Online Application for Employment

We are an Equal Opportunity Employer.

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  • Employment Questionnaire

  • Education

  • Work History

    Please list your work experience for the last 4 years beginning with the most recent job held. Include any job-related military service assignments.

    Employer 1

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  • Employer 2

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  • Employer 3

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  • License/Registry Information

    Please complete if a license is required for the position you are applying for.

    License 1

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  • License 2

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  • Foreign Languages

    Please indicate any foreign languages you speak, read, or write and your level of proficiency

  • Professional Activities

    List professional, trade, business or civic activities and offices held. You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status:

  • References

    Give name, address and telephone number of three previous supervisors and three professional references.

    Previous Supervisors


  • Professional References

  • Applicant's Statement

    I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

    This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. The applicant understands that neither this document nor any offers of employment from the employer constitute an employment contract unless a specific document to that effect is executed by the employer and employee in writing.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

    All information provided by the applicant on this form is subject to verification. Inability on our part to confirm statements made by you may prevent consideration for employment.

    We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.The Coalition is a drug free work environment and background checks will be required if there is a written offer of employment.

    By typing my name, I hereby certify I have read, understand, and agree to the above applicant's statement.

Coalition for the Homeless, Inc. is a 501(c)(3) not-for-profit organization registered with the Internal Revenue Service/Department of the Treasury.

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