"Guiding Families Toward Success"

It shall be the general purpose and function of NOCAC to plan, develop and coordinate programs and services designed to combat problems of poverty and seek the elimination of the conditions of poverty as they affect the residents of communities in Defiance, Fulton, Henry, Paulding, Van Wert and Williams counties.  To accomplish this purpose, NOCAC will be a positive force working on behalf of low-income people to attain skills, knowledge and motivation necessary to become self-sufficient.

NOTICE: You must fill in all applicable fields of this form. Failure to fill in required fields will result in not being able to submit the form. Failure to fill in non-required fields may result in processing delays.

General Information

Conviction will not necessarily disqualify an applicant for employment.

Educational Background

Employment Experience

Miscellaneous Information

Describe any specialized training, apprenticeship skills, and extracurricular activities:


By clicking the check-box below and submitting my application, I certify that the information provided in this Application for Employment is true, correct and complete. I agree that, if I am employed, Northwestern Ohio Community Action Commission, Inc. may terminate my employment for any false or misleading statements or omissions in this application or interview, whenever they may be discovered.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I agree that, if hired, my employment is for no definite period and may be terminated at any time for any reason by either NOCAC or myself. I agree that any representations to the contrary are not binding to Northwestern Ohio Community Action Commission, Inc. I agree that any claim or lawsuit relating to my service with NOCAC must be filed no more than six months after the date of employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary. If hired this becomes part of my official employment record.

I authorize Northwestern Ohio Community Action Commission, Inc. to investigate my personal history.

I authorize any reference, school, current employer, former employer, military organization, police department, or other person to disclose to Northwestern Ohio Community Action Commission, Inc. upon request, any information or records they may have about me and I release them from all liability for disclosing such information to Northwestern Ohio Community Action Commission, Inc.

This authorization is only binding for twelve months from the date of submission.