Employment Application

The Arc of Southington, INC. is an Equal Opportunity Employer. The Arc of Southington will not, except in the case of a bonafide occupational qualification or need or except as otherwise permitted or required by law, discriminate on the basis of race, color, religion, creed, age, sex, marital status, sexual orientation, national origin, ancestry, present or past history of mental disorder, intellectual disability, learning disability or physical disability, with respect to hiring, compensation, promotion, discharge from employment or other terms and conditions of employment.

Application Information

Date(Required)
Name(Required)
Address

Job interest

Have you ever applied for a position with the Agency before?(Required)
Have you ever worked with the Agency before?(Required)
Are you related to any individuals currently receiving services or supports provided by the Agency?(Required)
Are you a U.S. Citizen or authorized to work in the U.S.?(Required)
(Proof of U.S. Citizenship or authorized to work in the U.S. will be required upon hire)

For Direct Care Only

Days and Shifts Available (check all that apply)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Where would you be willing to work (check all the apply):

Specialized Skills

Specialized Skills (Check all that apply)

Education

Education
Name & Location
Course of Study
Years Completed
Degree / Diploma
 
Click the plus sign to add more rows.

Previous Employment

Please provide the following information, starting with the most recent employment
Profession References
Name
Address
Phone
Years Known
Basis of Knowledge of Applicant
 
Click the plus sign to add more rows. Please list three professional references that we may contact.

Written Questions

Consent

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