Employment Application


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  • Personal Information

  • If applicable, are you willing to complet a drug screening test, criminal history check, New Jersey driver's license check, and merical screening if selected for employment?
  • Education

  • School NameLocationYears AttendedDegree ReceivedMajor 
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  • Employment

  • Professional References

  • NameRelationshipComplete AddressPhone Number 
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  • Terms and Conditions

  • 1st Cerebral Palsy of New Jersey, Inc. prides itself on being an equal opportunity employer. We will not discriminate in employment because of sex, age, race, physical disability, religion, ethnicity, mental disability, marital status, ancestry, sexual orientation, place of origin or any other legally protected status.

    In consideration of employment, I agree to confirm to the policies, procedures and practices of 1st Cerebral Palsy of New Jersey. My employment and compensation can be terminated, with or without cause, and with or without notice, at any time at the option of the agency or myself. Any exceptions to this policy may only be made in writing and signed by the Board of Trustees of 1st Cerebral Palsy of New Jersey, Inc.