CCRC, Inc. Application for Employment Logo

  • CCRC, Inc. Application for Employment

    APPLICANT MUST INITIAL EACH BOX TO ACKNOWLEDGE REVIEW AND SIGNATURE BELOW:

  • Applicant Employment Expectation

    Applicants must be able to exercise good judgment, function under stress, adapt to changing environments and provide professional and sensitive care to consumers with developmental disabilities. Daily required skills and abilities include, observation, communication, reading and writing skills and behavioral maturity are expected.

  • CCRC, Inc. is a Drug, Narcotics, and Alcoholic Beverage Free Workplace.

    APPLICANTS MAY BE SUBJECT TO A DRUG TEST AS A CONDITION OF EMPLOYMENT IN ACCORDANCE TO CCRC, INC. DRUGS, INTOXICATING BEVERAGE, NARCOTICS FREE WORKPLACE POLICY. APPLICANT REFUSAL TO SUBMIT TO TESTING WILL RESULT IN DISQUALIFICATION OF FURTHER EMPLOYMENT CONSIDERATION.

  • Tuberculosis Skin Test

    TUBERCULOSIS SKIN TEST (TB RESULTS MUST BE WITHIN THE PAST 12 MONTHS) ARE REQUIRED FROM ALL APPLICANTS PRIOR TO STARTING WORK OR RECEIVING AN OFFER FOR EMPLOYMENT.

  • Training Requirements

    ALL APPLICANTS WILL BE EXPECTED TO PARTICIPATE FULLY IN REQUIRED TRAINING FOR COURSE COMPLETION. ATTENDANCE IS RECORDED AND 100% ATTENDANCE IS MANDATORY. THE APPLICANT MUST PARTICIPATE ACTIVELY IN ALL CLASSROOM ACTIVITIES. REQUIREMENT INCLUDES THE ABILITY TO OPERATE A COMPUTER TO COMPLETE ONLINE COURSES.

  • Background Check & Fingerprinting Requirements

    APPLICANTS ARE REQUIRED TO COMPLETE A STATE/NATIONAL BACKGROUND SCREENING FOR HEALTHCARE/CAREGIVER WORKERS. THIS CAREGIVERS CRIMINAL HISTORY SCREENING CLEARANCE WILL BE EFFECTIVE FOR 3 YEARS FROM THE DATE OF THE CLEARANCE. AN EMPLOYEE ABUSE REGISTRY CLEARANCE IS ALSO COMPLETED UPON SUBMISSION OF YOUR EMPLOYMENT APPLICATION. FINGERPRINTS ARE COMPLETED BY GALLUP SHERIFF DEPARTMENT.
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  • Application for Employment

    All information on the application is required. If you have questions contact Human Resources at CCRC, Inc. at (505) 735-2261.

  • Navajo Preference in Employment Act

    CCRC, INC. COMPLIES WITH THE NAVAJO PREFERENCE IN EMPLOYMENT ACT. APPLICANT MUST SUBMIT A COPY OF YOUR CERTIFICATE OF INDIAN BLOOD (CIB), TO VERIFY YOUR ENROLLMENT AS A NAVAJO TRIBAL MEMBER.

  • Personal Information

  • Position Desired

  • Emergency Contact Information

  • List Names of Your Immediate Family Below

  • What Is Immediate Family?

    “Immediate Family” or “Relatives” are defined as husband, wife, mother, father, son, daughter, brother, sister, grandparent; half-brother, half-sister, mother-in-law, father-in-law, brother-in-law, sister-in-law, son-in-law, daughter-in-law, aunt, uncle, cousin, nephew, and niece, stepmother, stepfather, stepbrother, stepsister, half-brother or half-sister. This information is necessary to ensure that CCRC, Inc. compliance with Policies and Procedures.

  • Navajo Preference

    (Certificate of Indian Blood must be attached for Navajo Preference) CCRC, Inc. is an Equal Opportunity Employer and abides by The Navajo Preference Employment Act.

  • Military Service Record

  • Additional Information

  • Professional References

    Please provide 3 professional references of coworkers at previous employers (No Relatives or Friends)

  • Education

  • Employment History

    For Management Positions a Resume & Letter Of Interest is Required In Addition
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  • Required Documents To Be Submitted With Application

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  • Certification / Verification of Employment

  •  I hereby authorize the CCRC, Inc. to verify the information given in this application, if false, will not be accepted or, if falsification is discovered after employed by CCRC, Inc. may result in termination of employment.

    I authorize CCRC, Inc. to verify my past/current employment, activities and background and agree to cooperate and release from all liability or responsibility all persons, entities, and corporations requesting or supply such information. This verification may also include a determination regarding whether I have a criminal record.

    All persons and organizations are released from any liability whatsoever, as a result in any verification, criminal records check, inquiry, or investigate report made by or to CCRC, Inc. I hereby authorize Human Resources or designee, former employer, or law enforcement to furnish information concerning me, including but not limited to my character, general reputation, my education, my immediate family, my prior employment, my performance, my references, any criminal conviction record, any motor vehicle record, and any other relevant record, and I hereby release them from any liability or damage whatsoever for issuing such information as requested by CCRC, Inc. in connection with this application for employment.

    I understand that it is necessary for CCRC, Inc. to verify my education, previous employment and obtain feedback from my professional references and that a lack of the fore mentioned may result in not enough information to determine eligibility or qualifications for the job position applied for.

    I declare under penalty of perjury that all information and statements made in this application are true and correct.

     

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