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Mobile Community Action, Inc. participates in E-Verify.


Employment Application

  • Applicant Information

  • Phone Number
  • - -
  • Education

  • Specialized Skills

  • References

    Please list three references.
  • Employment Experience (Start with Most Recent Job)

  • Military Service

  • List Professional, Trade, Business, or Civic Activities and Office Held

    You may exclude membership which indicate race, color, religion, gender, national origin, disabilities or other protected status.
  • Disclaimer and Signature

  • I certify that my answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

    This application for employment shall be considered active for a period of time not to exceed six months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

    I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, Which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer. 


    (MCA is a Drug Free Workplace and requires drug testing of its employees.)

  • For Personnel Department Use Only