Application Form

Connections is an equal employment opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state, or local law, including race, color, creed, religion, age, sex, sexual harassment, national origin, ancestry, marital status, handicap, disability related to pregnancy or childbirth, affectional or sexual preference, membership or activity in any local commission, or status regarding public assistance, membership or non-membership in any labor organization, or any other characteristic protected under federal, state or local law. None of the questions in this application are intended to elicit information regarding any protected characteristics, nor imply any limitations, preference, or discrimination based protected characteristics.

If you are hired by Connections, you will be employed on an at-will basis. As an at-will employee, you may terminate your employment at any time and for any reason. Similarly, if you are hired, Connections will have the right to terminate your employment at any time and for any reason.

Please complete the employment application form below and click submit at the bottom of the page to be considered for employment. Our Human Resource Coordinator will be contacting you by phone to ask you a few questions. If you are selected for an interview you will be scheduled to meet with our Human Resource Coordinator at the Connections' office in Moorhead. Before your interview you will be watching a 7 minute Realistic Job Preview video and completing a computer assessment. You will also be asked to complete some questions using the computer on the day of your interview. The process can take over an hour in some cases. 

If you prefer to print a copy of the application for employment please click here. 

You can mail the printed application to:

Connections 

550 13th Avenue East 

West Fargo, ND 58078

The system will be down Friday, August 21 through Monday, August 24th. Complete the application online but please call to verify it was sent by calling Chris at 701-532-1145 extension 15.

Application Form
  • Full Name:
  • Current Address:
  • City:
  • State:
  • Zip code:
  • Home phone:
  • Cell phone:
  • Other phone:
  • E-mail:
  • Preferred method of contact:
  • Position applied for:
  • Date of application:
  • Full-time:
  • Part-time:
  • Referral Source:
  • Please Identify Source:
  • If hired, can you furnish proof that you are 18 years of age, or older?
    Yes: No:


  • If no, please explain:
  • If hired, can you furnish proof that you are eligible to work in the U.S.?
    Yes: No:


  • If no, please explain:
  • Have you been convicted of abuse?
    Yes: No:


  • If yes, please explain and list country/state:
  • Have you been convicted of a felony in the last seven years?
    Yes: No:


  • If yes, please explain:
  • Have you applied for or worked for Connections before?
    Yes: No:


  • If yes, when?:
  • Are you currently certified in CPR?
    Yes: No:

  • First Aid?
    Yes: No:
  • Date you can start:
  • Desired Wage or Salary:
  • Days Available (e.g. Mon - Fri):



  • Shifts Available:
  • Education Level:
  • Major (if college graduate):
  • Have you ever been disciplined or discharged by an employer?
    Yes: No:


  • If yes, please explain:
Work History

List employers during the last five years, with present or last employer first, including military experience. Please explain any gaps in employment.

  • 1.) Employer Name:
  • City:
  • State:
  • Position:
  • Duties:
  • Supervisor's Name/Title:
  • Phone Number:
  • Full-time or Part-time:
  • Dates of Employment:
  • Final Pay Rate:
  • Reason for Leaving:
  • 2.) Employer Name:
  • City:
  • State:
  • Position:
  • Duties:
  • Supervisor's Name/Title:
  • Phone Number:
  • Full-time or Part-time:
  • Dates of Employment:
  • Final Pay Rate:
  • Reason for Leaving:
  • 3.) Employer Name:
  • City:
  • State:
  • Position:
  • Duties:
  • Supervisor's Name/Title:
  • Phone Number:
  • Full-time or Part-time:
  • Dates of Employment:
  • Final Pay Rate:
  • Reason for Leaving:
Form Actions

Serving people with disabilities throughout the community

Connections
550 13th Ave. E.
West Fargo, ND 58078

Phone: (701) 532-1145
Fax: (701) 532-2128