Join our team and help us restore hope and empower young mothers. Current Opportunities Part-Time Therapist Job Description Program Coordinator Job Description Director of Programs Job Description Case Manager - Full Time Job Description Receptionist - Full Time Job Description Mother’s Refuge Employment Application Click here to complete Mother's Refuge job application Employment Application Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Date Available MM DD YYYY Desired Salary Position Applying For Days & Times Available Are you a citizen of the United States? * Yes No Have you ever worked for Mother's Refuge? * Yes No Have you ever been convicted of a felony? * Yes No EDUCATION High School * High School Location (City, State) * Years Attended * Did you graduate? * Yes No College College Location (City, State) Years Attended Did you graduate? Yes No Other Other Location (City, State) Years Attended Did you graduate? Yes No REFERENCES Please list three professional references. Reference #1 * Please list full name, relationship, company, phone and email Reference #2 * Please list full name, relationship, company, phone and email Reference #3 * Please list full name, relationship, company, phone and email PREVIOUS 5 YEAR EMPLOYMENT HISTORY Current or Most Recent Employer Company Address Phone (###) ### #### Start Date MM DD YYYY Supervisor May we contact your supervisor for a reference? Yes No Job Title Starting Salary Ending Salary Responsibilities Reason for Leaving Please list your second most recent employer within 5 years if applicable: Previous Employer Company Address Phone (###) ### #### Start Date MM DD YYYY End Date MM DD YYYY Supervisor May we contact your supervisor for a reference? Yes No Job Title Starting Salary Ending Salary Responsibilities Reason for Leaving Please list your third most recent employer within 5 years if applicable: Previous Employer Company Address Phone (###) ### #### Start Date MM DD YYYY End Date MM DD YYYY Supervisor May we contact your supervisor for a reference? Yes No Job Title Starting Salary Ending Salary Responsibilities Reason for Leaving Additional Information Hobbies & Interests Certificates Earned Other Pertinent Information * By checking this box, you certify that your answers are true and complete to the best of your knowledge. If this application leads to employment, any information found to be false or misleading in this application or interview may result in termination. Please type your name to sign your employment application. * Today's Date * MM DD YYYY Thank you! You may submit your CV/Resume instead of filling out the job application here. Please make sure to include your contact info, education, 3 professional references, past 5 years employment history, and any additional information you feel is necessary. Name * First Name Last Name Position Applying For * Thank you! Your Resume was Received! Subscribe to Our Newsletter Sign up with your email address to receive news and updates. Email Address Sign Up Thank you!
