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  • APPLICATION FOR EMPLOYMENT

    An Equal Opportunity Employer

  • EMPLOYMENT DESIRED

  • MM slash DD slash YYYY
  • REFERRAL SOURCE

  • EDUCATION

  • Highschool
  • College or University
  • Trade, Business or Correspondence School
  • EMPLOYMENT HISTORY

    Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.



  • Give the names of three persons not related to you, whom you have known at least three (3) years. (use the + sign on the side to add additional references)
    NameAddressPhoneEmailCompanyYears Acquainted 
  • Please read carefully before signing.

    The Harford Center is an equal opportunity employer. The Harford Center does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for The Harford Center to hire me. If I am hired, I understand that either [Company Name] or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of The Harford Center has the authority to make any assurance to the contrary.

    I attest with my signature below that I have given to The Harford Center true and complete information on this application. No requested information has been concealed. I authorize [Company Name] to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

  • 10/24/2021