NOTICE

The use of this form does not necessarily indicate that positions are open nor does it constitute an offer of employment or a contract of employment.

Please do not provide unrequested information on this form. Any applicant who provides unrequested information will be automatically rejected.

This application is good only for sixty (60) days from today's date. If you still desire a position with Community of Hope, Inc. after this application expires, it will be your responsibility to fill out a new application and file it with Community of Hope, Inc. Otherwise, Community of Hope, Inc. may not consider you for employment after this application expires.

Community of Hope, Inc. offers reasonable accommodation in the employment process for individuals with disabilities. If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time. Please contact Human Resources to request assistance.

Community of Hope, Inc. is an Equal Opportunity Employer and will not discriminate, or tolerate discrimination, against any employee or applicant in any manner prohibited by law.

Community of Hope, Inc., in considering my application for employment, may verify the information set forth on this application and obtain additional background information relating to my background. I authorize all persons, schools, companies, corporations, and law enforcement agencies to supply any information concerning my background. I understand that I may be denied employment on the basis of the information obtained.

I understand that Community of Hope, Inc. has a commitment to maintain an alcohol/drug-free workplace and that Community of Hope, Inc. may require a drug screening test as a part of its selection and hiring process. I understand that such drug screening will consist of the testing of a urine sample or other medically recognized test designed to detect traceable amounts of a controlled substance in my body. If it is determined my specimen contains a controlled substance or was altered or substituted, I will be disqualified from consideration for employment and any offer of employment will be withdrawn. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug-testing under certain circumstances during my employment.

I have read, understand and agree to these statements.