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Employment Application
Contact Information
*
Indicates required field
Name
*
First
Last
Position Desired (FT/PT/Per Diem)
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Last 4 digits of your Social Security Number
*
Email
*
County of Residence
*
Are you related to anyone in our employ? If so, please state their name/program
*
How were you referred to our agency?
*
List your work availability (days/hours)
*
How soon can you start work?
*
Are you currently employed?
*
Yes
No
If so, may we contact your employer?
*
Yes
No
Previous Work Experience
Most Recent Employer (Name & Title)
*
Please list your employer name, address, phone number, dates worked, title, salary, duties, and reason for leaving
Dates Employed, Reason for Leaving
*
Previous Employment (Name & Title)
*
Please list your employer name, address, phone number, dates worked, title, salary, duties, and reason for leaving
Dates Employed, Reason for Leaving
*
References
List a professional reference (include name, number, email), not related to you, whom you've known at least one year
*
List a name and contact info
List a professional reference (include name, number, email), not related to you, whom you've known at least one year
*
List a name and contact info
List a professional reference (include name, number, email), not related to you, whom you've known at least one year
*
List a name and contact info
List a professional reference (include name, number, email), not related to you, whom you've known at least one year
*
General Information
All employees are required to complete our 3 weeks of paid training program which runs Monday through Friday from 9am-5pm during the beginning of your employment with us. Are you able to commit to this?
*
Select One
Yes
No
With Accomodation
In accordance with Regulations, all employees must be at least 18 years of age, have a high school diploma or equivalent, and a valid driver’s license with less than 4 points. Do you match this criteria?
*
Select One
Yes
No
Have you ever applied/worked with us in the past? If so, please explain the circumstances.
*
Have you ever been convicted of a felony or misdemeanor?
*
Select One
Yes
No
Have you ever been adjudged civilly or criminally liable for abuse of a developmentally disabled person?
*
Select One
Yes
No
Sometimes our jobs can be physical. Are you able to lift up to 100lbs, with the assistance of another person?
*
Select One
Yes
No
With Accomodation
DO YOU AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION AND UNDERSTAND THAT MISREPRESENTATIONS OR OMISSION OF FACTS CALLED FOR IS CASE FOR DISMISSAL?
*
Select One
Yes
No
DO YOU UNDERSTAND AND AGREE THAT YOUR EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY BE TERMINATED BY EITHER YOURSELF OR THE ARC OF HUNTERDON COUNTY AT ANY TIME?
*
Select One
Yes
No
Sign your name below to electronically verify you are the person completing this application of employment.
*
Submit
Home
New Hire Application
Application
About Us
Vision & MIssion
History
Board of Directors
Lunch & Learn Webinars
Newsletters
Advocacy Resources
Services
Virtual Services
Adult Day Centers
Children & Youth
In-Home Services
Recreation
Residential
Self-Direction
Get Involved
Donate
Events
>
Tricky Tray
>
Sponsorship
Membership
Planned Giving
Swag Store
Volunteer
Testimonials
COVID-19 Updates
MEMORIAL
Live Chat Support
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