Employment form

Application for Emplyment

Application for Emplyment

Thank you for applying for a position with Safe Inc. of Schenectady. It is required that all applicants complete this form. Once your employment application is reviewed, it will be processed through the New York State Justice Center. You may not be eligible for an interview unless this step has been completed. Additional paperwork will need to be processed through the State Central Register. Northeast Testing Upstate will process your drug test. You will then need to be fingerprinted and have a criminal history background check. This procedure is a mandatory prerequisite to employment at Safe Inc. of Schenectady

Personal Information

Current Address *
Current Address
Employment Type *
Previously employed

It is illegal for an employer to discriminate against an employee or potential employee on the basis of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), disability or genetic information.



Please give accurate, complete, full-time and part-time employment record. Start with present or most recent employer.

1. In accordance with New York State Law, an applicant’s criminal record may be reviewed.

2. Provisions of Section 424-a of the Social Services Law enacted in Chapter 480 of the Laws of 1980, require that Safe Inc. make inquiry to the New York State Child Abuse and Maltreatment Register regarding prospective employees, to see if that prospective employee has been reported or is currently the subject of an indicated child abuse or maltreatment report. It is a NYS requirement that Safe Inc. not to hire candidates listed with the Register for indicated cases or while a case is in active investigation.

Answer all questions

Are you over 18 years of age? *
If not 18, employment is subject to verification of minimum legal age.
Have you ever been bonded? *
Employment Agreement

I understand that my employment is dependent upon satisfactory completion of all background checks, physical examination, and agreement to employment.

I also consent to any and all job related medical examinations required by the organization and understand that if I am employed I will be on an orientation period from date of employment and I agree to abide by the policies, procedures, and rules of the personnel policies handbook and/or other agreements, policies and procedures which may be in effect. Upon my termination, I authorize the release of reference information of my work.

I hereby certify that my answers in this application are true and correct. I grant permission for safe inc. to investigate and verify any and all information provided by me and release safe inc. and all persons who respond to its inquires from any and all liability resulting from such investigation. I understand that I may be discharged or refused employment if any statement in this application is false.