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570.322.2077 | Williamsport
814.237.4100 | State College
570.746.3844 | Wyalusing
570.265.1800 | Wysox
814.900.7613 | Altoona
570.266.7034 | Wilkes-Barre
570.546.3104 | Muncy

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An Equal Opportunity Employer – All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws.

Applicant Information

Incomplete information could disqualify you from further consideration. Please complete all fields.

First Name *
M.I.
Last Name *
Street Address *
Apartment/Unit #
City *
State *
Postal Code *
Phone *
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Search
    Email *
    Date Available
    Desired Salary *
    Availability
    Position Applied For *
    How did you hear about us?
    Are you legally eligible for employment in the United States? *If offered employment, you will be required to provide documentation to verify eligibility.
    Yes
    No
    Are you at least 18 years or older?*If no, you may be required to provide authorization to work.
    Yes
    No
    Have you ever worked for this company?
    Yes
    No
    If yes, when?
    Have you ever been terminated from employment or asked to resign by an employer?
    Yes
    No
    If yes, explain
    Why are you currently in the job market and why are you interested in this position?
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    Education

    Did you graduate high school?*
    Yes
    No
    Did you graduate college?
    Yes
    No
    What degree did you earn?
    Did you graduate other higher eduation?
    Yes
    No
    Please describe any degrees, courses, seminars or trainings you completed.
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    References

    We will ask for approval prior to calling references.

    Full Name *
    Company *
    Relationship *
    Phone *

    Full Name *
    Company *
    Relationship *
    Phone *

    Full Name
    Company
    Relationship
    Phone
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    Employment History: 1 of 3

    Please provide only the last 10 years of employment history.

    Company *
    Job Title *
    From *
    Phone *
    Supervisor *
    To *
    Responsibilities *
    Reason for Leaving
    May we contact your previous supervisor for a reference?*
    Yes
    No
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    Employment History: 2 of 3

    Please provide only the last 10 years of employment history.

    Company
    Job Title
    From
    Phone
    Supervisor
    To
    Responsibilities
    Reason for Leaving
    May we contact your previous supervisor for a reference?
    Yes
    No
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    Employment History: 3 of 3

    Please provide only the last 10 years of employment history.

    If required, additional  employment history can be emailed to padams@paeldercounsel.com.

    Company
    Job Title
    From
    Phone
    Supervisor
    To
    Responsibilities
    Reason for Leaving
    May we contact your previous supervisor for a reference?
    Yes
    No
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    Disclaimer and Signature

    Steinbacher, Goodall & Yurchak is an equal opportunity employer. Steinbacher, Goodall & Yurchak does not discriminate in employment on account of race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws.

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Steinbacher, Goodall & Yurchak to hire me. If I am hired, I understand the either Steinbacher, Goodall & Yurchak or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Steinbacher, Goodall & Yurchak has the authority to make any assurance to the contrary.

    I attest with my signature below that I have given to Steinbacher, Goodall & Yurchak true and complete information on this application. No requested information has been concealed. I authorize Steinbacher, Goodall & Yurchak to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

    If offered the position, I understand my job offer is contingent upon a background check and credit report.

    Signature
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