Jobs
Online Application
 
 
 
 
Employment Application
Welcome to IMPACT Community Action Online Employment Application.

We wish to learn more about your qualifications and how you may fit into our organization.  To apply on-line, please fill out the necessary application and attach your resume. On the application, indicate which position(s) you're applying for. Once again, thank you for your interest in IMPACT Community Action.
Fields with * are required.
Personal Information
*Last Name:
*First Name:  Middle Initial: 
Suffix:
*Home Phone:
Work Phone:
Alt. Phone:
Email:
Driver's License#:  State:
#########
Social Security No:
Present Residence:
*Address1:
Address2:
*City: *State:   *Zip:
Previous Residence:
Address1:
Address2:
City: State:   Zip:
*Position applied for: Position desired:
Salary Desired:annuallyper hour
*Legal Status?
    Authorized To Work
    Need Authorization
    Permanent Resident
    US Citizen
Would you be willing to relocate?
   Yes No
*Are you applying for?
   Full TimePart TimeTemporaryConsultant
*Available?
   Immediately2-Weeks3-Weeks4-Weeks4+ Weeks
Have you ever applied with our company before?
   Yes No
Have you ever worked for our company before?
   Yes No
Referred by:
Educational Information
Institution: Did you graduate?    YesNo
Field of Study: Degree Type:
Institution: Did you graduate?    YesNo
Field of Study: Degree Type:
Institution: Did you graduate?    YesNo
Field of Study: Degree Type:
Military Service
*Have you ever served in the military?
    YesNo
If Yes When
Date Entered: mm/dd/yyyy Date Separated:mm/dd/yyyy
Service Branch: Rank:
*Have you ever had clearance?
    YesNo
If yes then please explain
Granted By: Date: mm/dd/yyyy
References
Name: Address:
Phone: Occupation:
Email: Company Name:
Years Known:  
Name: Address:
Phone: Occupation:
Email: Company Name:
Years Known:  
Name: Address:
Phone: Occupation:
Email: Company Name:
Years Known:  
Work History
(beginning with most recent)
Company: Position Held:
Supervisor: Supervisor Title:
Phone: Salary:
From: / To: /Leave blank for present
Responsibilities:(limited to 500 characters)
Company: Position Held:
Supervisor: Supervisor Title:
Phone: Salary:
From: / To: /Leave blank for present
Responsibilities:(limited to 500 characters)
Company: Position Held:
Supervisor: Supervisor Title:
Phone: Salary:
From: / To: /Leave blank for present
Responsibilities:(limited to 500 characters)
Are you presently employed?   YesNo
If yes may we contact your employer?   YesNo
*Have you ever been convicted of any crime?   YesNo
If yes, state the offense, location, date and disposition?(limited to 300 characters)
*Please cut and paste your resume in txt form. This is necessary to enable search on skills. (limited to 14000 characters).Notice:if you don't copy and paste your resume it will not be searched on skills by the recruiter.
Please attach your resume
Only .doc,.pdf or .txt files are accepted for upload. IMPACT is currently unable to upload .docx file formats.

By submitting this application, I certify that my answers to the foregoing questions are true and complete. I understand that if I am offered employment with IMPACT Community Action, any false or misleading statements on this application form are grounds for my immediate termination. I hereby authorize IMPACT Community Action to contact any individual(s) necessary to investigate my employment history, character and qualifications. I further give my complete consent to the individual(s) contacted by IMPACT Community Action to reveal any and all relevant information about my employment history, character and qualifications pursuant this background investigation. I also understand that my employment is "at will" and may be terminated by IMPACT Community Action or myself for any reason or no reason at all, with or without prior notice.
    
Privacy Act Information "This information is subject to the Privacy Act of 1974, (Title 5, USC 552a)"