Employment Application


Applicants are considered for all the positions without regard to race, color, religion, gender, sexual orientation, age, citizenship or a non-job related disability or handicap:


Fields marked by * are required

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If you are a licensed professional, please provide your certification/license number and the state in which you are licensed.








  
 
 
 
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Check all the jobs you are interested in:













Check Schedule you can work:





Shift Preference:





Prefer:

Personal Information:

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Do you have a valid New Jersey driver's license?
(Only applicable to positions that require driving Company vehicles):
Are you over 18 years old?:


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Are you legally eligible for employment in the United States?:
Did you ever work or attend school under another name?:
  

Working for Parker:

Have you ever worked for or volunteered at Parker Homes?:
Have you filled out an application for Parker Home before:
  
Are you related to anyone currently employed by Parker Home:

To the best of your knowledge, are you physically and mentally able to perform the duties of the position for which you have applied:

Military Service:

Military Service:


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Honorable Discharge:

Education:

Name and Location of School Major Subject Degree/Certificate Completed yes/no
  

  

  

Employment History

Please provide 7 years of employment history.
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Dates of Employment  
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May we contact your current employer for a reference?:

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Have you had more jobs than those listed above:
  

  

References:

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* Security Code: