Skip to primary menu Skip to main content Skip to footer content

Application for Employment

Application for Employment
This includes a felony, DUI or misdemeanor. A past conviction does not necessarily prevent you from being considered for employment. If you are selected for employment and have failed to respond to these questions accurately and completely, you will be terminated from employment.

Eductional Record


Professional Licenses and/or Certifications


Employment Record

List all jobs and activities, including part-time employment while in school, self-employment, and periods of unemployment exceeding 30 days, for the past 5 years. Please include complete addresses. If self-employed, please give business name, address, and a professional reference. Please also list significant experience more than 5 years ago. Begin with most recent employer. All sections must be completed. Resumes can be attached to the end of this application but will not serve as subsitute for required information.





In consideration of my employment, I agree to conform to the rules of the organization. I acknowledge that if hired, I will be an at-will employee whose employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the discretion of either Corazon Consulting or myself. I understand that only an authorized representatitve of Corazon, Inc. governing body has the authority to enter into any agreement for employment for any specific period of time or to make formal written agreement contrary to the foregoing. I, further, acknowlege that this application, any subsequent offer, letter, or policies and procedures of  Corazon, Inc. do not constitute a contract for employment.

I hereby certify that the foregoing statements are true and correct. I understand that Corazon, Inc. may consider any false or incomplete statement on this application as sufficient cause for rejection of this application, subsequent dismissal, or ineligiblility for hire by all employers (and affiliate of employers) listed on the front of this application.

I understand that Corazon, Inc. is a drug-free workplace and, as such, the unlawful manufacture, distribution, dispensation, possession, or use of controlled substances or alcohol is prohibited on our property or while conducting business.

I understand and authorize Corazon, Inc. to undertake all necessary and appropriate background investigations for consideration of employment and continued employment. I, therefore, authorize Corazon, Inc. to contact my former employer(s) and any listed references or other persons who can verify information, and I give my consent for former employer(s) and other contacted persons to repond to questions pertaining to information on this application. I, further, authorize and release from all liability or responsiblity all persons and corporations requesting or suppling such information. 

Prior to any employment offer extended to an external candidate, the completion of a basic standard background check is required. All background checks are completed by a third party vendor and includes FBI, State and local reporting. Corazon, Inc. has the option to include other types of checks such as a credit check as warrented by the impending job role. All screenings are conducted in strict conformity with the Federal Fair Credit Reporting Act (FCRA), the Drivers’ Privacy Protection Act (DPPA), and state and federal anti-discriminiation and privacy laws.

Sign Here

We appreciate your interest in employment. Thank you for completing our application. 

It is the policy of the organization to conform to the laws of the United States and the State of Pennsylvania in which it operates and not to discriminate against applicants or employees with regard to their race, color, religion, ancestry, antional origin, sex, age, marital status, disability, sexual orientation, or veteran status.

Reach Out

Reach Out

Partners