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To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

Click the Upload Resume to use your resume to pre-fill this application form.

Click the LinkedIn link to use your LinkedIn profile to pre-fill this application form.

Click the Universal Profile link to use your resume to pre-fill this application form.

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Personal Information

First name: *

Street address:

Last name: *

City:

Middle:

State/Territory:

Phone #:

ZIP/Postal code:

Mobile #:

Country:

How did you hear about us?

Source: *

Other (Specify Source):

Email Registration

Your email address will be used as your login name allowing you to return to our website update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Hotmail. Please make sure that the syntax of your email address is in the following form: username@ispname.com

Email: *

Please create your password
Passwords must be at least six(6) characters

Password: *

Re-type new password: *

Additional Information

Work Authorization: *

Highest Education Level: *

Current Salary.:

Employment History

Employed

Work History 1 Title: *

Work History 1 Company Name:

Work History 1 Date From: *

Work History 1 Company Street Address:

Work History 1 Date To: *

Work History 1 Company City State:

Work History 1 Reason For Leaving: *

Work History 1 Company Phone:

Work History 1 Explanation:

Work History 1 Direct Supervisor:

Work History 1 Starting Rate Of Pay: *

Work History 1 Supervisor Title:

Work History 1 Final Rate Of Pay: *

Work History 1 Ok To Contact

Responsibilities and Duties

Work History 1 Description:

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Employed

Work History 2 Title: *

Work History 2 Company Name:

Work History 2 Date From: *

Work History 2 Company Street Address:

Work History 2 Date To: *

Work History 2 Company City State:

Work History 2 Reason For Leaving: *

Work History 2 Company Phone:

Work History 2 Explanation:

Work History 2 Direct Supervisor:

Work History 2 Starting Rate Of Pay: *

Work History 2 Supervisor Title:

Work History 2 Final Rate Of Pay: *

Work History 2 Ok To Contact

Responsibilities and Duties

Work History 2 Description:

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Employed

Work History 3 Title: *

Work History 3 Company Name:

Work History 3 Date From: *

Work History 3 Company Street Address:

Work History 3 Date To: *

Work History 3 Company City State:

Work History 3 Reason For Leaving: *

Work History 3 Company Phone:

Work History 3 Explanation:

Work History 3 Direct Supervisor:

Work History 3 Starting Rate Of Pay: *

Work History 3 Supervisor Title:

Work History 3 Final Rate Of Pay: *

Work History 3 Ok To Contact

Responsibilities and Duties

Work History 3 Description:

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Education

Education 1 Date From: *

Education 1 Degree Achieved:

Education 1 Date To: *

Education 1 City: *

Education 1 School Name: *

Education 1 State/Territory: *

Education

Education 2 Date From:

Education 2 Degree Achieved:

Education 2 Date To:

Education 2 City:

Education 2 School Name:

Education 2 State/Territory:

Education

Education 3 Date From:

Education 3 Degree Achieved:

Education 3 Date To:

Education 3 City:

Education 3 School Name:

Education 3 State/Territory:

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References

References 1 Reference Name: *

References 1 Phone: *

References 1 Email: *

References 1 Years Known: *

References

References 2 Reference Name:

References 2 Phone:

References 2 Email:

References 2 Years Known:

References

References 3 Reference Name:

References 3 Phone:

References 3 Email:

References 3 Years Known:

- Remove Previous References

Certificates/Licenses

Certificates and Licenses

Certificates And Licenses 1 Certificate Name:

Certificates And Licenses 1 Year:

Certificates And Licenses 1 Issuing Body:

Certificates and Licenses

Certificates And Licenses 2 Certificate Name:

Certificates And Licenses 2 Year:

Certificates And Licenses 2 Issuing Body:

Certificates and Licenses

Certificates And Licenses 3 Certificate Name:

Certificates And Licenses 3 Year:

Certificates And Licenses 3 Issuing Body:

- Remove Previous Certificates And Licenses

Resume Attachment

Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.

* Required InformationAdd Resume & Attachments

Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Cover Letter:

Additional Information

Ever employed by TSFM?: *

If yes, give date(s):

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Relatives working at TSFM: *

If yes, give name(s):

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Convicted of a felony?: *

If yes, Explain:

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Certification and Release of Information

PLEASE READ CAREFULLY- I understand and agree that:

A thorough pre-employment screening process will be conducted and any offer of employment, if made, will be contingent upon a satisfactory screening which could include a Criminal Background check, Reference Checks, Employment Verification, Drug Screening, and other assessment and screening tools.

This application is not a contract and that acceptance of employment, if made, is not a contract of employment for a specified term. I understand and agree that I may resign my employment with DCHF at any time for any reason, and that my employment may be terminated at the will of DCHF at any time for any reason. I also understand and agree that any handbooks, manuals, policies, and procedures maintained by DCHF are not contractual in nature and may be amended or abolished at the sole discretion of DCHF at any time.

Should I become an employee of DCHF, I will adhere to DCHF Policies and Standards of Conduct, will report all suspected violations of law related thereto, and will conduct the organization’s business in a strictly ethical and legal manner.

Should I become an employee of DCHF, I will abide by the terms of DCHF’s Drug Abuse Policy and related management instructions.

Pursuant to the Immigration Reform and Control Act, DCHF will employ only those individuals who are eligible to work in the United States. Accordingly, upon hiring, all new employees will be required to demonstrate their eligibility to work in the United States. Failure to do so will result in termination or revocation of the offer of employment.

I certify that I have read, understand and will adhere to the aforementioned statements. I also certify that the information furnished in this application and any supporting documents is true and complete to the best of my knowledge and belief and I understand that any misrepresentation or omission of material fact on this or any other record submitted pertinent to employment may result in immediate dismissal.

Electronic Signature: *

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Voluntary Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

Gender:

Race:

Veteran/Disability: