Home
Our Program
Impact
Donate
About Us
Home
Our Program
Impact
Donate
About Us
REFER
contact
Facebook-f
Instagram
Home
Our Program
Impact
Donate
About Us
Home
Our Program
Impact
Donate
About Us
REFER
contact
Facebook-f
Instagram
Home
HOC Job Application
Please enable JavaScript in your browser to complete this form.
Today's Date
*
Name
*
First
Last
Phone
*
Email
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Are you over the age of 21?
*
Yes
No
Date of Birth
*
Are you an U.S. Citizen or an alien legally entitled to work in the position(s) for which you are applying?
*
Yes
No
Do you have a valid driver's license?
*
Yes
No
Social Security Number
Used to run background check and child safety registry check.
What is your desired pay?
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain:
Which position is preferred? check all that apply
*
1st Shift (M-F)
2nd Shift (M-F)
Overnight (M-Thur)
Weekend Daytime
Weekend Overnight
On what date are you available to start working?
*
List any days you are NOT available to work.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How did you find out about this position?
Current Employee
Indeed
Search Engine (Google)
Social Media
Other
If other
Education
High School
Years attended
Did you graduate?
Yes
No
College
Years attended
Did you graduate?
Yes
No
Other Education
Years attended
Did you graduate?
Yes
No
Upload a cover letter
Click or drag a file to this area to upload.
Upload your resume
Click or drag a file to this area to upload.
Additional Information
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL.
*
I agree
Signature
Clear Signature
Submit
