’s website.

Please be advised that as part of the pre-employment screening process, NCC Solutions, Inc. (“NCC”) plans to obtain a consumer report, also known as a credit report, on all applicants. This report will likely include information as to your creditworthiness, character, work habits, performance and experience. This report will be used for the purpose of making hiring decisions. Under the FCRA, NCC cannot request any information from a consumer-reporting agency without an individual's written consent. As a result, we are requesting you fill out and sign this consent form and return it with your application for employment.

Pursuant to the FCRA, you may request that NCC disclose the nature and scope of any investigation, which may be governed by the FCRA. This request must be in writing and must be received by NCC at the time you submit your application for employment.

If a decision is made not to employ you or otherwise contract for your services as a result of the contents of the consumer report, you will be provided a free copy of the consumer report. Should you wish to explain any items that appear on the report, please contact NCC within three (3) days of receiving this report from NCC. Should you wish to contest any information that appears on the report, you must contact the consumer-reporting agency directly.

CONSENT TO RELEASE CONSUMER

By signing below, I authorize consumer-reporting agencies to release to NCC any information that legally can be disclosed in consumer and consumer investigative reports to NCC under the Fair Credit Reporting Act and related state laws, both before NCC makes any decisions about my employment and during my employment with NCC, if I am hired.

Name (enter your first and last name)*

First Last

Date*

AGREEMENT: I authorize NCC Solutions, Inc., doing business as NCC Solutions, Inc. to investigate all statements contained in this application and to obtain evaluations from all former employers, schools attended and personal references. If I have made any misrepresentations or omission of fact, or if the results of an investigation are unsatisfactory, I understand that my application may be rejected or I may be dismissed, if hired. I hereby release NCC Solutions, Inc. or any agent acting on its behalf and any former employers from any liability for damage that may result from such investigation or the disclosure of information concerning my former or prospective employment.

After employment, I understand that I will receive a copy of NCC Solutions, Inc. Employee Handbook and that the rules and regulations discussed therein are subject to change by NCC Solutions, Inc. without prior notice to employees; therefore, the Employee Handbook, as well as other policy communication tools, should not be viewed as terms or condition of an employment contract, either expressed or implied.

I understand that this application will be considered only for open/posted positions that are available when the application is submitted.

Name (enter your first and last name)*

First Last

Date*

Comments

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