Direct Support Professional (DSP) JOB APPLICATION

JOB APPLICATION
Thorough Care Development Services, LLC

1008 Perth Ln, Virginia Beach, Virginia 23455-5219

(313)-600-8407

Thorough Care Development Services LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.
Please fill out all of the sections below:

Applicant Information
Applicant Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*
Work Phone Number
Email Address*
example@example.com
Date of Application*

MonthDayYear
Date
Employment Position Position(s) applying for: Direct Support Professional ( full time)

How did you hear about this position? What days are you available for work?
How did you hear about this position?*
On what date can you start working if you are hired?*

MonthDayYear
Date
Salary desired
Do you have any friends, relatives, or acquaintances working for Thorough Care Development Services LLC If yes, state name & relationship:*
Are you 18 years of age or older?*
Are you a U.S. citizen or approved to work in the United States?*
Have you ever been convicted of a criminal offense (felony or misdemeanor)?*
If yes, please state the nature of the crime(s). When and where convicted and disposition of the case? If no, enter N/A*
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.
(Note: Thorough Care Development Services, LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

Vocational School/Specialized Training Name
School/University Name*
Year Graduated*
Military: Are you a member of the Armed Services?
Are you a member of the Armed Services?*
What branch of the military did you enlist?*
How many years did you serve in the military?*
Previous Employment:
Employer Name #1*
Job Title*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Dates Employed*

MonthDayYear
Date
To*

MonthDayYear
Date
Reason for leaving*
Employer Name #2*
Job Title*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Dates Employed*

MonthDayYear
Date
To*

MonthDayYear
Date
Reason for leaving*
Employer Name #3*
Job Title*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Dates Employed*

MonthDayYear
Date
To*

MonthDayYear
Date
Reason for leaving*
Credentials/Specialized Skill & Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
AT-WILL EMPLOYMENT
The relationship between you and the Thorough Care Development Services, LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice. by you or the Thorough Care Development Services, LLC. No representative of Thorough Care Development Services, LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature*

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Dated*

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Should be Empty:

JOB APPLICATION

AT-WILL EMPLOYMENT