PRE-EMPLOYMENT QUESTIONNAIRE

It is the policy of Kent Youth and Family Services to provide employment, training, compensation, promotion, and other conditions of employment based on qualifications without regard to race, color, national origin, gender, age, marital status, sexual preference, and/or disability. Any person requiring ADA accommodations should advise KYFS of the need.

Personal Data
Education
Secondary/High School
Business or Technical
Undergraduate Studies
Graduate Studies
Other Courses/Training
KNOWLEDGE, SKILLS & ABILITIES (one entry per box)
Criminal Record
Kent Youth & Family Services is mindful of its obligation to employ qualified persons. It also considers an applicant’s conviction record as it relates to job performance as entitled under the law. A conviction record will not disqualify you for employment unless such record would reasonably affect your fitness for the position for which you have applied. Kent Youth & Family Services will perform background checks with the Washington State Patrol on all applicants. The following questions must be answered by all applicants in order for this application to be considered complete.

Checking “yes” to the above question will not automatically disqualify the applicant. Kent Youth & Family Services reserves the right to review convictions for relevancy to the job.

U.S. MILITARY SERVICE
Work History


Applicant's Signature
IMPORTANT: The following must be filled out in full and signed before this application is considered complete.

I swear or affirm that all statements in this application are true and correct to the best of my knowledge. I understand that falsification of information on this application may be cause for elimination from the selection process and dismissal from employment, if hired.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

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