JOB APPLICATION

Dads Against Crime Inc. 8401 East Blue Parkway Drive, KANSAS CITY, Missouri 64133

816-705-2980

Dads Against Crime Inc. is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Information

Applicant Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Employment Position

Position(s) applying for: Administrative Assistant (full time)

How did you hear about this position?

What days are you available for work?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Personal Information

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

Will you consent to a mandatory controlled substance test?

Do you have any condition which would require job accommodations?

If yes, please describe accommodations required below.

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying: (Note: Dads Against Crime Inc. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Job Skills/Qualifications

Education and Training

High School Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Year Graduated:

College/University Name:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Year Graduated:

Degree Earned:

Vocational School/Specialized Training Name:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Year Graduated:

Degree Earned:

Military

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Previous Employment Info:

Employer Name: Job Title: Supervisor Name: Employer Address: City, State, and Zip Code: Employer Telephone: Dates Employed: Reason for leaving:

Previous Employment Info:

Employer Name: Job Title: Supervisor Name: Employer Address: City, State, and Zip Code: Employer Telephone: Dates Employed: Reason for leaving:

Previous Employment Info:

Employer Name: Job Title: Supervisor Name: Employer Address: City, State, and Zip Code: Employer Telephone: Dates Employed: Reason for leaving:

References

Please provide 3 personal and professional references below: Reference Contact Information:

AT-WILL EMPLOYMENT The relationship between you and the Dads Against Crime Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Dads Against Crime Inc. No representative of Dads Against Crime Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

JOB APPLICATION

Dad’s Against Crime