Bamberg DSNB

Reaching to Help

Applicant Information

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. 

Please complete the ENTIRE application. The following items are required before your application can be processed:

  • * Applicant must be at least 21 years of age.
  • * Signed (BCDSNB) Authorization to Release Information Form.
  • * Complete the Authorization for Criminal Investigation (SLED Check).
  • * Complete the South Carolina Department of Social Services Consent to Release Information form.
  • * The 1–9 Employment Eligibility Verification form must be signed.
  • * Complete the Reference List Form.
  • It is very important that you have COMPLETE ADDRESSES (street with number, city, state and zip) for these references. Three (3) Personal Reference Forms completed by the references listed.
  •  
  • Also, include the following: 
  • * 10-Year Driving Record (obtain from the Department of Motor Vehicles)
  • * Social Security Card (must present original document, photocopy not allowed)
  • * South Carolina Driver’s License (must present original document, photocopy not allowed)
  • * High School Diploma/GED, or sealed transcript (original must be witnessed) 
  •  

Once your information is processed, we will need the following filled out by Human Resources personnel: 

  • * Direct Deposit Authorization 
  • * W-4 Form 

 

Thank you, Human Resources Director 

Application for Employment

  • General Information

  • Date Format: MM slash DD slash YYYY
  • List dates in format: From (mm/dd/yy) - To (mm/dd/yy)
    If yes, please be advised that additional information may be requested
  • Date Format: MM slash DD slash YYYY
    This question was not designed to elicit information about an applicants disability. Please do not provide information about the existence of a disability, particular accommodations or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
  • Please input license number and state in your response

  • Employment History

    Starting with your most recent employer, please provide the following information. You may include any verified work performed on a volunteer basis
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please enter a yearly salary or hourly dollar amount earned
  • Please enter a yearly salary or hourly dollar amount earned
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please enter a yearly salary or hourly dollar amount earned
  • Please enter a yearly salary or hourly dollar amount earned

  • Skills and Qualifications

  • Indicate "N/A" if not applicable

  • Educational Background

    Starting with your most recent school attended, please provide the following information
  • School Name (include city & state)Years completedMajor/Minor 
  • School Name (include city & state)Years completedMajor/Minor 
  • School Name (include city & state)Years completedMajor/Minor 

  • References

    List the name and telephone number of 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
  • NameTitleRelationship to YouTelephone numberEmail address# of Years Known 
  • NameTitleRelationship to YouTelephone numberEmail address# of Years Known 
  • NameTitleRelationship to YouTelephone numberEmail address# of Years Known 
  • NameTitleRelationship to YouTelephone numberEmail address# of Years Known 

  • Related Information

    To what job related organizations (professional, trade, etc) do you belong.

    Exclude memberships that reveal race, color, religion, sex, national origin, genetic information, age, citizenship, mental or physical disabilities, veteran/reserve, National Guard or any other similarly protected status.
  • OrganizationOffice(s) held 
  • OrganizationOffice(s) held 
  • OrganizationOffice(s) held 
  • Exclude memberships that reveal race, color, religion, sex, national origin, genetic information, age, citizenship, mental or physical disabilities, veteran/reserve, National Guard or any other similarly protected status.

  • Applicant Statement

    I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an 1-9 Form in this regard. Mandatory Employer Disclosures Notice to Maryland applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100. Notice to Massachusetts applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, genetic information, citizenship, age, disability, or any other protected status under applicable federal, state, or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, genetic information, citizenship, age, disability, or any other protected status. Examples of prohibited harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display of derogatory pictures or other graphic materials, and any other words or conduct that demean, stigmatize, intimidate, or single out a person because of his/her membership in a protected category. Harassment of our employees is strictly prohibited, whether it is committed by a manager, coworker, subordinate, or non-employee (such as a vendor or customer). The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.