The Fogarty Center

APPLICATION FOR EMPLOYMENT

    Barrington Office – Adult Services
    310 Maple Avenue, Suite 102, Barrington, RI 02806
    Tel: 401-245-7900 | Fax: 401-245-7910 | askfogarty@fogartycenter.org

    Kingston Office – Children’s Services
    25 West Independence Way, Suite G, Kingston, RI 02881
    Tel: 401-789-4614 | Fax: 401-789-1957 | askfogarty@fogartycenter.org


We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.

Position Applied For: (required)

    Your Name (required)

    Your Telephone (required)

    Your Email (required)

    Alternate Telephone (required)

    Street Address (required)

    City (required)

    State (required)

    Zip Code (required)


Type of Work Desired (required)
Full TimePart TimeOn-call

Date on which you can start work if hired: (required)


Have you previously applied for employment with this Agency? (required)
YesNo

If yes, when and where did you apply?


Are you related to anyone that works for the Agency? (required)
YesNo

If yes, who?


Did someone refer you to this Agency? (required)
YesNo

If yes, who?


Have you ever been employed by this Agency? (required)
YesNo

If yes, provide dates of employment, location and reason for separation of employment: