Career Application

Please provide the name, email address, and phone number of three references who are not related to you, one of which is a professional reference.

Please read before signing. If you have any questions regarding these statements, please ask someone in the HR Department prior to signing. I certify that the information provided by me on this application is true and complete to the best of my knowledge, and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that any falsification or misrepresentation made by me on this application or during any subsequent interviews may be cause for rejection of my application or for dismissal from employment. I understand that this application is not an offer of employment with the Whaley Children’s Center nor does it constitute an employment contract. I understand that any offer of employment with the Whaley Children’s Center is contingent upon the provision of acceptable documentation verifying my education and my eligibility for employment, and upon the receipt of negative results from a drug screen and a tuberculin test. I understand that this application will remain active for a period of ninety (90) days from the date of the application, and I must notify Whaley in writing at the end of such period if I wish to reactivate or amend this Application. I hereby authorize the Whaley Children’s Center and its representatives to make a thorough investigation of the information I provide on this application and during any interviews, including, but not limited to my past employment, my education, my driving record, and a criminal record check. I hereby give my current and former employers my permission to release personnel record information without requiring any current and/or former employer to contact me or to give me written notice before disclosing information as may be required by MCL423.506. I hereby release, for myself, and my family, heirs, successors, and assigns, the Whaley Children’s Center, my current and/or former employers, including, but not limited to board members, administrators, owners, operators, human resources/personnel directors, employees, officers, agents and attorneys, successors, and assigns thereof of and from any and all claims, demands, causes of action, suits and any liability whatsoever, including, but not limited to claims for slander, defamation, libel, negligence, invasion of privacy, interference with contractual relations, breach of contract, discrimination claims, intentional infliction of emotional distress or any other statutory, governmental or common law claim that I may have as a result of my current and/or former employer’s disclosure of personnel record information to the Whaley Children’s Center. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE STATEMENTS ABOVE, FULLY UNDERSTAND THEM AND AGREE TO THE SAME. A COPY OF THIS PAGE SHALL SERVE AS AN ORIGINAL. I agree to this statement

*This organization prohibits and does not tolerate discrimination in any form, including harassment, that is based upon a persons protected status, such as sex, color, race, ancestry, religion, national origin, age, disability, medical condition, marital status, veteran status (including past, present or future application for, or membership in, a uniformed service), citizenship status, or other protected group status. This organization is an equal opportunity employer that makes, supports, and subscribes to a policy of nondiscrimination in all aspects of employment. The agency’s practices are based on job qualifications without regard to race, color, religion, national origin, sex, age, height, weight, marital status, veteran status (including past, present or future commitments to the uniformed services), handicap or any other reason prohibited by applicable laws.