Downtown Jimmie Hale Mission, Inc.
  • About
    • History
    • Services
      • How We Help
      • Active Recovery
      • Self-Assessment
      • Learning Centers
      • Continuum of Care
    • Other Facilities
      • JHM
      • Royal Pines
      • Jessie’s Place
    • Brochure
    • Become A Client
    • Leadership
      • Staff
      • Board of Directors
      • Young Professionals Board
    • Financial Credibility
    • Media Kit
  • Apply
  • Get Involved
    • Volunteer
    • Schedule a Tour
    • Employment
  • Stories
    • Articles
    • Podcast
    • YouTube
  • New Year 2023
  • Donate
    • Donation MAIN – Give Today
    • Capital Campaign
    • Matching Gift
    • Amazon
    • Stock
    • Vehicles
Select Page

Job Application Form

Step 1 of 4

25%
  • POSITION INFORMATION

  • MM slash DD slash YYYY
  • Where is the position located?
  • List the title of the position from the job posting.
  • CONTACT INFORMATION

  • EDUCATION

  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • mm/yyyy
  • EMPLOYMENT HISTORY

    Begin with most recent
  • mm/yyyy
  • mm/yyyy or Present
  • mm/yyyy
  • mm/yyyy or Present
  • mm/yyyy
  • mm/yyyy or Present
  • mm/yyyy
  • mm/yyyy or Present
  • mm/yyyy
  • mm/yyyy or Present
  • ACHIEVEMENTS

  • REFERENCES

    Please list three references, other than relatives, who can provide information verifying qualifications, character or experience:
  • FAMILY RELATIONSHIPS

    For the purposes of disclosure, relative includes the following: spouse, dependent, adult child and his or her spouse, parent, spouse's parents, sibling and his or her spouse.
  • CONSENT AGREEMENT:

  • I represent and warrant that the information I have given on this application is complete and true to the best of my knowledge and belief. I further acknowledge that I understand that I must provide documented verification of education, experience and required certifications and/or licensures. I represent and warrant that I have answered fully and truthfully all questions regarding criminal convictions/records. I understand that any offer of employment is contingent upon a satisfactory criminal background investigation and negative drug and alcohol screen test. I hereby authorize The Jimmie Hale Mission and/or its assignee to conduct a criminal background history investigation and drug and alcohol screen test. I understand that in the event a conviction for a felony or any crime involving moral turpitude is found that termination of employment may occur. I understand and agree that my employment will terminate in the event of a positive drug/alcohol screen test. I authorize any testing agency to provide the results of the drug screen test to The Jimmie Hale Mission. I hereby expressly request, and give permission to former employers and any persons who may have pertinent information concerning this application to furnish such information to The Jimmie Hale Mission human resource appointee. I agree to hold such persons harmless, and I do hereby release them from any and all liability for damage of any nature whatsoever for furnishing such information. I understand that failure to provide full and true information on this application may result in disqualification or dismissal.
  • MM slash DD slash YYYY
  • Accepted file types: pdf, doc, Max. file size: 10 MB.
    You may upload your resume (PDF or DOC) here
  • Accepted file types: pdf, doc, Max. file size: 10 MB.
    (cover letter, certification, license, etc.)
  • Accepted file types: pdf, doc, Max. file size: 10 MB.
    (cover letter, certification, license, etc.)
  • Once you click SUBMIT, please do NOT click the back button, refresh the page or close the tab/window as this can interfere with a proper form submission. If you are also attaching PDF files, the transmission process could take a few minutes depending on file size and your internet connection. Thank you for your patience.
  • This field is for validation purposes and should be left unchanged.

Designed by the Downtown Jimmie Hale Mission, Inc.