Testing Application

Blueprints Culture Statement

"We work as a team to empower everyone we serve. We believe everyone has the potential to be self-sufficient. We act with enthusiasm and compassion, and are committed to making a difference."

Blueprints is committed to providing access, equal opportunity and reasonable accommodations in its services, programs, activities, education and employment for individuals with disabilities. Applicants and employees with disabilities must meet the qualification standards that are job-related and consistent with business necessity and must be able to perform the “essential functions” of the position, with or without reasonable accommodation. To discuss or request a disability accommodation contact a representative of the HR Office by calling 724-225-9550 ext. 477.

APPLICANT STATEMENT

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

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

I understand that this application remains current for only one (1) year. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's Chief Executive Officer.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an 1-9 Form in this regard.

Do not agree until you have read the above APPLICANT STATEMENT

Employment Disclaimer

In accordance with Blueprints policies governing hiring, I do hereby certify and understand that:

• No member of my family/or household holds a job in Blueprints that would have direct or indirect supervisory/subordinate relationship over the position I am seeking;
• Employment would create neither an actual conflict of interest or the appearance of a conflict of interest;
• Any member of the Blueprints governing bodies (Board of Directors, Policy Council, and any other group with more than an advisory role) may not make application for employment to Blueprints, unless he/she has officially resigned the governing body seat in advance of submission of an employment application. (Sub/short term assignments excluded)

It is Blueprints goal to provide employment consideration and opportunities to low-income people for vacancies for which they are qualified.

Accordingly, there are occasions in which Blueprints employees may qualify for programs operated by the Agency by way of income eligibility. In order to Blueprints that prior to providing an employee with agency services, the eligibility intake application will be reviewed, eligibility verified, and where warranted, service authorized by the Vice President of Operations or the Chief Executive Officer. Confidentiality of all employees will be maintained at all times.

There are occasions in which an income-eligible individual currently receiving agency services may be hired by Blueprints. It is the policy of Blueprints to maintain those services. However, in order to assure effective operation of agency services, no Blueprints regular full-time employee may work at the program site in which a family member or member of the household (defined as: Father, Mother, Step-Father, Step-Mother, Brother, Sister, Spouse, Child, Step-Children, Father-in-Law, Mother-in-Law, Son-in-Law, Daughter-in-Law, Grandparents, and Grandchildren) is provided services (substitute/short-term assignments excluded). This situation would most likely occur in early childhood classrooms.

In no case will any Blueprints employee who does not qualify through income eligibility for any program be provided agency services.

Affirmation Action - Voluntary Information

* completion of information below is voluntary *

We consider all applicants for positions without regard to race, color, citizenship status, national origin, ancestry, gender, sexual orientation, age, religion, creed, physical or mental disability, marital status, veteran status, political affiliation, genetic information or any other factor protected by law. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.

To be completed by the applicant on a voluntary basis. Not for interview purposes. To be filed separately from the application.

In an effort to comply with requirements regarding government record-keeping, reporting, and other legal obligations which may apply, we invite you to complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY. Failure to provide it will not subject you to any adverse personnel decision or action. Your cooperation is appreciated.

Please be advised that this survey is not a part of your official application for employment. It will not be used in any hiring decision. The information will be used and kept confidential and remain separate from the employment application.