Application

Acknowledge:

Four Rivers is a drug-free workplace. A pre-employment drug screening and a criminal background check are completed on all potential new hires.

Acknowledge:

NOTICE REGARDING BACKGROUND INVESTIGATION: A consumer report (background screening report) and/or an investigative consumer report which may include information concerning your character, employment history, general reputation, personal characteristics, police record, education, qualifications, motor vehicle record, mode of living, and/or credit and indebtedness may be obtained in connection with your application for and/or continued employment with Four Rivers Resource Services, Inc. A consumer report and/or an investigative consumer report may be obtained at any time during the application process or during your employment with Four Rivers Resource Services, Inc. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Safe Hiring Solutions LLC, P.O. Box 295, Danville, IN 46122 888-215-8296.

Acknowledge:

Four Rivers is An Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, gender, age, military service, disability, sexual orientation, gender identity or on any other basis that would be in violation of any applicable federal, state or local law. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based solely on job-related factors.

AUTHORIZATION:

By initialling below, I, hereby voluntarily authorize Four Rivers Resource Services, Inc. to obtain either a consumer or an investigative consumer report about me from a consumer reporting agency and to consider this information when making decisions regarding my employment and/or continued employment at Four Rivers Resource Services, Inc. I understand that I have rights under the Fair Credit Reporting Act, including rights discussed above. This report may be delivered in either written or electronic form.

Your Initials*

Name*

First Middle Last

Email*

Current Address*

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

Have you lived at another address in the last 7 years?

Yes
No

Previous Address

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

Primary Phone*

Alternate Phone*

Social Security Number

Date of birth*

Driver’s License Number*

Driver’s License State*

Have you ever applied for employment with us before?*

Yes
No

When did you previously apply with us?

What position are you applying for?*

Sewing Machine Operator
Direct Support Professional

Are you at least 18 years of age and legally eligible to work in the United States?*

Yes
No

What is your highest level of education:

High School/High School Equivalency
College
Vocational Training or Technical School

Do you currently hold any degrees, certifications or specialized licenses?

Yes
No

Please tell us what type of degree, certification or license

The information I have provided on this application form is true and complete to the best of my knowledge. I understand that this application does not create a contract of employment nor guarantee employment; and if I am employed, it is at the will of Four Rivers and may be terminated at any time, with or without cause and with or without notice.

Your initials*

Date

Four Rivers Resource Services

Application

Four Rivers Resource Services, Inc. – Online Job Application

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