Online Application

TO THE APPLICANT: Satisfactory Criminal Background Checks are required for all applicants for employment with HOTR by the North Dakota Department of Human Services. Please respond to the following questions. A “Yes” answer to any question will not necessarily disqualify you from employment.

If you answer “Yes” to this question, please provide additional information on the nature of the pending charges, describe the alleged offense, and provide information on the dates of any pending hearings or legal proceedings. [Attach additional sheets if necessary.]

Education

List school attended, dates enrolled, major/minor, and degrees earned.

Employment History

List current employer first

Previous Employer Information

Home On The Range accepts children of all races, creeds and colors and employs staff without regard to the race, color, sex, age, religion, national origin or handicapped status.

In case of medical emergency, who should be notified?

Please list four people, other than relatives, who will accurately attest to your working abilities.

Please Note Smoking is Prohibited on All Home On The Range Property!

UNSIGNED OR INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

I hereby certify that all information on this application is true, correct and complete to the best of my knowledge and contains no willful falsifications or misrepresentations. I am aware that falsifications or misrepresentations may disqualify me from consideration from this and future positions of employment or, if hired, may be grounds for termination.