Building Bridges Developmental and Community Services Employment Application Logo
  • EMPLOYMENT APPLICATION

    BUILDING BRIDGES DEVELOPMENTAL AND COMMUNITY SERVICES, INC.
  • Building Bridges Developmental and Community Services, Inc. is an Equal Opportunity Employer.  Race, color, religion, age, sex, disability, marital or veteran status, place of national origin and other categories protected by law are not factors in employment, promotion, compensation or working conditions.

    APPLICATIONS ARE RETAINED 1 YEAR FROM THE DATE SIGNED

    ___________________________________________________________________________________

  •  - -
  •  -
  •  -
  •  - -
  • EDUCATION

  • HIGH SCHOOL

  • COLLEGE OR UNIVERSITY

  • OTHER EDUCATION

  • I, hereby give consent to any and all prior employers of mine, or any
    current employer, to provide the information below regarding my employment to Building Bridges Developmental and Community Services, Inc. 
    This consent is valid from the date indicated below till application expires. A copy of this form shall serve as an original.

  • Clear
  • INSTRUCTION TO CURRENT OR FORMER EMPLOYER

  • The individual named above has applied for employment with Building Bridges Developmental and Community Services, Inc.  Please respond candidly to the request for information listed below and return your written response via fax to:  501-676-0697.

    The consent and Release is intended to comply with 11-3-204 of the Arkansas Code, a law providing current and former employers with protection for providing job information about current or former employees to prospective employees.

    Date and duration of Employement: 

    Current or last job description and duties:

     

     

    The details of the applicant's last written performance evaluation prepared prior to the date of applicant signed this consent: 

     

    Attendance history (excluding any qualifying leave under FMLA)

     

    Results of drug and/or alcohol tests administered within the last year:

     

    Was his/her separation from employment voluntary or involuntary:

     

    What was the reason the applicant's separation from employment:

     

    Is this applicant eligible for re-hire? YES   NO   NO (per company policy)

     

    Current of past employer's signature, title and date:

     

     

     

  • Clear
  • Employment History

     

    List below all previous employers starting with the current or most recent position for the past 10 years.

  •  -
  •  - -
  •  - -
  • HUMAN RESOURCE USE ONLY

    Reference Verified 

    Date

    By

    Comments

     

  • Employment History

     

  •  -
  •  - -
  •  - -
  • HUMAN RESOURCE USE ONLY

    Reference Verified 

    Date

    By

    Comments

     

  • Employment History

  •  -
  •  - -
  •  - -
  • HUMAN RESOURCE USE ONLY

    Reference Verified 

    Date

    By

    Comments

  • Please read each paragraph carefully.  Select either "YES" if you agree or "NO" if you do not agree.

    If there is any part of the paragraph that you do not understand select "no".

    I hearby autorize Building Bridges to thoroughly investigate my references, work records, education and other matters related to my suitability for employment and, further, authorize my current and former employers to disclose to the company corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

  • I understand that if offered employment, the offer may be contingent on my passing a pre-employment alcohol and drug screen Initial and a pre-employment physical. By signing this application, I voluntary agree to submit to a pre-employment drug screen and a pre-employment physical. I understand that failure to pass the alcohol/drug screen and/or physical will result in withdrawal of the employment offer.

  • If hired, I also agree to submit to alcohol or drug testing as a condition of employment.    I agree the Building Bridges Developmental and Community Services, Inc. may conduct alcohol or drug screening to its sole discretion with or without notice. I also understand that refusal to submit to an alcohol or drug screen will be considered a voluntary resignation of employment.

  • I understand that nothing contained in the application or conveyed to me during any interview, which may be granted, is intended to create an employment contract, implied or explicit, between me and Building Bridges Developmental and Community Services, Inc. In addition, I understand and agree that if I am employed, my employment relationship with Building Bridges Developmental and Community Services, Inc. is strictly voluntary and at our mutual will.

  • I understand and agree that any future changes in my title, duties, compensation, working conditions, and/or Building Bridges Developmental and Community Services, Inc. benefits, policies and procedures will not alter our at-willl and arbitration agreements.

  • I understand that if offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the United States on my first day of employment.

  • If the position applied for requires driving in the course of work, I understand that I will be required to possess a current and valid Initial Arkansas driver's license and understand that I will be required to provide a copy of my official driving record and proof of insurance.  I also understand that any offer of employment is contingent on my ability to be covered by Building Bridges Developmental and Community Services' auto insurance as required for my position.

  • I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge.

    I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement on this application or on any documents used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

  • Clear
  • Please list (3) personal references that are not a former employer or a relative.

  •  -
  •  -
  •  -
  • Additional Information

  • Upload a File
    Cancelof
  • Upload a File
    Cancelof
  • Upload a File
    Cancelof
  • Clear
  • Should be Empty: