HASC CenterBuilding Futures One Person at a Time
HASC Center Inc. is an equal opportunity employer. Applicants are considered without regard to race, creed, color, national origin, sex, age, disability, marital status, sexual orientation, veterans' status, citizenship status, or any other protected characteristic or status in all employment decisions, including but not limited to recruitment, hiring, compensation, training, promotion, transfers, termination, and all other terms and conditions of employment.

Please be aware that, if the position for which you are applying requires regular and substantial unsupervised or unrestricted physical contact with people being served by HASC Center, you will need to provide information, statements, and fingerprints according to the requirements of OMRDD regulations in order for a criminal background check to be conducted.
Personal Information
Have you ever applied for employment with HASC Center or any of its affiliates?
Yes No
Have you ever been employed by HASC Center or any of its affiliates before?
Yes No
First Name
Middle Name
Last Name
Present Mailing Address
City
State
Zip
Phone
Cell
Email
Under 18
Yes     No
How did you hear about this position?
Positions (s) Applied For
Salary Desired
Time Available
Full Time     Part Time     Other -
Hours
Date Available To Begin Work
Are you legally employable under U.S. Immigration Laws?
Yes No
Are you in the USA on a visa?
Yes No
A NYS driver's license is required for some positions. Do you possess a valid driver's license?
Yes No
Educational Information
Do you posses a high school degree or equivalency diploma?
Yes No
Computer Skills
Please list your familiarity with various software programs, operating systems and environments
Employment Experience
Are you presently employed?
Yes No
Name of Company
Start Date
End Date
Supervisor
Phone
Address
City
State
Salary
Position Held
Reason for Leaving
Responsibilities
Additional References
APPLICANT'S STATEMENT
Electronic Signature:

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