Equal access to programs, services and employment is available to all persons. Those applicants requiring
reasonable accommodation to the application and/or interview process should notify the Human Resources Director.
(If offered employment, you will be required to provide documentation to verify eligibility.)
Starting with your most recent employer, provide the following information.
Skills and Qualifications
Detail software titles you've used and years of experience for each.
Professional License or Membership
(You need not disclose membership in professional organizations that may reveal information regarding
race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or
any other protected status.)
I certify that all information I have provided in order to apply for and secure work with Vision Forward is true, complete and correct.
I expressly authorize, without reservation, Vision Forward, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this
application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Vision Forward, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that Vision Forward does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from Vision Forward and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and Vision Forward reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of Vision
Forward is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the forgoing express language are valid unless they are in writing and signed by Vision Forward.
I also understand that, if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an 1-9 Form in this regard.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from Vision Forward’s service, whenever it is discovered.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.