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Head Start/Early Head Start Parent Survey

The Agricultural and Labor Program, Inc.

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Application for Employment

Employees and applicants shall be afforded equal opportunity in all aspects of employment without regard to race, color, religion, political affiliation,
national origin, disability, marital status, gender or age.




Describe your work experience in detail, beginning with your present or last job. Include ALL paid, military, and applicable volunteer experience. You may list significantly different jobs within the same organization as separate items. Use a separate block to describe each position. Please provide an explanation of any gaps in employment. If needed, upload additional information. Resumes can be uploaded and used to give additional information and cannot substitute completing this section.



Please give 4 professional references, excluding former employers and relatives.


You will be required to provide documentation to that effect should you be employed.
I hereby certify that all entries above and all attachments are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any employment in the service of the Agricultural & Labor Program, Inc. ( hereinafter referred to as “ALPI”). I understand that all information on this application is subject to verification and I consent to criminal history, drug screening and background checks. I also consent to references and former employers and educational institutions listed being contacted regarding this application. This consent shall continue to be effective during my employment if I am hired. I further authorize ALPI to rely upon and use, as it sees fit, any information received from such contacts.


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