People Places, Inc Employment Application

People Places, Inc - Employment Application

Applicant Information


Professional Licensure, Certifications or Specialized skills or training:

Please list all certifications, licenses, technical skills, clerical skills, trade skills, etc., relevant to this position.


Please list three professional references.

Reference 1

Reference 2

Reference 3

Previous Employment

Previous Employment

Previous Employment

Military Service

Disclaimer and Signature

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION. I certify that the information on this application and all supporting documentation is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize People Places, Inc. to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. I agree to submit to all required criminal, child protective services and driving record background investigations, as a condition of employment if hired, and continued employment as required. I understand that staff employees of People Places, Inc. serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to sign a Sworn Disclosure, a Professional Conduct & Confidentiality Agreement and may be required to provide proof of vehicle insurance if transporting clients.

People Places, Inc. is an equal-opportunity employer. Candidates for employment at People Places will be considered without regard to race, age, religion, national origin, political or union affiliation, marital status, sex, or familial status. Physical or mental handicaps will be considered only as they relate to bonafide job requirements.

To Learn More:

Contact us at the location nearest to you!

Staunton: (540) 885-8841 | Charlottesville: (434) 979-0335 | Harrisonburg: (540) 437-1857