Application for

This employment application is very extensive and may take time to complete. To reduce the risk of losing your progress, it is recommended that you fill out all essays and short answer questions offline in a word document. Once completed, you may can copy and paste your responses into this form.

Personal Information

Position

Preferred Locations
Earliest start date
Type of work desired
If you've applied to PCHAS before, what was the last date of your application?
Have you been an employee, foster parent, or volunteer here before? If yes, what was your end date?
Would you be able to perform, with or without reasonable accommodation, the essential functions of the position(s) for which you are applying?
Are you legally eligible for employment in the United States (applicants for employment only)?
Are you 18 years of age or older (or 21 if Home Parent position)?
Would you be able to meet the attendance requirements of the position(s)?
Have you ever been convicted of or pled guilty or no contest to a crime (excluding minor traffic violations)? Answering yes will not automatically disqualify you.

Educational Background

Did you graduate?
Did you graduate

Employment Background

Start Date
End Date

General Information

Which of the following are you proficient at?

Positions Involving Contact With Children

Answer the following questions if the position(s) for which you are applying involve(s) contact with children. (non-program staff applicants are not to answer these final questions about how they relate to children. Please answer N/A where an answer is )

References

Applicant Statement

Applicant Statement Certification: I certify that all information provided by me to apply for work (whether as an employee or foster parent) with PCHAS is true and complete. False, misrepresented, or incomplete information of any kind will be sufficient cause for my application to be rejected or, if discovered after I begin work, cause for immediate termination.

Authorization: I authorize PCHAS to contact and obtain information about me from my previous employers, educational institutions, and references, and any other person or organization who may have information about me. I waive all rights and claims I may have against PCHAS and its representatives for seeking and using such information and all other persons or organizations for furnishing such information about me.

Discrimination: I understand that PCHAS does not unlawfully discriminate in employment, and no question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by applicable local, state, or federal law.

Conditions of Offer: I understand that any offer of work is conditional upon: (1) the results of criminal history, child abuse and neglect registry, and, if applicable, motor vehicle record searches on me; (2) the results of my pre-work drug test; (3) the results of my tuberculosis test; and (4) my presenting a valid Texas driver license within 30 days. If hired, I agree to comply with all applicable laws and all PCHAS policies and procedures. PCHAS prohibits abuse and neglect of the children and families it serves.

At-Will Status: This application is not an employment or foster parent, agreement. If I accept an offer of work, I understand that an employment or foster parent relationship with PCHAS is on an at-will basis. Accordingly, either I or PCHAS may terminate the relationship at any time, with or without notice and with or without cause. I understand that no one other than the President and Vice President for Administration has authority to enter into any agreement with terms contrary to the foregoing, and then only in writing signed by such officer.

Reapplication: I understand that this application remains current for 6 months. At the conclusion of that time, if I have not heard from PCHAS and still wish to be considered for work, I must reapply and complete a new application.

Do you acknowledge that you have read, fully understand, and accept all terms of the foregoing Applicant Statement?