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Application for Employment

We appreciate your interest in Vera House. Vera House offers equal opportunities to all persons without regard to race, color, religion, age, gender, disability (including pregnancy, childbirth and related medical conditions), national origin, ancestry, citizenship, military or veteran status, marital status, familial status, sexual orientation, gender identity or expression, domestic violence victim status, predisposing genetic characteristics or genetic information, or any other status protected by law. We will endeavor to make a reasonable accommodation/modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal, state and local law. Applicants who require reasonable accommodation during the application process may contact Human Resources.


Personal Information

Are you at least 18 years of age?

Are you legally eligible for employment in this country?

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required I-9 employment eligibility verification document form upon hire.

Employment Desired

Position(s) applied for:
Have you ever worked for Vera House before?


Professional References

Please give the names of persons not related to you, whom you have known professionally at least three years.
Professional Reference 1
Professional Reference 2
Professional Reference 3

Employment History

Employer 1
Begin with your current or most recent employer.
Dates Employed:
(for most recent position)

Employer 2
Dates Employed:
(for most recent position)

Add another employer
May we contact your present employer at this time?

Cover Letter and Resume

Upload a Word, WPS or PDF copy of your cover letter.
Upload a Word, WPS or PDF copy of your resume.

Applicant Statement

I understand and agree that nothing in this application shall constitute an offer, a contract or a guarantee of employment for a specific period of time. If hired, I understand that my employment with Vera House is on an at-will basis, which means that my employment may be terminated with or without cause and with or without notice at any time, at the will of Vera House or me. I further understand that no representative or agent of Vera House, other than the Executive Director, has the authority to enter into any agreement for employment for any specific period of time or to make an agreement contrary to the foregoing. I also understand that any agreement modifying my at-will employment status must be in writing and signed by the Executive Director. I give Vera House permission to contact all or any of my previous employers and references and authorize them to disclose any information Vera House may request in the course of its investigation of this application for employment and I hereby release Vera House and such references and prior employers from any and all liability with respect to such disclosures.

After a tentative offer of employment has been made, I understand that any offer of employment is conditioned upon receipt of satisfactory references. I also understand that I may be requested now or at any subsequent time during my employment with Vera House to submit to drug and/or alcohol tests, at the expense of Vera House. I understand that if I refuse to take the test, my employment may be terminated immediately. I also understand that if a conditional offer of employment is made, the Agency performs criminal background checks. A criminal conviction will not necessarily exclude me from consideration. Rather, each situation will be addressed on an individual basis, consistent with applicable law.

I have provided truthful and complete responses to all inquiries in the application and authorize Vera House to investigate all statements contained in the application. I understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal or refusal to hire. If employed, I will abide by Vera House’s rules and regulations, which I understand are subject to change by Vera House.


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