CONTACT US ~ PHONE: (314) 830-6201
EMAIL: info@marygrovechildren.org

Employment Application

Home → Apply → Employment Application

Your application will be processed ONLY if all the areas are completed; i.e., the references with FULL addresses and ZIP CODES. Your application will NOT be active if partial addresses are provided.

For Residential Technicians:

Years of experience with children in the fields of health care, special education, or social welfare are preferred. 4 year degree preferred but experienced candidates will be considered. All Residential Technicians MUST have a valid driver’s license upon hire, then obtain a chauffeur’s license–Class E–within 60 days of hire. A social security card and driver’s liability insurance card are also needed.

Please use the form below to submit your application for employment. For online applications, signatures will be obtained at time of interview. * Indicates REQUIRED FIELDS:

MARYGROVE – Application for Employment
2705 Mullanphy Lane, Florissant, MO 63031
Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.
Last Name*:
First Name*:
Middle Name:
Social Security #*:
Address*:
City*:
State*:
Zip*:
E-Mail*:
Telephone*:
Mobile/Beeper/
Other Phone:
Position Applied For:
Date of Application:
Referral Source (Please check the appropriate category below.)
Walk-in
School
Employee
Job
Fair
Advertisement
Staffing
Agency
Company’s
Website
Government
Employment Agency
Other
Internet
Other
If necessary, best time to call you at home is:

May we contact you at work?
If yes, work number:
…and best time to call:
If you are under 18 and it is required, can you provide a work permit?
If no, please explain:
Have you submitted an application here before?
If yes, give date(s) and position(s):
Have you ever been employed here before?
If yes give dates: From To
Are you legally eligible for employment in this country?
Date available for work:
What is your desired salary range or hourly rate of pay? Per
Type of Employment Desired:
Educational
Co-Op
Full-Time
Part-Time
Seasonal
Temporary
Will you relocate if job requires it?
Will you travel if job requires it?
If they have been explained to you, are you able to meet the attendance requirements of the position?
Will you work overtime if required?
If no, please explain:
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)? This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Driver’s license number required if driving may be required in the job for which you are applying:
State:
Have you ever been bonded?
Answering “yes” to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the
violation, rehabilitation and position applied for will be taken into account.
Have you ever pleaded “guilty” or “no contest” to, or been convicted of a crime?
If yes, give date(s) and details:
Have you ever entered into an agreement with any former employer or other party (such as a non-competition agreement) that might, in any way, restrict
your ability to work for our company?
If yes, please explain:
Employment History
Starting with your most recent employer, provide the following information.
Employer:
Telephone:
Fax:
Address:
City:
State:
Zip:
Dates
Employed:
 To
Compensation (Starting):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Compensation (Final):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Immediate supervisor and title (for most recent position held)?

May we contact for reference?
Why did you leave?
Summarize the type of work performed and job responsibilities?
What did you like most about your position?
What were the things you liked the least about the position?
Employer:
Telephone:
Fax:
Address:
City:
State:
Zip:
Dates
Employed:
 To
Compensation (Starting): 

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Compensation (Final):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Immediate supervisor and title (for most recent position held)?

May we contact for reference?
Why did you leave?
Summarize the type of work performed and job responsibilities?
What did you like most about your position?
What were the things you liked the least about the position?
Employer:
Telephone:
Fax:
Address:
City:
State:
Zip:
Dates
Employed:
 To
Compensation (Starting):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Compensation (Final):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Immediate supervisor and title (for most recent position held)?

May we contact for reference?
Why did you leave?
Summarize the type of work performed and job responsibilities?
What did you like most about your position?
What were the things you liked the least about the position?
Employer:
Telephone:
Fax:
Address:
City:
State:
Zip:
Dates
Employed:
 To
Compensation (Starting):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Compensation (Final):

Hourly
Salary  $ Per Commission
/ Bonus / Other Compensation:
$

Immediate supervisor and title (for most recent position held)?

May we contact for reference?
Why did you leave?
Summarize the type of work performed and job responsibilities?
What did you like most about your position?
What were the things you liked the least about the position?
Explain any gaps in your employment, other than those due to personal illness, injury or disability:
If not addressed above, have your ever been fired or asked to resign from a job?
If yes, please explain:
References
List name and telephone numbers with three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Name:
Title:
Relationship
to You:
Number of Years Known:
Address:
City:
State:
Zip:
Telephone:
Name:
Title:
Relationship
to You:
Number of Years Known:
Address:
City:
State:
Zip:
Telephone:
Name:
Title:
Relationship
to You:
Number of Years Known:
Address:
City:
State:
Zip:
Telephone:
Do you have any transcripts with college credits or a college
diploma?
If yes, please be sure to mail them to us at MARYGROVE, 2705 Mullanphy Lane, Florissant MO 63031. This will affect your salary in a positive way.
Skills and Qualifications
Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying:
Computer Skills
Check appropriate boxes. Include software titles
and years of experience.
Word Processing Years:
Spreadsheet Years:
Presentation Years:
Email Years:
Internet Years:
Other Years:
Other Years:
Other Years:
Educational Background
Starting with your most recent school attended, provide the following information.
School:

(include City & State)
Years Completed:
GPA Class Rank:
Major/Minor:
Completed:
Diploma
GED
Degree
Certification
Other


School:

(include City & State)
Years Completed:
GPA Class Rank:
Major/Minor:
Completed:
Diploma
GED
Degree
Certification
Other


School:

(include City & State)
Years Completed:
GPA Class Rank:
Major/Minor:
Completed:
Diploma
GED
Degree
Certification
Other


School:

(include City & State)
Years Completed:
GPA Class Rank:
Major/Minor:
Completed:
Diploma
GED
Degree
Certification
Other


Related Information
To what job-related organizations (professional, trade, etc.) do you belong?
Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similarly protected status.
Organization:
Offices Held:
Organization:
Offices Held:
Organization:
Offices Held:
Organization:
Offices Held:
List special accomplishments, publications, awards, etc.
Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similarly protected status.


In your current or prior job, have you ever written instructions to be followed by employees or customers?
If yes, please explain:
Is there any other job-related information you want us to know about you?


Application Statement

 I certify that I have read, fully understand and accept all terms of the foregoing Application Statement

 

 

Back to Top
ccstl_logo
Variety-Logo
UW-Logo
CSF-Logo

Switch to our mobile site