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Turning Hope into Home
About Us
Our History
Our Board & Staff
Employment
Financial Information
Our Program
The Mothers & Children
Living Here
Our Success
Program Application
Ways to Give
Plus One Program
Volunteer
Donate
Special Events
Annual Yard Sale
Community Events
Clothing for a Cause
Mommy Market
Festival of Trees
Contact
Menu
Employment Application
Employment Application
Date
MM
DD
YYYY
Name
*
First Name
Last Name
Phone
(###)
###
####
Email Address
*
What position are you applying for?
*
What hours can you work?
When are you available to begin working?
Education
Name of graduate school:
Years completed:
Degree received:
Name of college or university:
Years completed:
Degree received:
Did you received your high school diploma or GED?
Yes
No
Trainings and certifications:
Employment History
Employer 1:
Employer 1 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer 1 Phone Number:
*
(###)
###
####
Name of Supervisor:
First Name
Last Name
Job title and work duties:
*
Wage
Please tell us your hourly or salary wage.
$
Dates of employment:
Reason for leaving:
Employer 2:
Employer 2 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer 2 Phone Number:
(###)
###
####
Name of Supervisor:
First Name
Last Name
Job title and work duties:
Wage
Please tell us your hourly or salary wage.
$
Dates of employment:
Reason for leaving:
Employer 3:
Employer 3 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer 3 Phone Number:
(###)
###
####
Name of supervisor:
First Name
Last Name
Job title and work duties:
Wage
Please tell us your hourly or salary wage.
$
Dates of employment:
Reason for leaving:
Mountain Home Montana may contact the employers listed except:
Employer 1
Employer 2
Employer 3
Professional References
Reference 1:
First Name
Last Name
Reference 1 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference 1 Phone Number:
(###)
###
####
Relationship:
Reference 2:
First Name
Last Name
Reference 2 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference 2 Phone Number:
(###)
###
####
Relationship:
Reference 3:
First Name
Last Name
Reference 3 Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference 3 Phone Number:
(###)
###
####
Relationship:
Travel
All Mountain Home Montana Case Manager and shift worker positions require travel and at times the transport of residents.
Do you have a valid driver's license?
Yes
No
Is there anything prohibiting you from providing safe transportation of residents in a Mountain Home Montana vehicle?
Yes
No
Have you received any vehicle citations?
Yes
No
If yes, please explain:
Other
Volunteer work and memberships:
As an adult, have you ever been convicted of a crime other than a minor traffic violation?
Yes
No
If yes, please explain all of the facts and circumstances fully so we may evaluate this matter:
Are you willing to participate in a criminal background check as part of the screening process?
Yes
No
By checking this box, the applicant authorizes any employers or references to release any information concerning this application for employment to Mountain Home Montana except as noted above.
Applicant Authorization
Application Materials
Thank you for completing the employment application. Please submit a cover letter and resume to the file upload box linked on the employment page or email these materials to info@mountainhomemt.org.
Thank you!
