SCI Application

APPLICATION FOR EMPLOYMENT

“We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.”

Which Job Are You Applying For?*

Any Job Opening

Your Birthday*

You must be at least 21 years of age to submit application.

Full Name*

First NameMiddle NameLast Name

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address*

Phone Number*

Area CodePhone Number

Position:*

When can you start?

MonthDayYear

Have you ever been employed with SCI before?*

YESNO

Are you legally eligible to work in the U.S.?*

YESNO

Do you have a valid Driver License?*

YESNO

Have you ever been convicted of an offense greater than a minor traffic violation? (Conviction will not necessarily disqualify from employment.)*

YESNO

Are you related to anyone employed by this agency?*

YESNO

Do you have High School Diploma or GED?*

YESNO

Please List High School Name & Attendance Dates

Did you attend college?*

YESNO

Did you graduate?*

YESNO

Please List School Name & Attendance Dates

Do you have experience working with people who have developmental disabilities?*

YESNO

If yes, please explain:

Are you currently certified in any of the following training?

Upload Resume- Please provide a current resume to be considered for this position. *

Upload a File

APPLICANT STATEMENT:

I understand that an investigative consumer report involving information concerning my character, employment history, general reputation, police record, personal habits, mode of living, credit rating and indebtedness may be obtained prior to any final offer of employment. Upon a timely written request to the personnel department of the company, the nature and scope of the report will be disclosed to me.

I certify that the answers given by me in this employment application are true, correct and complete. I agree that the company shall not be liable, in any respect, if my employment is terminated because of misstatements or pertinent omissions made by me in the application. Moreover, I understand that all offers of employment are contingent upon passing the company's prescribed physical examination and drug screening.

I agree, as a condition of my employment (should I be employed by the company), to submit to a medical examination if requested and based on the position that I accept. I further agree to the search or examination of myself or personal property while on the company's premises or while conducting its business elsewhere. I also authorize any company, school, police or security personnel or other person to give any information regarding my employment, habits, ability or any other characteristics whatsoever, together with any information they have regarding me whether or not it is in their records. I hereby release all physicians, examiners, companies, schools or other persons from liability for any damages whatsoever for such testing, examining or issuing from this information. It is agreed and understood that completion of this application does not mean a job opening exists and in no way obligates the company to employ me.

I agree:*

YESNO