tpsapplication

~For Office Use Only~

Conditions of Employment
   I certify that the responses entered by me on this employment application are true and complete. I understand that any misleading or incorrect statements may render this application void. I agree the company is not liable in any respect if any employment is terminated because of false statements, answers, or omissions made by me in the application. I also understand that, if accepted for employment, I shall be required to provide proof of identity and eligibility (Social Security Card or copy of Birth Certificate and current Driver's License/Picture Identification) to work in the United States as a condition of employment. In connection with this application, I authorize all corporations, companies, credit agencies, education institutions, licensing agencies persons, law enforcement agencies, military services, and former employers to release information that they may have about me to Turning Point Services, Inc. or its agents and release them from any liability for doing so. I understand that criminal/abuse/neglect checks will be performed by Turning Point Services, Inc. through Before You Hire, Inc. and the N.C. Health Care Registry concerning information contained on this application and that any offer of employment and continued employment is contingent upon receipt of satisfactory clearance. In the instance of less than 5 years of consecutive North Carolina residency a nationwide criminal background search will be conducted and employment is conditional until results are received. I understand as well that, if employed by Turning Point Services, Inc., I may need to consent to drug and/or alcohol screening as determined by the company's Alcohol & Drug Free Workplace Policy.
   I understand that proof of current vehicle insurance coverage, proof of valid CPR and First Aid Certification must be provided upon employment. Verification of completion of at least high school education or GED (copy of diploma, signed statement from school official, high school transcripts*, teaching certificate, etc.) must also be presented upon employment. *For QDDP applicants, a copy of college transcripts is required. For some professional positions (i.e. family training, R.N, etc.) copy of credentials and/or licenses related to services to be provided will be required.
   I declare that I am not a pedophile or child molester and that I have not perpetrated physical abuse, sexual abuse, emotional abuse or neglect against a child or adult nor have I ever been convicted of any of these acts.
   I also declare that I have not been convicted of drug charges and am not a user of illegal drugs.
I understand that if employed, I have been hired at the will of my employer and that my employment may be terminated at any time, with or without cause and with or without notice.

Turning Point Services, Inc.
An Equal Opportunity Organization
Web Application for Employment
Application Date
How Were You Referred to This Position? *
Position Applying for.
Office Location	Asheville Boone Brevard Burnsville Charlotte Forest City Franklin Gastonia Hudson Hendersonville Jacksonville Jefferson Lenoir Lincolnton Linville Marion Monroe Morganton New Bern Newton Raleigh Robbinsville Shelby Taylorsville Waynesville Waynesville
Last Name
First Name
Middle/Maiden
Present Address
County
City
State
Zip Code
Social Security Number
Home Telephone
E-mail:
Business Telephone
Are you at least 18 years old?	Yes No
If hired, when can you begin?
Do you have any relatives presently working for Turning Point? If yes, give location and relationship
Have you ever worked for Turning Point? If so, provide job title, location and dates of employment
Are you legally entitled to work in the United States?	Yes No
Have you been charged or convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the job for which you are applying.)	Yes No
If yes to the above question, please describe
Conditions of Employment I certify that the responses entered by me on this employment application are true and complete. I understand that any misleading or incorrect statements may render this application void. I agree the company is not liable in any respect if any employment is terminated because of false statements, answers, or omissions made by me in the application. I also understand that, if accepted for employment, I shall be required to provide proof of identity and eligibility (Social Security Card or copy of Birth Certificate and current Driver's License/Picture Identification) to work in the United States as a condition of employment. In connection with this application, I authorize all corporations, companies, credit agencies, education institutions, licensing agencies persons, law enforcement agencies, military services, and former employers to release information that they may have about me to Turning Point Services, Inc. or its agents and release them from any liability for doing so. I understand that criminal/abuse/neglect checks will be performed by Turning Point Services, Inc. through Before You Hire, Inc. and the N.C. Health Care Registry concerning information contained on this application and that any offer of employment and continued employment is contingent upon receipt of satisfactory clearance. In the instance of less than 5 years of consecutive North Carolina residency a nationwide criminal background search will be conducted and employment is conditional until results are received. I understand as well that, if employed by Turning Point Services, Inc., I may need to consent to drug and/or alcohol screening as determined by the company2019s Alcohol & Drug Free Workplace Policy. I understand that proof of current vehicle insurance coverage, proof of valid CPR and First Aid Certification must be provided upon employment. Verification of completion of at least high school education or GED (copy of diploma, signed statement from school official, high school transcripts, teaching certificate, etc.) must also be presented upon employment. For QDDP applicants, a copy of college transcripts is required. For some professional positions (i.e. family training, R.N, etc.) copy of credentials and/or licenses related to services to be provided will be required. I declare that I am not a pedophile or child molester and that I have not perpetrated physical abuse, sexual abuse, emotional abuse or neglect against a child or adult nor have I ever been convicted of any of these acts. I also declare that I have not been convicted of drug charges and am not a user of illegal drugs. I understand that if employed, I have been hired at the will of my employer and that my employment may be terminated at any time, with or without cause and with or without notice.
Applicant's Electronic Signature
Date
Record of Employment Turning Point Services, Inc. will confirm dates of employment, positions held, reasons for leaving with prior employers. Explain ALL gaps in employment and other information relevant to eligibility, qualification, and suitability with prior employers in the Additional Information section.
1. Name of present or last employer and address (include city and state)
Full Time?	Yes No
Part Time?	Yes No
Type of Business
Name of Supervisor
Telephone #
Start Date
End Date
Your Job Title
Starting Pay
Ending Pay
Reason for Leaving
Description of work and responsibilities
2. Name of previous employer and address (include city and state)
Full Time?	Yes No
Part Time?	Yes No
Type of Business
Name of Supervisor
Telephone #
Start Date
End Date
Your Job Title
Starting Pay
Ending Pay
Reason for Leaving
Description of work and responsibilities
3. Name of previous employer and address (include city and state)
Full Time?	Yes No
Part Time?	Yes No
Type of Business
Name of Supervisor
Telephone #
Start Date
End Date
Your Job Title
Starting Pay
Ending Pay
Reason for Leaving
Description of work and responsibilities
References (3 Personal References) Name, Occupation, Address(city,state) Telephone #
U.S. Military Service Branch
Highest Rank Achieved
Dates of Service
Duties
High School Graduate?	Yes No
If "yes" high school name & address
GED?	Yes No
School(s) beyond High School
Location
Graduated?	Yes No
Degree/Certificates earned
Other additional training you received that relates to the position for which you are applying (courses/seminars)
Training Completed (certifications currently valid)
First Aid?	Yes No
Expires?
CPR?	Adult Child Both
Expires?
NCI?	Yes No
Expires?
Other Certifications
Driver's License #, State Issued, and Date of Expiration
Note: If you possess an out-of-state driver's license, you must provide Turning Point Services, Inc. a valid North Carolina Drivers License within 60 days of employment.
Length of Residence Please list the states (including dates) in which you have resided for the last 5 years.
Additional Information. Please provide any additional information which may more fully describe your qualifications, skills, experience, education background, and interests.
Turning Point Services, Inc. supports an Early Return to Work program for employees temporarily disabled due to injuries incurred while working for Turning Point Services, Inc. Efforts will be made by supervisors to place employees in positions adhering to restrictions by approved physicians as soon as notifications of restrictions are received. Employees of Turning Point Services, Inc. who receive medical attention due to work related activities will be administered post accident drug tests at an approved or designated medical facility.
~For Office Use Only~ Conditions of Employment I certify that the responses entered by me on this employment application are true and complete. I understand that any misleading or incorrect statements may render this application void. I agree the company is not liable in any respect if any employment is terminated because of false statements, answers, or omissions made by me in the application. I also understand that, if accepted for employment, I shall be required to provide proof of identity and eligibility (Social Security Card or copy of Birth Certificate and current Driver's License/Picture Identification) to work in the United States as a condition of employment. In connection with this application, I authorize all corporations, companies, credit agencies, education institutions, licensing agencies persons, law enforcement agencies, military services, and former employers to release information that they may have about me to Turning Point Services, Inc. or its agents and release them from any liability for doing so. I understand that criminal/abuse/neglect checks will be performed by Turning Point Services, Inc. through Before You Hire, Inc. and the N.C. Health Care Registry concerning information contained on this application and that any offer of employment and continued employment is contingent upon receipt of satisfactory clearance. In the instance of less than 5 years of consecutive North Carolina residency a nationwide criminal background search will be conducted and employment is conditional until results are received. I understand as well that, if employed by Turning Point Services, Inc., I may need to consent to drug and/or alcohol screening as determined by the company's Alcohol & Drug Free Workplace Policy. I understand that proof of current vehicle insurance coverage, proof of valid CPR and First Aid Certification must be provided upon employment. Verification of completion of at least high school education or GED (copy of diploma, signed statement from school official, high school transcripts, teaching certificate, etc.) must also be presented upon employment. For QDDP applicants, a copy of college transcripts is required. For some professional positions (i.e. family training, R.N, etc.) copy of credentials and/or licenses related to services to be provided will be required. I declare that I am not a pedophile or child molester and that I have not perpetrated physical abuse, sexual abuse, emotional abuse or neglect against a child or adult nor have I ever been convicted of any of these acts. I also declare that I have not been convicted of drug charges and am not a user of illegal drugs. I understand that if employed, I have been hired at the will of my employer and that my employment may be terminated at any time, with or without cause and with or without notice.