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Employment Application

  • Personal Information

  • MM slash DD slash YYYY
  • Referral Source

  • Education

  • Employment History

    Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.
  • References

    Give the names of three persons not related to you, whom you have known at least (3) years.
  • Resume Upload

    You may upload your resume here.
  • Accepted file types: pdf, jpg, Max. file size: 50 MB.
  • Applicant's Statement

    I certify that answers given herein 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 45 days. 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 the employee at any time with or without cause. It is further understood that this "at will" employment relationship may not 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 also understand that I am required to abide by all rules and regulations of the employer. A Background Check is required for employment. I give my permission for the above and I understand that employment is contingent upon the results. Additional employment information may be requested.
  • This field is for validation purposes and should be left unchanged.
An Equal Opportunity Employer – All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Infant Crisis Services
Donald W. Reynolds Center
4224 N. Lincoln Blvd
Oklahoma City, OK 73105
405-528-3663

Service and donor door hours are:
Monday – Friday 9:00 am to 4:00 pm