Employment Application

I am over the age 18 and am legally able to work in the state of California.*

YesNoI am under 18 but have a work permit
Work Permit

Browse Files

Cancelof
Given the sensitive nature of the field of work, all of our employees must submit to a background check (live scan). I Acknowledge:*

I do not have a criminal record and am willing to submit to a background checkI would like to discuss my past with the HR department before submitting to a background checkI am unwilling or not able to submit to a background check. I understand I will not be egible for employment.

A requirement of the direct position is at least 6 months of experience with individuals with intellectual delays. Have you had 6 months experience with individuals with intellectual delays?*

YesNo
If you answered "Yes" to previous question, Please provide a brief description of the position and duration.

I have Completed Highschool with a*

DipolmaCertificate of CompletionGEDNo, I have none of the above
Current level of education*
Last school of attendance*
Degree attained*
Date of completion or anticipated completion

MonthDayYear

I have reliable transportation and able to provide proof of insurance *

YesNo
Salary Requirements
How did your hear about us?
If you answered current employee in previous question, please provide their name

FirstLast
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I am seeking*

Part timeFull timePart time if full time is not available
Attach Resume

Browse Files

Cancelof
Should be Empty: