Application- Employment
Please attach your resume and cover letter
Please read before continuing
"Thank you for your interest in joining our team! We’re not seeking the 'perfect fit,' so there's no need to tailor your answers to what you think we want to hear. A lack of experience or knowledge in the field won’t disqualify you. We encourage you to be honest and transparent with your responses."
BASIC INFORMATION:
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
“In one or two sentences, please share what’s most important to you and what you’re passionate about.”
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Do you have a valid driver's license?
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Yes
No
BACKGROUND AND CONDUCT:
Have you ever been convicted of a crime?
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Yes
No
Have you ever been accused or found guilty of any form of abuse, including child or vulnerable adult abuse?
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Yes
No
If you answered 'yes' to either of the previous two questions, please provide a detailed explanation:
EXPERIENCE AND SKILLS:
Please list any specific skills, certifications, or training that prepare you for this role. Relevant experience is important, so feel free to include any practical or hands-on experiences as well.
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Please check all that apply (current or previous experience):
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At least 1 year offering support for individuals with disabilities.
Management/Supervision experience.
Personal Support Worker (PSW) or Direct Support Professional (DSP)
Job Coaching or Job Development
Special Education
None of the above
Please choose with position(s) you are applying for
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Job Coach
Job Developer
Direct Support Provider (DSP)
Rate your computer and Microsoft Office skills:
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I’m a master pro—I could have made this questionnaire myself!
Very good—comfortable with most tasks.
Not bad—I can handle the basics like creating documents and sending emails.
I barely know how to turn my computer on.
PROFESSIONAL PHILOSOPHY:
Why are you interested in this position?
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Imagine you are supporting an individual with an intellectual or developmental disability in finding community employment aligned with their goals. In your own words, what does Customized and Supported Employment mean to you, and how would you put it into practice?
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Do you believe all individuals are capable of fully participating in Competitive Integrated Employment? Please explain your perspective.
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Describe a challenging situation you’ve encountered in previous work, and how you managed it.
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AVAILABILITY AND SCHEDULING:
When are you available to start?
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-
Month
-
Day
Year
What is your availability and desired hours?
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Are you available to work occasional weekends or evenings if needed?
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Do you have reliable transportation?
*
WORK PREFERENCES AND CONDITIONS:
What type of work environment do you prefer?
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Are you comfortable working independently and as part of a team?
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This position may involve physical tasks (e.g., lifting, assisting with mobility). Are you able to perform these with or without accommodation?
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CREATIVE AND PRACTICAL THINKING:
How much dirt is contained within a 2-foot-wide, 3-foot-long, and 4-foot-deep hole?
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As a job coach, you’re simultaneously supporting an individual on the job, receiving a phone call from another client’s employer, and addressing an urgent request from your supervisor. How would you prioritize these tasks, and why?
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If you’re running a race and you pass the person in second place, what place are you in now?
*
REFERENCES:
Please provide 3 references
Reference 1
*
First/Last Name
Relationship
Address
*
City/State
Years Known
Phone Number
*
Format: (000) 000-0000.
Reference 2
*
First/Last Name
Relationship
Address
*
City/State
Years Known
Phone Number
*
Format: (000) 000-0000.
Reference 3
*
First/Last Name
Relationship
Address
*
City/State
Years Known
Phone Number
*
Format: (000) 000-0000.
RESUME AND SIGNATURE:
Attach you Resume, Cover Letter
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Applications without a resume will not be considered.
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I understand that submission of an application does not guarantee employment and that additional steps in the hiring process will follow if I am selected.
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