APPLICATION FOR EMPLOYMENT

Statement of Policy: The Sylacauga Alliance for Family Enhancement, Inc. (S.A.F.E.) is an equal opportunity employer.
It is the policy of this facility that no person be denied employment, be exclude from participation in, be denied the
benefits of, or subjected to discrimination in any program or activity on the basis of sex, race, religion, handicap,
national origin, or age group.

Please be sure the information you give is accurate and complete.

(Please give your name as it appears on your social security card.)