YFS Employment Application – Youth and Family Services

Youth & Family Services, Inc. Application For Employment

1920 North Plaza Boulevard, Rapid City, SD 57702 / Email: yfshr@youthandfamilyservices.org / Contact HR Coordinator at (605) 342-4195 with any questions.

YFS is an Equal Employment Opportunity Employer and considers applicants for all positions without regard to race, creed, color, ancestry, religion, age, sex, pregnancy, national origin, military status, disability, genetic information, sexual orientation, gender identity or expression, or on any other basis that would be in violation of any applicable federal, state, or local law. To be considered for employment, the Personal section and all other information not included in an attached resume must be completed. If the resume is attached, it becomes a part of the application. The application must be signed.

Personal

YFS Position(s) Applying For: *

List job title(s) you are interested in at YFS

Date Available *

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Phone *

Email *

Have you ever been employed by YFS? *

Yes
No

Beginning Date

List beginning date of previous employment

Ending Date

List ending date of previous employment

How did you hear about this position? *

Examples: Online job posting, agency website, job fair, newspaper, family/friend, etc.

Have you read the job description(s) for the position(s) you are applying? *

Yes
No

File Upload

Click or drag files to this area to upload. You can upload up to 6 files.

You may attach additional information such as a resume, cover letter, or references here. Any uploaded items become a part of the application.

Education and Training

If this information is included on your attached resume, you may continue to the Employment History section.

Name of High School

Course of Study, # of Years Completed, Did You Graduate, Degree/Diploma

Please list

Name of Trade School/College

Course of Study, # of Years Completed, Did You Graduate, Degree/Diploma

Please list

Name of Graduate School

Course of Study, # of Years Completed, Did You Graduate, Degree/Diploma

Please list

Special Training/Skills/Certificates/Licenses/Etc.

Please list

Employment History

List at least your last 10 years of employment. Start with the most recent job. Phone numbers for former employers are required. If you need additional space, please continue on a separate document and submit it using our file upload tool. If this information is included on your attached resume, you may continue to the References section.

Company Name

Date: From

Date: To

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

*Required

Name of Supervisor

Salary

*Optional

Job Title and Description of Your Work

Company Name

Date: From

Date: To

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

*Required

Name of Supervisor

Salary

*Optional

Job Title and Description of Your Work

Company Name

Date: From

Date: To

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

*Required

Name of Supervisor

Salary

*Optional

Job Title and Description of Your Work

Company Name

Date: From

Date: To

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

*Required

Name of Supervisor

Salary

*Optional

Job Title and Description of Your Work

References

List two professional/educational references who are not related to you and have knowledge of your qualifications. Do not repeat persons listed under employment. If this information is included on your attached resume, you may continue to the Applicant’s Acknowledgement section.

Name and Title

Relationship/Position

Phone

Include area code

Name and Title

Relationship/Position

Phone

Include area code

Applicant's Acknowledgement

This application must be completed in full to be considered for employment. By completing this application there is no assurance of employment.

By checking the box below I certify that answers given in this application are true and complete to the best of my knowledge. I authorize investigation into all statements I have made on this application as may be necessary for reaching an employment decision. *

Choice 1

By checking the box below I expressly authorize Youth & Family Services to contact any of my prior employer(s) and character reference(s). I hereby release previous employers, references, and Youth & Family Services from any and all liability arising from providing and/or receiving said information. I understand that Youth & Family Services can contact my previous employers and references only if I am invited for the job interview. Youth & Family Services will contact my current employer only if I am a top candidate for the position. *

Choice 1

By checking the box below I affirm that if I'm employed by YFS, any misstatement or omission of fact on this application no matter when discovered may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future for any period of time. *

Choice 1

Printed Name of Applicant *

Signature of Applicant *

Sign with mouse or finger

Date *