We currently have an opening for
Supported Employment Coordinator
Direct Support Professionals (Direct Care)
Service Coordinator
Registered Nurse
Administrative Assistant
Representative Payee Clerk

Please complete the online form. Incomplete applications shall not be accepted. Application must have all sections complete and the form signed by the applicant. An application must be completed for each vacancy. A resume may be attached but not substituted for completing the application.

All qualified applications will be referred to the department where the vacancy is located. That department head is responsible for the review and evaluation of applications and recommending the most qualified applicants to be selected for an interview. The Human Resources Department will notify all applicants in writing when to scehedule interviews for selected applicants. A written notification will be sent to all of the applicants who were interviewed when the position has been filled.

Thank you for considering employment with the Arc of the Three Rivers, Inc.

 


Personal Data

Date:
Position Seeking:
First Name:
M.I.:
Last Name:
Mailing Address:
City:
State:
Zip:
Home Phone:
Work Phone:
May We Call You At Work?
Authorized to Work in US?
Relative(s) work for The Arc?
If Yes (above), List Name(s), Relation, Department
Possess a Valid Driver's License?
If Yes (above), List Number, Exp. Date, Which State
Have You Pleaded No Contest or Been Convicted of a Crime Other Than Minor Traffic Violations (i.e. parking ticket)?
*Note: Criminal Offenses Include Felonies, Misdemeanors and Summary Offenses.
If Yes (above),
List Charge(s)
Where Convicted?
Date Convicted?
Disposition/Status

Education

Starting with High School, Please Provide Complete Information on All Schools Attended.
High School
School/Insitution
Location:
From (Mnth/Yr) To (Mnth/Yr)
Quarter Hours:
Semester Hours:
Major/Minor:
Graduate?
Degree/Diploma?
College/University
School/Insitution
Location:
From (Mnth/Yr) To (Mnth/Yr)
Quarter Hours:
Semester Hours:
Major/Minor:
Graduate?
Degree/Diploma?
College/University
School/Insitution
Location:
From (Mnth/Yr) To (Mnth/Yr)
Quarter Hours:
Semester Hours:
Major/Minor:
Graduate?
Degree/Diploma?
College/University
School/Insitution
Location:
From (Mnth/Yr) To (Mnth/Yr)
Quarter Hours:
Semester Hours:
Major/Minor:
Graduate?
Degree/Diploma?
Technical School
School/Insitution
Location:
From (Mnth/Yr) To (Mnth/Yr)
Quarter Hours:
Semester Hours:
Major/Minor:
Graduate?
Degree/Diploma?

Skills

Do You Have Computer/Software Skills?
Do You Have Word Processing Skills?
If Yes (Above),
Please Indicate WPM
Do You Have Data Entry Skills?
Do You Have Supervisory Experience/Training?
Do You Have Military Experience/Training?
List Any Equipment, Software or Machines, with which You Are Proficient, Related to the Position You Are Applying.
Professional Licenses/Certifications:
Profession/Craft:
Cert./License No.:
Expiration Date:

Employment Data

Type of Employment You Will Accept
Are You Open to Varying Shifts?
If No, List Hours Preferred
Earliest Date You Could Begin Work
Minimum Hourly Rate You will Accept

Employment Record

List All Work History Starting With Your Present Or Last Position. List Any Self-Employment, Temporary, and Military Jobs. Account for All Periods of Unemployment. This Section Must Be Accurate and Complete.
Title of Recent/
Present Position:
From (Mnth/Yr.)
To (Mnth/Yr.):
Employer:
Phone:
Address:
Supervisor's Name:
Supervisor's Title:
May We Contact?
Hours Per Week:
Salary (Hourly):
Employment Name on Record (If Different):
Duties:
Reason for Leaving:
Title of Position:
From (Mnth/Yr.)
To (Mnth/Yr.):
Employer:
Phone:
Address:
Supervisor's Name:
Supervisor's Title:
May We Contact?
Hours Per Week:
Salary (Hourly):
Employment Name on Record (If Different):
Duties:
Reason for Leaving:
Title of Position:
From (Mnth/Yr.)
To (Mnth/Yr.):
Employer:
Phone:
Address:
Supervisor's Name:
Supervisor's Title:
May We Contact?
Hours Per Week:
Salary (Hourly):
Employment Name on Record (If Different):
Duties:
Reason for Leaving:
Title of Position:
From (Mnth/Yr.)
To (Mnth/Yr.):
Employer:
Phone:
Address:
Supervisor's Name:
Supervisor's Title:
May We Contact?
Hours Per Week:
Salary (Hourly):
Employment Name on Record (If Different):
Duties:
Reason for Leaving:
Title of Position:
From (Mnth/Yr.)
To (Mnth/Yr.):
Employer:
Phone:
Address:
Supervisor's Name:
Supervisor's Title:
May We Contact?
Hours Per Week:
Salary (Hourly):
Employment Name on Record (If Different):
Duties:
Reason for Leaving: