CenClearCAREERS
Public Job Application

CenClear Job Application

Complete the CenClear applicant forms packet (AD-35, AD-48, and AD-74) without selecting a job posting. Human Resources can review your general application and associate it with a recruiting position later.

AD-35 / AD-48 / AD-74
1 · Resume

Start with your resume

Select your required resume first. Grove can use it to prefill factual information that is explicitly documented in the file.

* Required

Grove's HR AI extracts only factual resume content for form completion. It does not score, rank, recommend, or make a hiring decision.

Review before submitting. Automatic prefill never answers eligibility, criminal-history, debarment, Head Start/Early Head Start parent, prior-agency-employment, certification/signature, or other applicant-attestation questions. Complete those yourself.
2 · Personal Information

Applicant details

Enter your current contact information exactly as you want it shown on the completed application.

* Required
Have you ever been employed by this agency? *
Have you ever been convicted of a felony crime? *
Have you ever been excluded/debarred from participation in a federal or state program? *
Are you or have you been a Head Start/Early Head Start parent? *
If hired, you will be required to submit for Child Abuse clearance, Criminal History Record, FBI and Debarment Exclusions. Certain felony crimes preclude individuals from being hired into a position with our agency.
3 · Education & Credentials

Education, certifications, and experience gaps

EducationHigh school, college, or other applicable education
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2
3
Certifications / LicensesList applicable professional credentials
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4 · Work Experience

Work history

List your most recent employer first.

1Most Recent Employer
2Previous Employer
3Previous Employer
5 · References

Professional references

List three professional references if work references are unavailable.

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2
3
6 · Supporting Documents

Optional cover letter

Your required resume was selected in Step 1 and will remain with your Applicant Tracking record for later hiring and Approval to Hire steps. A cover letter is optional.

Required resumeSelect your resume in Step 1
7 · AD-35 Certification & Signature

Review and sign the Job Application

Use your mouse, stylus, or finger to provide a handwritten signature.

I certify that the facts set forth in this Application for Employment or attached resume are true, correct and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation may result in the rejection of my application and my candidacy for this position or any other position with the company. I authorize CenClear to make an investigation of any of the facts set forth in this application and releases the Company from any liability. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. Neither this application nor any other personnel form constitutes an employment contract. We will be checking your references (professional and personal) as part of our hiring process. My signature gives my consent to allow CenClear to check references by contacting any person whom they deem to be an appropriate reference. Questions may be asked about background, work experience, personality, personal habits, and education. CenClear is an Equal Opportunity Employer. We make employment decisions based on qualifications, merit, and business needs. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.
AD-35 Signature *
Draw your signature inside the box.
8 · AD-48 Reference Check Consent

Authorize reference checks

This form authorizes CenClear to contact the employers or personal references listed on your application.

I authorize CenClear to contact the persons or organizations listed on my job application as an employer or personal reference for the purposes of obtaining current and previous employment reference information.
AD-48 Signature *
Draw your signature inside the box.
9 · AD-74 Prospective Employee Declaration

Complete the confidential declaration

Arrest/Conviction Report and Certification Form Under Act 24 of 2011.

Confidential
Review the complete AD-74 declaration categories
CenClear requires prospective employees to declare: all pending and prior criminal arrests and charges related to child sexual abuse and their disposition; convictions related to other forms of child abuse and/or neglect; all charges and convictions of violent felonies; all charges and convictions of sex-related offenses; all charges and convictions of drug-related offenses (including offenses under Act 64-1972); all instances where the prospective employee has been discharged or separated from a position in a licensed arrangement; and all crimes or the attempt, solicitation, or conspiracy to commit the crimes listed on AD-74, including Pennsylvania Crimes Code Chapter 25 (criminal homicide), Section 2702 (aggravated assault), Section 2709.1 (stalking), Section 2901 (kidnapping), Section 2902 (unlawful restraint), Section 2910 (luring a child into a motor vehicle or structure), Sections 3121, 3122.1, 3123, 3124.1, 3124.2, 3125, 3126, 3127 and 3129 (specified sexual offenses), Sections 4302, 4303, 4304 and 4305, a felony offense under Section 5902(b), Sections 5903(c) or (d), Section 6301(a)(1), Sections 6312, 6318, 6319 and 6320, or an equivalent crime under federal law or the law of another state. The declaration may exclude qualifying juvenile adjudications for offenses committed before age 18 other than child abuse, child sexual abuse, or violent felonies; convictions whose records have been expunged under federal or state law; and convictions set aside under the Federal Youth Corrections Act or similar state authority. A declaration of an arrest, charge, or conviction does not automatically disqualify an applicant; CenClear must review relevance before a hiring decision.
Select one declaration *
AD-74 Signature *
Your signature will be placed on the declaration line you selected.
Ready to submit?Grove will generate the completed AD-35, AD-48, and AD-74 using the exact CenClear source form layout, preserve the required resume, and deliver the completed packet to the recruiting mailbox.