Field Staff Application

  • Education and Work History

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  • Additional Information

  • In connection with my application for employment, I understand and agree that a Criminal Background Investigation including the National Sex Offender Registry will be required. Further, I understand that POBS may request information from various federal, state and other agencies, including public and private sources which maintain records concerning my past activities related to my driving history, credit history, criminal record, civil matters, previous employment, educational background and other past experiences. I understand that I will be able to obtain a copy of these reports upon submission.
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  • Please list any other certifications with expiration dates relevant to this application.
    I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and the answers given by me are true and correct to the best of my knowledge. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize OBCA to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release OBCA, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. Finally, I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and OBCA. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or OBCA, and that no promises or representations contrary to the foregoing are binding on OBCA unless made in writing and signed by me and a OBCA representative.
  • Optional Data

    As an equal opportunity program, POBS encourages applications from all individuals regardless of age, gender, race, ethnicity, sexual orientation, marital status or physical ability, and evaluates all candidates on a merit basis. Please share information about your race and/or ethnicity and gender so that we can track how well we are including all communities in our program.
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