Join Hometown Inclusive Living
Where compassionate care meets inclusive community. We’re an equal opportunity employer hiring dedicated staff who want to make a difference.
Personal Information
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the best time to contact you?
Please Select
Morning
Lunch Time
Evening
Afternoon
Doesn't Matter
Work Eligibility
Are you currently legally entitled to work in the country where the job is based?
Yes
No
Will you require Sponsorship?
Yes
No
N/A
Are you at least 18 years of age?
Yes
No
Do you have a High School diploma or GED?
Yes
No
Position Information
What position are you applying for?
Please Select
Support Staff
House Manager
Finance Manager
HR
What is your desired employment?
Please Select
Full Time (36 hrs/week)
Part Time (12hrs/week minimum)
PRN/On-Call
What is your available start date?
-
Month
-
Day
Year
Date
What is your desired pay?
Monthly
Have you worked for our Company before?
Yes
No
Why are you interested in working in this type of role?
Availability
What days are you available?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Open
What shifts are you available?
Days
Evenings
Nights (Overnight)
Open
Willing to work Holidays / Weekends?
Yes
No
Physical Requirements
:
This position may require the ability to:
Lift up to 50 lbs
Assist with mobility / transfers
Stand, Bend, Kneel
Do you meet these requirements (with or without accommodation)?
Yea
No
Education
Work Experience
Military Service
Have you served in the U.S. Armed Forces?
Yes
No
Qualifications
References
Provide 3 References
Background & Screening Consent
Employment is contingent upon passing background checks and abuse registry checks as required by law.
I consent to these checks.
I do not consent to these checks
Date
-
Month
-
Day
Year
Date
Signature
Please upload your CV here.
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Please upload your Cover Letter here.
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Applicant Declaration
I certify the information provided is true. False or misleading information may disqualify me or be grounds for termination.
Date
-
Month
-
Day
Year
Date
Signature
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