959 E. O’Neal Street Gaffney, SC 29340
864.487.4190

Online Application

Early Intervention

Case management

Residential Services

Adult Day Programs

AN EQUAL OPPORTUNITY EMPLOYER

We do not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

PERSONAL INFORMATION


Yes   No  

Yes   No

Yes   No
      Yes     No

APPLYING FOR

Full-time Part-time
First Second Third Sat/Sun 7AM-7PM Sat/Sun 7PM-7AM
M T W TH F SAT SUN

EDUCATION

High School
   Yes No
College
   Yes No
Technical Training
   Yes No
(Note : You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status, or any other protected status.)

EMPLOYMENT HISTORY

List your last three employers starting with the most recent.
COMPANY 1
COMPANY 2
COMPANY 3
   Yes No
(Note : If offered employment, you will be required to provide documentation to verify eligibility.)
   Yes No
Yes No
If yes, please explain.
Explain any gaps in employment.
Describe your job responsibilities at your last or current job.

PERSONAL REFERENCES (NOT RELATIVES)

PERSONAL REFERENCE 1
PERSONAL REFERENCE 2
PERSONAL REFERENCE 3

APPLICANT'S CERTIFICATION AND AGREEMENT

Read each statement, select the box to show you have read the statement. Your signature below indicates that you have read and agree with each statement.
  • I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge.
  • I attest that I have never been involved in a substantiated case of abuse, exploitation, or neglect of a child or a vulnerable adult or have failed to report such an incident.
  • I understand that all pre-employment requirements must be met before I may begin as an employee.
  • I authorize Cherokee County Disabilities and Special Needs Board (CCDSNB) to verify accuracy of this document and to obtain reference information on my work performance. I hereby release CCDSNB from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.
  • I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.
  • I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment of the Employer.
  • I understand that neither the policies, rules, regulations of employment, nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract.
  • I understand that any employment offered is for an indefinite duration, and at will, and that either I or the Employer may terminate my employment at any time with or without notice or cause.
  • I agree to submit to a pre-employment drug test. I understand that a positive result for the use of an illegal drug, abuse of a legal drug, use of an un-prescribed legal drug, refusal to take the test, or failure to keep the scheduled testing appointment will generally result in denial of employment at CCDSNB.

Please Be Prepared To Provide The Following Documents

  • 1. Drivers license
  • 2. Social Security card or document authorizing work in USA
  • 3. Diploma/GED
  • 4. Official transcript for higher education
  • 5. 10 year driving record available at the DMV ($6.00 in SC)
(Note: Applications are active for 90 days. Consideration after 90 days requires a new application.)
2 + 8 =
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Cherokee DSNB
959 E. O’Neal Street Gaffney, SC 29340
Contact Us
864.487.4190