Online Application

Please read the following before completing our Employment Application:

Our application form must be completely filled out in order for it to be reviewed and considered for employment. If the information provided on our application cannot be satisfactorily verified by employment reference checks your application will be considered incomplete. Be as specific as possible in stating the job you are applying for: ANY POSITION is not an acceptable response.

Due to the large number of applications we receive and the competitive nature of our employment process specific reasons for employment decisions will not be released.

In completing our application blank you will be subject to the following checks:

EMPLOYMENT REFERENCE CHECKS FROM FORMER EMPLOYERS
CRIMINAL RECORD
PHYSICAL, INCLUDING TB TEST
CHILD ABUSE CLEARANCE
DMV CHECK
FINGERPRINTING (AS APPLICABLE)

I understand that if hired by the Children’s Home of Wyoming Conference, I will be an employee ‘at will’, which means my employment with the Agency may be terminated at any time at the option of the Agency or myself. I also understand that neither this application or any communication by a management representative is intended to or does in fact create a contract of employment. Although initially assigned to one department/unit, re-assignment may occur based on Agency needs. This also includes changes in work shifts.

I agree to conform to the rules and regulations of the Children’s Home of Wyoming Conference, and understand that the Agency has complete discretion to modify such rules and regulations at any time.

The information in my application is complete and true to the best of my knowledge. I understand that any misrepresentation of omission on my part of the facts in this application my result in immediate dismissal.

I hereby authorize you to conduct any investigation necessary concerning any part of my background related to the position I am seeking. I am aware that the Agency makes inquiries of law enforcement agencies, motor vehicles records and child abuse records when applicable. I release all parties from any liability in connection with the provision and use of such information.

First name*
Preferred name*
Last name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
How did you hear about this position? If through a current employee please provide their first and last name
Are you interested in a position with the Children's Home or the STCC?*
Available Internship Positions:*
Which location are you applying to?*
Broome County Open Positions:*
Binghamton, Main Campus Open Positions:*
Chenango County Open Positions:*
Cortland County Open Positions:*
Monroe County Open Positions:*
Orange County Open Positions:*
Seneca County Open Position:*
Sullivan County Open Positions:*
STCC Employment Opportunities*
Available start date*
MM slash DD slash YYYY
What is your current employment status?*
- Employed
- Self-Employed
- Unemployed
- Student
Are you a U.S. citizen*
Do you possess a valid drivers license?*
Are you under 21 years of age?*
IF UNDER 21 Years of age, how old are you?*
PLEASE READ THIS NOTICE BEFORE COMPLETING THIS SECTION
You are not required to disclose the existence of any of the following arrests, criminal charges or convictions, the records of which have been erased: (1) a finding of delinquency or that you were a child of a family with service needs or (2) a criminal charge that has been dismissed or a criminal charge that was nolled at least thirteen months ago. If you have criminal records that have been so erased, you are deemed to have never been arrested. (Note: it shall be an unlawful discriminatory practice for any person, agency, bureau, corporation, or association, including a state and any political subdivision thereof, to deny employment to any individual by reason of his or her having been convicted of one or more criminal offenses, except where a bar to employment is imposed by law, or by reason of finding a lack of “good moral character” which is based upon his or her having been convicted of one or more criminal offenses, when such denial is in violation of the provisions of Article 23-A of the New York Correction Law. It is the policy of this company to not discriminate against applicants who have a criminal record. A criminal conviction does not result in an automatic disqualification from all employment with the company. All applicants are examined on a case-by-case basis, taking into account a series of factors the company is required to review. The company will take into consideration the specific duties and responsibilities of the position the applicant is applying for, and the bearing, if any, the criminal conviction might have on the applicant’s fitness or ability to perform one or more duties or responsibilities. THIS SECTION MUST BE COMPLETED
Are you currently charged with any crime?*
(Omit convictions for which the record has been sealed, expunged or statutorily eradicated)
Have you ever been convicted of or pleaded guilty to any crime?*
(Omit convictions for which the record has been sealed, expunged or statutorily eradicated)
**If you have answered yes to either question above, please provide the offense(s), charge(s), date(s), and court/municipality
Submit your resume by providing your resume URL:
Or File Upload
Max. file size: 2 GB.
Educational History
Please include Grammer School, High School, College and Degrees obtained
Grammer school name/location
Did you graduate?
High school name/location
Did you graduate?
College Name/Location
Did you graduate?
Degree Earned
Trade/Business/Graduate name/location
Subjects of special study or research
Military Service
U.S. Military or Naval Reserve:
Rank
Employment History
Please list your last four employers starting with present or last place of employment.
Employer 1
Name
Date of employment from
MM slash DD slash YYYY
Date of employment to
MM slash DD slash YYYY
Supervisors Name
Supervisors Phone
Salary
Position
Reason for leaving
Employer 2
Name
Date of employment from
MM slash DD slash YYYY
Date of employment to
MM slash DD slash YYYY
Supervisors Name
Supervisors Phone
Salary
Position
Reason for leaving
Employer 3
Name
Date of employment from
MM slash DD slash YYYY
Date of employment to
MM slash DD slash YYYY
Supervisors Name
Supervisors Phone
Salary
Position
Reason for leaving
References
Please give the names of three persons, not related, whom you have know at least one year.
Reference 1
Name
Email
Phone
Relationship
Years Acquainted:
Reference 2
Name
Email
Phone
Relationship
Years Acquainted:
Reference 3
Name
Email
Phone
Relationship
Years Acquainted:
Phone
This field is for validation purposes and should be left unchanged.

Online Application

PLEASE READ THIS NOTICE BEFORE COMPLETING THIS SECTION

Educational History

Military Service

Employment History

Employer 1

Employer 2

Employer 3

References

Reference 1

Reference 2

Reference 3