573 Livingston Ave, Albany NY 12206
 
Hope House Seal 4-3-2017 9-59-31 AM
 
Call Us Today!
 
 
 

Alcohol and Substance Abuse Services in Albany, NY


 
HOPE HOUSE – For more than 50 years. Where Recovery Lives!

Hope House Inc., founded in 1967, is an award-winning residential recovery program located in the Capital District of New York State. We offer an intensive, full-immersion therapy program caring for the special needs of adults, teens, and mothers, supported by an Outpatient Clinic and a compassionate Community Services staff.

Partnering with the NYS Office of Alcohol and Substance Abuse Services, Hope House cares for hundreds of clients and their families on a monthly basis.
 
Holding Paper Cut Of Hope — Counseling in Albany, NY
 
 
 
 
 
 
 

Employment Application

 
Position Sought
 
 
 
 
Personal identification
 
 
 
 
 
 
 
 
 
 
 
 
If you answer “YES” To any of the following questions, provide details under the REMARKS section below. Answers to the questions below do not automatically bar you from employment. However your failure to answer any of these questions or to provide details will significantly delay determination concerning your qualifications and may bar you from consideration for employment opportunities.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Education
 
 
High School or Equivalency
 
 
 
 
 
 
College, University
 
 
 
 
 
 
 
 
 
 
 
Professional, Technical
 
 
 
 
 
 
 
 
 
 
 
Professional Licenses/Certificates
 
 
 
 
 
 
 
Driver's License
 
It is Hope House’s policy to verify driver’s license information for those employees who will have access to an agency vehicle.
 
 
 
 
 
 
Employment History
 
List the positions you have held in the last 5 years. Also indicate other experience including military service relevant to the position for which you are applying (use additional sheets if necessary.)
 
 
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References
 
List three business/ work references who are not related to you:
 
 
Name
 
Title & Organization
 
Phone Number
 
Years Known
 
 
 
 
 
 
 
 
 
 
 
PERSONAL INFORMATION RELEASE
I authorize any former or present employer, Military Record Center and any former school to provide Hope House any and all information including, but not limited to information as to my character, work habits, work performance and/or education, thereby releasing and discharging said institutions from any claims, liabilities or damage.
I understand that any offer of employment is contingent upon satisfactory results of a criminal background check, satisfactory completion (or results) of a any applicable medical examination (s), health assessment (s), receipt of satisfactory references, and other criteria as determined by the program into which I am being hired.

If I am applying for a position in which I will have the potential for regular and substantial contact with children, I understand that my name will be submitted to the New York State Central Register of Child Abuse and Maltreatment to determine if I am the subject of an indicated report of child abuse or maltreatment.

I further declare that the answers on this application are true and correct to the best of my knowledge. I understand that a false statement, knowingly made, or omission of information may be cause for a bar or dismissal from employment.

 
 
 
 
Optional: Upload Cover Letter
 
 
 
 
 
Optional: Upload Resume/CV
 
 
 
 

PERSONAL PRIVACY PROTECTION NOTIFICATION

The information you are providing on this application is being requested for the purposes of determining eligibility for employment, administering employee benefit programs and administering other authorized employment programs pursuant to local, state or federal law. Failure to provide the requested information may, in the sole discretion of Hope House, prevent your initial hiring or result in the termination of your employment. If hired, the information will be filed in you personnel folder or separately authorized medical files maintained by the Director of Human Resources, Hope House, 573 Livingston Avenue, Albany NY 12206


HOPE HOUSE IS AN EQUAL OPPORTUNITY EMPLOYER


New York State Law prohibits discrimination based on age, race, creed, color, national origin, religion, sexual orientation, military status, sex, disability, marital status, prior arrest or conviction record.
If you have questions regarding reasonable accommodations, contact the Director of Human Resources at
(518) 482-4673