Employment Application

Welcome!

Thank you for your interest in joining the team at Big Brothers Big Sisters of the Lehigh Valley! Our mission is to create and support one-to-one mentoring relationships that ignite the power and promise of youth. Prospective employees will receive consideration without discrimination because of race, color, religion, sex, age, national origin, sexual orientation, disability, or any other protected class.

Click on the links below to view the job descriptions for our open positions:

Please select the job for which you are applying.

Personal Information

First Name

Middle Name

Last Name

Preferred Name

Cell Phone

Email Address

Street Address

City, State, Zip

Social Security Number

Are you legally eligible to work in the United States?

Are you at least 18 years old?

Are you capable of performing the essential functions of the job with or without reasonable accommodations?

When are you available to begin work?

What is your current or most recent salary?

Educational Information

Please select the highest level of education completed.

Major / Type of Degree

Name of School

Years Completed

Did you graduate?

Licenses, Certifications & Professional Memberships

List all current professional licenses and certifications. You may exclude memberships that would reveal protected status.

Employment

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

Company Name

Address, City, State, Zip

Job Title

Name of Supervisor

May we contact your supervisor for a reference?

Supervisor's Telephone/Email

Dates of Employment (State month & year)

Reason for Leaving?

Annual or Hourly Pay Start:

Annual or Hourly Pay Last:

References

Please provide information for two professional references and one personal reference.

Reference Info

First Name

Last Name

Relationship

Years Known

Telephone Number

Email Address

Resume

Please upload a PDF copy of your resume.

Signature

The information provided in this Application for Employment is true, accurate, and complete. I understand that falsification or omissions will be grounds for denying or terminating employment. I understand that nothing in this application creates an employment contract or relationship. I also understand that if hired, I have the right to terminate my employment at any time, and that Big Brothers Big Sisters of the Lehigh Valley retains a similar right.

I authorize Big Brothers Big Sisters of the Lehigh Valley to conduct a comprehensive investigation on any or all of the information and references I have supplied. I consent to the release of such information and authorize my former employers, schools, and other references to release information to BBBSA and its representatives. I release from liability all persons, companies, educational facilities, and corporations supplying such information.

Electronic Signature

Please type your first and last name.

Today's Date

Contact Information