ADAMS Enrichment Program - Job Application

  • Job Application

    Complete this form and we'll be in touch after we've had a chance to review your application.

  • ADAMS Enrichment Program provides the following support to adults with disabilities:

    • Assist with professional development including on-the-job training (Teach job skills like clerical, janitorial, customer service, etc.)
    • Assistance in learning life skills (Bill paying, grocery shopping, street safety, etc.).
    • Help develop social/recreational experiences (Utilize community resources, movies, bowling, working out, self-advocacy meetings, etc.)
    • Help in the pursuit of academic interests (Take an individual to a college class, sit-in the classroom as a shadow and support, etc.)
    • Help lift and move client (Assistance in transferring client from wheelchair to vehicle, etc.)
  • Select the job you’re applying for*
  • Do you meet the requirements of the job?*
  • Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying?*
  • Have you been convicted of any felonies during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)*

  • General Information

  • Format: (000) 000-0000.
  • Do you speak, write, or read any any languages in addition to English?*

  • Qualifications, Interests & References

  • Education & Training

  • Please select your highest level of Education*
  • Diploma or Degree received?*

  • Employment History

    Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for your past FOUR employers.
  • If currently employed, may we contact your employer?*
    • Company 1 - Current / Most Recent 

    • Company 1 - Current / Most Recent

    • Company 2 

    • Company 2

    • Company 3 

    • Company 3

    • Company 4 

    • Company 4

    •  

  • Signature

  • I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

  • Date*
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