* Required Information

Employment Application

Promise Day Habilitation does not discriminate against any person based on race, national origin, religion, age, or disability in admission, treatment, or participation in its programs, services, and activities or in employment.

Applicant's Information

Employment Desired




Work History

Begin with Current or Most Recent Employer or Position with Employer


Promise requests that all applicants submit (3) references, which may include: current of former employers, supervisors, teachers or others qualified to objectively evaluate your ability to work in the position for which you have applied. Please list the reference information identified below. Promise will be contacting each reference listed.

Application declartion of understanding

I understand that Promise Day Habilitation may conduct and investigate of the information I have noted on this application by contacting my prior employer and references.

I understand that any falsification, misrepresentation or omission of information discovered as a result of this investigation may terminate the employment process or if hired, may subject me to the immediate termination of my employment with Promise Day Habilitation.

I understand that by signing below, Promise Day Habilitation will check the child and /or adult abuse registries as well as the DCI for a criminal records check. The post-employment discovery of conviction information not provided here will subject me to the disciplinary policy. This will likely result in termination of my employment.

I understand that before I may be allowed to drive on agency business vehicle, a driving records check will be conducted. * I understand that nothing contained in this application should be considered as a contract of employment.

I acknowledge that I am an employee at will.

Employee Background Check Required Information:

I authorize the FBI and New Jersey Division of Criminal Investigation to disclose all criminal history record information to All Promise Day Habilitation for the purpose of employment as specified above. The expiration of this authorization shall be for a period of one year from the date of my signature.