Application for Employment

Notice to all applicants:

All items on this application must be completed before an interview can be scheduled.

All applicants will be required to submit to urinalysis drug testing and/or blood alcohol testing as a condition of employment in accordance with the company's drug and alcohol policy.

It is the policy of the company to provide equal opportunity with regard to all terms and conditions of employment. The company complies with federal and state laws prohibiting discrimination on the basis of race, color, religion, creed, national origin, gender, disability, veteran status, age, or any other protected characteristic.

Scroll to the bottom of this page for a downloadable, printable PDF of our employment application

Contact Information

Applicant Disclosure and Consent for Background Investigation

As part of the process of determining your eligibility for employment, and, in the event you are hired, your continued employment with the Blue Ridge Group Homes (hereafter "BRGH"), BRGH may conduct an investigation of your background by obtaining a Consume Report, i.e. a Background Check, relating to you from a Consumer Reporting Agency of its choice. No consumer Report will be used in violation of any Federal or State Equal Employment Opportunity law or Regulation. If BRGH intends to take any adverse action based in whole or in part on information contained in your background report, you will be provided with a copy of your report and a description of your rights under the Fair Credit Reporting Act as well as contact information for the company who provided your report.

I hereby authorize BRGH to make an independent investigation of my background by obtaining a Consumer Report, i.e. Background Check, relating to me from a Consumer Reporting Agency of BRGH's choice. I understand tat this report may include a criminal record check, validation of previous names and addresses, verification of education, driving record, interviews with personal references provided by me, verification of previous employment, and, if authorized by me, verification of current employment. A credit report is NOT authorized by this consent form.

I understand and agree that the information contained in my background report will be used solely to determine my eligibility for employment; and if I am hired, my eligibility for continued employment; and that action may be taken by BRGH based on this information. To assist BRGH in obtaining my background report, the following information is provided:

Previous Names
Please list all previous names up to and including your present name for the last 10 years, and the date you began using each name (Include maiden name, previous married names, aliases, etc.)
Previous Addresses
Please list previous addresses for the past 10 years, and dates (year) at each address. (PO Boxes are NOT acceptable)
if at current address for less than 3 years
Please note: List all offenses even if you believe they are no longer on your record. A conviction will not necessarily disqualify an applicant from employment. However, failure to disclose a criminal conviction WILL disqualify the applicant.
If hired, you must be able to present evidence of US Citizenship or legal right to live and work in this country. You must also obtain or give permission and/or relevant information that will allow this company to obtain a criminal check. This does not necessarily preclude you from employment, but will only be considered in relation to specific jobs.
Licenses and Certifications
Educational Background
High School
College
Graduate School
Vocational or other training
Previous Employers and Addresses
List the most recent employer first.
Employer 1
Employer 2
Employer 3
Employer 4

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Blue Ridge Homes and myself for either employment or for the providing of any benefit. No promises of employment have been made to me and I understand that no such promise or guarantee is binding upon Blue Ridge Homes, unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that Blue Ridge Homes retains the same right

I understand that if an offer of employment is tentatively made to me it is conditioned upon the successful completion of a medical examination, drug screen and criminal record check. I understand that if the results of the drug screen are positive, or if I refuse to consent to a drug screen that I will be removed from further consideration for employment. I understand that a Criminal Check will be completed and the results will determine eligibility of employment. I understnad that if employed, policies and rules which are issued are not conditions of employment and that the employers may revise policies and procedures, in whole or part, at any time.

I understand that reasonable accommodations will be considered for applicants with a qualifying disability during the hiring process. A reasonable accommodation is one which assists the individual in the performance of essential job duties and does not pose an undue hardship upon Blue Ridge Homes.

I understand that this application will be kept on active file for thirty (30) days from the date completed. After the thirty (30) day period I may reapply in accordance with established company procedures.

If hired, you must be able to present evidence of US Citizenship or legal right to live and work in this country. You must also obtain or give permission and/or relevant information that will allow this company to obtain a criminal check. This does not necessarily preclude you from employment, but will only be considered in relation to specific job duties.

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Blue Ridge Group Homes Application for Employment149.44 KB