Mohawk Valley Community Action Agency
  • Mohawk Valley Community Action Agency

    APPLICATION FOR EMPLOYMENT
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Have you ever applied for MVCAA before?*
  • Have you ever been previously employed by MVCAA?*
  • Do you have any relatives or friends who work for or have worked for MVCAA?*
  • Do you have reliable transportation?*
  • Do you have a valid driver's license?*
  • What date can you begin working?*
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  • Are you looking for full time or on call as needed?*
  • Education:

    Review the job description for the required education for each position.
  • Did you obtain a degree in college?*
  • Did you graduate from high school OR have a GED?*
  • Employment

    Start with your most recent employer first.
  • Employed From:*
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  • Employed To:*
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  • Format: (000) 000-0000.
  • May we contact the employer?*
  • Employed from:
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  • Employed to:
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  • Format: (000) 000-0000.
  • May we contact the employer?
  • Employed from:
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  • Employed to:
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  • Format: (000) 000-0000.
  • May we contact the employer?
  • Volunteer Experience

    We are Community Action. Therefore, we are very interested in knowing all activities you participate in, in your community. Please include all volunteer experience.
  • From:
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  • To:
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  • From:
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  • To:
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  • References:

    Please write 3 references below. You need one personal and two professional references. You may NOT use relatives or current employees.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Read and Sign Below:

  • The information provided in this application for employment is true, correct, and complete.  If employed, any misstatement or omission of fact on this application may result in my dismissal.  

    MVCAA is an at-will employer.  I understand that acceptance of an offer of employment does not create a contractual obligation upon the employerto continue to employ me in the future.  I further understand that my employment if offered, may be terminated at any time, for any reason.

  • Today's Date*
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  • Community Action

    Please read all statements below.
  • EQUAL OPPORTUNITY STATEMENT:

    Mohawk Valley Community Action Agency is committed to a diverse work environment.  All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, immigration status or other protected status as required by Equal Opportunity Law.  MVCAA is a place where every employee has a voice.  We actively recruit, train, and promote people with diverse perspectives, demographics, and abilities.  MVCAA is dedicated to promoting diversity, multiculturalism, and inclusion for all members of our community.  Diversity is more than a single focus on one aspect, it is woven into the very fabric of our agency and grant programs.

     

  • Inquiry Authorization:

    I hereby apply for employment with Mohawk Valley Community Action Agency, Inc. Any false statements or omissions made in this application will be considered sufficient cause for dismissal upon discovery thereof.

    I hereby authorize Mohawk Valley Community Action and/or its represntatives to make inquiry of all persons, schools, companies, corportations, cosumer reporting agencies, law enforcement agencies, motor vehicle reports, and medical advisors of this company, to supply all information concerning my character prior to employment, general reputation, personal characteristics, and mode of living, and to furnish reports thereon.  If employed by Mohawk Valley Community Action Agency, Inc., I will follow the rules and regulations and will agree to physical and medical examinations at the option of the employer, and also agree that the examining physical awill disclose to the employer or its representatives, the results of such examination.

  • MISSION STATEMENT:

    To increase awareness of the causes and conditions of poverty, forge a future of hope and equity, and strengthen families and communities.

  • COMMUNITY ACTION PROMISE:

    Community Action changes people’s lives, embodies the spirit of hope, improves communities and makes America a better place to live.  We care about the entire community and we are dedicated to helping people, help themselves and each other.

     

  • By signing below, you are affirming you have read all statements above and consent to our inquiries for the purpose of employment.

     

  • Today's Date*
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  • You will now be re-directed to complete the Voluntary Self-Identification Forms as required by our Federal Grants. 

  • Should be Empty: