Online Employment Application

P.O. Box 32, Northumberland PA 17857-0032
Telephone (570) 473-8366

TO APPLICANT:  We appreciate your interest in Nottingham Village and assure you that we are sincerely interested in your qualifications.  A clear understanding of your background and employment history will aid us in considering you for a position that best meets your qualifications and the needs of our business.

APPLICANT AUTHORIZATION:
Nottingham Village (its Employees, Officers, Agents and Authorized Representatives) is hereby authorized to contact persons, schools, employers and organizations named in this application to request relevant information as to my character, work habits, job performance and personal characteristics.  I understand and agree that if employed, any false statements, deliberate omission or material misrepresentation on this application shall be considered sufficient cause for dismissal.

By signing this application I understand that my employment may be terminated by me or Nottingham Village at any time and for any reason and that nothing in this application, the interview process, or the course of my employment with Nottingham Village, if hired, will constitute a contract of employment except an express written and signed employment contract.  I further understand that if hired I have a continuing obligation to inform Nottingham Village about any condition in my physical or mental health which could effect my employment, my fellow employees or the relationship of Nottingham Village to its customers.

It is Nottingham Village’s policy to offer equal employment opportunities to all qualified persons, regardless of race, creed, color, gender, age, sexual orientation, national origin, ancestry, genetic information, religion, disability, veteran status, marital status or other status protected by law.  No applicant is to be discriminated against or given preference because of these factors.


 

Fields marked with a * are required.


Record of Education

NOTE: Dates of attendance will be required when verifying education credentials following a conditional offer of employment.



Present or Most Recent Employer


Second Most Recent Employer


Third Most Recent Employer


Personal References (if applicable)


Employment Questions

Nottingham Village (its Employees, Officers, Agents and Authorized Representatives) is hereby authorized to contact persons, schools, employers and organizations named in this application to request relevant information as to my character, work habits, job performance and personal characteristics. I understand and agree that if employed, any false statements, deliberate omission or material misrepresentation on this application shall be considered sufficient cause for dismissal.
By signing this application I understand that my employment may be terminated by me or Nottingham Village at any time and for any reason and that nothing in this application, the interview process, or the course of my employment with Nottingham Village, if hired, will constitute a contract of employment except an express written and signed employment contract. I further understand that if hired I have a continuing obligation to inform Nottingham Village about any condition in my physical or mental health which could affect my employment, my fellow employees or the relationship of Nottingham Village to its customers.
It is Nottingham Village’s policy to offer equal employment opportunities to all qualified persons, regardless of race, creed, color, gender, age, sexual orientation, national origin, ancestry, genetic information, religion, disability, veteran status, marital status or other status protected by law. No applicant is to be discriminated against or given preference because of these factors.

Signature of Applicant ____________________
(to be completed at interview.)