Employment Current Openings APPLICATION FOR EMPLOYMENT NORTHERN HILLS TRAINING CENTER 625 Harvard Street Spearfish, SD 57783-1897 Prospective employees will receive consideration without discrimination for race, creed, color, sex, age, national origin, handicap, or veteran status. POSITIONS Residential - Full-Time - Overnight Residential - Full Time - Day Shift Residential - Part Time Tinton Wood Shop Director of Residential Services UPLOADS Cover Letter Resume PERSONAL Last Name First Name Middle Street Address/P.O. Box City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Home Phone (___-___-_____) Email Address Are you over the age of 18? Yes No Are you legally eligible for employment in the US? Yes (Proof Required) No Have you ever worked for NHTC? Yes No If yes: Year of last employment 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Have you ever applied for employment with us? Yes No If yes: Application Date: Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 How did you hear about the position? Classified Ads NHTC Website TV Commercial SD Dept. of Labor Employee Referral BHSU Social Media Former Employee Family Member If Employee Referral or Former Employee. Please list name: Hours available to work: Full-Time Part-Time Temporary Mon Tues Wed Thurs Fri Sat Sun Scheduling Requests: EDUCATION Education: GED High School Dipolma Trade School College Graduate School Doctorate Other Did you graduate Yes No Education: GED High School Dipolma Trade School College Graduate School Doctorate Other Did you graduate Yes No Education: GED High School Dipolma Trade School College Graduate School Doctorate Other Did you graduate Yes No Do you have a valid Driver's License? Yes No If Yes - State of issue: Do you have vehicle insurance? Yes No Previous Employment Name of Employer: City State Employed From: 1 2 3 4 5 6 7 8 9 10 11 12 / 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 To: 1 2 3 4 5 6 7 8 9 10 11 12 / 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Reason for Leaving (150 characters Max) Exceeded maximum number of characters. List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company: (175 characters Max) Exceeded maximum number of characters. Name of Employer: City State Employed From: 1 2 3 4 5 6 7 8 9 10 11 12 / 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 To: 1 2 3 4 5 6 7 8 9 10 11 12 / 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Reason for Leaving (150 characters Max) Exceeded maximum number of characters. List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company: (175 characters Max) Exceeded maximum number of characters. Name of Employer: City State Employed From: 1 2 3 4 5 6 7 8 9 10 11 12 / 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 To: 1 2 3 4 5 6 7 8 9 10 11 12 / 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 Reason for Leaving (150 characters Max) Exceeded maximum number of characters. List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company: (175 characters Max) Exceeded maximum number of characters. Professional References 1. 2. Personal References 1. 2. Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying: (Max 125 characters) Exceeded maximum number of characters. NORTHERN HILLS TRAINING CENTERPARTIAL CONDITIONS OF EMPLOYMENT NHTC will hold your application for 1 year unless notified by you to withdraw your application from consideration I certify that I have read and understand all of the information requested in the above application for employment. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test. I further certify that I am a genuine applicant for employment at NHTC and this application is being submitted solely for the purpose of seeking employment with NHTC and for no other reason. I agree to furnish such additional information and complete such examinations as may be required to complete my employment file. I also understand that misrepresentation or omission of facts and information may result in immediate rejection or dismissal if hired. If hired, I agree to follow and comply with all rules and policies of NHTC. This certifies that this application was completed by me, and that all information contained in the above application is true and complete to my best knowledge. You must agree to this before proceeding. I AGREE I UNDERSTAND AND AGREE THAT: It is my understanding that Northern Hills Training Center (NHTC) may make a thorough review of my experience and education and may verify all application and/or oral interview materials. I authorize such review and the giving and receiving of any information, requested by NHTC. I release from liability any person giving or receiving such information. Falsification, misrepresentation, or omission of facts so given, or other derogatory information discovered as a result of this review may prevent my being hired, or if hired, may subject me to immediate dismissal. Although the NHTC makes every effort to accommodate employee preferences, the needs of persons served by the NHTC may at times, make the following conditions mandatory: overtime, shift work, holidays, a rotating schedule, and/or a work schedule or at a location other than which I may have hired for. I understand and accept these conditions of my future or continuing employment. I understand that If I am employed, I am employed for an indefinite period of time and the NHTC may change wages, benefits, and conditions of my employment at any time. In consideration for EMPLOYMENT and by being considered for employment by the NHTC, I agree to follow the policies, rules and regulations of the NHTC, and acknowledge that these policies, rules and regulations may be changed, interpreted, withdrawn, or added to by the NHTC at any time, at its discretion, and without any prior notice to me. I further acknowledge that my employment may be ended per personnel policies. I understand that representatives of the NHTC do not have the authority to enter into any agreement for employment for any specified period of time. Further, no representative of the NHTC may guarantee other personnel moves either prior to commencement of employment or after I have become employed. Assurances of any benefits or terms and conditions of employment, or any agreement contrary to the foregoing, may not be entered into. The NHTC reserves the right, due to Federal Medicaid Regulations and other state and federal laws, to complete criminal records, Department of Human Services, Motor Vehicle, and other eligibility for employment checks on all applications and employees. I understand that Northern Hills Training Center is a Drug and Alcohol-Free Workplace and that I will be submitted to random drug/alcohol testing per NHTC policy. I understand that the position I am applying for (if involving direct service responsibilities) may involve implementing crisis prevention and intervention services which may include lifting, pulling and guiding persons with disabilities against potential resistance. I understand this as a condition of employment and have no reason to believe I cannot implement these or other responsibilities of the position for which I am applying. I have read, had the opportunity to ask questions, and understand the above. You must agree to this before proceeding.I AGREE PROSPECTIVE EMPLOYEES SHALL RECEIVE CONSIDERATION WITHOUT DISCRIMINATION BECAUSE OF RACE, COLOR, CREED, SEX, SEXUAL ORIENTATION, AGE, ETHNIC OR NATIONAL ORIGIN, MARITAL STATUS, HANDICAP (IF OTHERWISE QUALIFIED), AGAINST VETERANS OF THE VIETNAM ERA OR AGAINST VETERANS WITH DISABILITIES. [ Different Image ]