Employment

Employment Application

Name

First Last

For which position are you applying?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date Available*

Phone

Email

Are you over 18 years old?*

Yes
No

If no, how old are you?

Are you legally eligible for employment in the United States?*

Yes
No

If offered employment, you will be required to provide documentation to verify eligibility.

Are you able to perform the essential functions of the job which you are applying, with or without reasonable accommodation?*

Yes
No

If employed, will you have reliable transportation to and from work?*

Yes
No

Record of Conviction

Have you been convicted of a crime other than a minor traffic offense in the past 10 years?*

Yes
No

If yes, please explain.

A conviction won't necessarily automatically disqualify you from employment. Factors like age, date of conviction, seriousness and nature of the crime and rehabilitation will be considered. All applicants who are offered employment with the MSSPA will be subject to criminal background checks. Employment is conditional upon the results of the background check.

Most Recent Employer

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Most Recent Employer's Phone Number

May we contact your most recent employer?

Yes
No

Position

Dates of Employment (From - To)

Duties

Number of Hours a Week

Reason for Leaving

Employer #2

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer #2 Phone Number

May we contact Employer #2?

Yes
No

Position

Dates of Employment (From - To)

Duties

Number of Hours a Week

Reason for Leaving

Employer #3

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer #3 Phone Number

May we contact Employer #3?

Yes
No

Position

Dates of Employment (From - To)

Duties

Number of Hours a Week

Reason for Leaving

Experience

Upload a Resume and/or Cover Letter

Drop files here or

Max. file size: 75 MB.

If you wish to describe additional work experience, please provide details below.

Have you ever been discharged or asked to resign from a job?

Yes
No

If yes, explain.

References

Reference #1 Name

First Last

Reference #1 Phone Number

Reference #1 Relationship

Reference #2

Reference #2 Name

First Last

Reference #2 Phone Number

Reference #2 Relationship

Reference #3

Reference #3 Name

First Last

Reference #3 Phone Number

Reference #3 Relationship

Explanation

Please describe why you would like to work at the Society.*

Agreement and Electronic Signature

I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I authorize the MSSPA to check their accuracy, to obtain reference information on my work performance, and to contact the references listed above. I release the MSSPA from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that if I provide false statements or make omissions on this application I will not be hired, and if I am employed, such false statements or omissions will be grounds for dismissal. If I am offered a job with the MSSPA I will follow its policies, rules and regulations. I understand that any employment offered is for an indefinite time and at will and that either I or the MSSPA may terminate my employment at any time with or without notice or cause.*

Your Electronic Signature

File

Max. file size: 75 MB.

Untitled

MSSPA

Employment

Thank you for your interest in joining the team at the MSSPA!

At this time, we have no open positions. You are welcome to fill out an employment application for our files, should a position open that matches your qualifications.

Employment Application

Record of Conviction

Employment

Employer #2

Employer #3

Experience

References

Reference #2

Reference #3

Explanation

Agreement and Electronic Signature

Navigate