top of page

Employment Application

Personal Information

Desired Employment Type
Full-Time
Part-Time
Internship

Employment Eligibility

Are you authorized to work in the United States?
Yes
No
Will you require employment visa sponsorship?
Yes
No
Have you ever worked for Crosspoint Human Services?
Yes
No

Background Information

Have you ever been convicted of a felony?
Yes
No
Have you ever been found guilty of or pleaded guilty or no contest to any offense involving child abuse, neglect, or exploitation?
Yes
No

Education

Highest Level of Education
Are you currently pursuing a degree?
Yes
No

Professional References

Crosspoint Human Services is required to complete 3 reference checks, at least 2 must be professional references, and no references provided can be previous/current employees of our organization.

Reference #1:

Reference #2:

Reference #3:

Reference #4:

Applicant Statement

Crosspoint Human Services is an Equal Opportunity Employer committed to diversity, inclusion, and providing a workplace where everyone feels valued and supported.  Applicants are considered for all positions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.


By submitting this application, I certify that the information I have provided is true and complete to the best of my knowledge.  I understand that any false or misleading information may result in disqualification or termination of employment.


I authorize Crosspoint Human Services to verify all information provided, including contacting listed references and previous employers.


I understand that, if hired, my employment will be “at-will” and may be terminated at any time by either party, with or without cause or notice, in accordance with Illinois law.

Crosspoint Human Services 

Where every person served deserves safety, stability, and support.

​

Thank you for your interest in joining the Crosspoint Human Services team!

bottom of page