Evansville ARC - Independent Lives for People with Disabilities
 

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Jobs That Make A Difference.

At Evansville ARC, WE SEEK THE BEST because the people we serve DESERVE THE BEST. Just as each of us values our independence and our ability to make choices, so do persons with disabilities. Evansville ARC is committed to helping these individuals become more independent. Regardless of their position, our employees take Evansville ARC’s vision and mission seriously. Every day, the employees at ARC have the opportunity to help someone achieve a personal goal or fulfill a life-long dream.

Your Information
First Name
   
 
State ZIP
Home Phone Work Phone Cell Phone
   
I don't have an email account.
The Position You Are Seeking
Date Available Type of Employment
(check all that apply)
Shift
(check all that apply)
Full Time Day
Position Desired Part Time Evening
Casual
      (On call, as needed)
Night
Are you willing to work overtime? Summer  
Yes No Temporary  
Desired Salary    
   
Your Work History
If your past employment records are under another name, please list:
If you worked for Evansville ARC under a different name, please list:
Have you ever applied for employment with Evansville ARC?
Yes No If Yes, approximate date of application:
Do you have any relatives currently employed with Evansville ARC?
Yes No If Yes: Name
    Relationship
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
Yes No (Proof of eligibility is required upon employment)
Do you presently face charges for, or have you ever been convicted of, or pled guilty or nolo contendere to, or have pending, a criminal offense? (Conviction of a crime will not necessarily disqualify you from consideration.)
Yes No If Yes explain:
Education
Type of
School
Name/Location Last Yr
Completed
Degree
Completed
Degree,
Course,
or Major
High School
Bus./Trade School
College-Undergrad.
Graduate School
Other
Military Service
Have you ever served in the U.S. Military Service? Yes No
If Yes, Branch:  
Start Date End Date
Reason for Leaving
Professional Licensure/Certification
Do you hold a professional registration/certification in Indiana?
Yes No If Yes, Type:
Expiration Reg/License Number Other States where Registered
Special Skills
Equipment you operate profiently:
(i.e. transcriber, personal computer, switchboard, etc.)
On a scale of 0-5, with 0 indicating no experience and 5 indicating highly proficient, rate your expertise with the following:
Microsoft Word Microsoft Outlook Microsoft Excel
Microsoft Powerpoint Microsoft Access Other:
Keyboarding W.P.M. Other skills helpful in position applying for:
 
 
References
Name Occupation/
Relationship
Years Known
Address City State ZIP
Business Phone   Residence Phone  
   

Name Occupation/
Relationship
Years Known
Address City State ZIP
Business Phone   Residence Phone  
   
Current or Most Recent Employer
Employer   Telephone
Address   May we contact them?
Yes No
City State ZIP
Name while employed Job Title  
 
Start Date End Date  
 
Starting Salary Ending Salary  
 
Supervisor Name    
   
Duties    
Reason for Leaving    
Prior Employer #1
Employer   Telephone
Address   May we contact them?
Yes No
City State ZIP
Name while employed Job Title  
 
Start Date End Date  
 
Starting Salary Ending Salary  
 
Supervisor Name    
   
Duties    
Reason for Leaving    
Prior Employer #2
Employer   Telephone
Address   May we contact them?
Yes No
City State ZIP
Name while employed Job Title  
 
Start Date End Date  
 
Starting Salary Ending Salary  
 
Supervisor Name    
   
Duties    
Reason for Leaving    
Prior Employer #3
Employer   Telephone
Address   May we contact them?
Yes No
City State ZIP
Name while employed Job Title  
 
Start Date End Date  
 
Starting Salary Ending Salary  
 
Supervisor Name    
   
Duties    
Reason for Leaving    
Additional Information
Have you ever been discharged or asked to resign from any position? Yes No
If Yes, please Explain:
Have you ever had your driving privileges suspended or revoked? Yes No
If Yes, please explain:
Are you under any contractual or other obligation to any previous employer, including but not limited to confidentiality, non-compete or other similar agreements? Yes No
If Yes, please explain:
Why do you feel you are qualified for the position for which you've applied?
Applicant Certification and Agreement

I certify that the information provided in the attached application is true and complete. I authorize an investigation of all statements contained in my application for employment and understand that any false or misleading statements or material omissions are cause for refusal to hire or separation of employment, if employed.

The Drug Free Workplace Policy of Evansville ARC, Inc., requires a drug screening of all applicants for employment. I agree to undergo a drug screening as required by Evansville ARC’s Drug Free Workplace Policy and I consent to the release of any information or data obtained from such screenings to Evansville ARC, Inc.

I hereby authorize former and present employers as well as physicians, medical personnel, references, law enforcement representatives, the Department of Motor Vehicles, and others to provide or verify any information they have regarding me or my employment with them to an official representative of Evansville ARC, Inc., and release them from any liability arising from the furnishing of any criminal, driving, employment history or medical information to Evansville ARC, Inc., at either parties’ option and will.

I further agree and understand that except as governed by existing federal, state or local law where applicable, my employment or offer of employment establishes no guarantee or promise of continued employment or set hours of work or any other obligation on the part of Evansville ARC, Inc., beyond pay for actual work performed at the agreed upon rate and that the employment relationship may be terminated at any time, by myself or Evansville ARC, Inc., at either parties’ option and will.

If employed, I understand that my work schedule and assigned hours may change due to the needs of Evansville ARC, Inc., and agree to accept such changes as a condition of employment with Evansville ARC, Inc. I consent to physical and medical examinations as requested by Evansville ARC, Inc.

I agree to familiarize myself with the Evansville ARC, Inc., policies and understand that policies may be established/amended as is necessary. I agree to protect the confidence and privacy of any and all information which pertains to the conduct of Evansville ARC, Inc., business. I understand that only the President of Evansville ARC, Inc. may amend this agreement and that such amendment must be in writing and signed by all parties.

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, regardless of the contents of any employee handbook, personnel policies, benefits plans or other company practices shall serve to create an actual or implied contract for employment, or otherwise to change in any respect the employment at-will relationship between me and Evansville ARC, Inc. The employment at-will relationship may be terminated by either me or Evansville ARC, Inc., at any time without any specified notice or reason. This employment at-will relationship is not changed by any subsequent revision or modification to any of the benefits, policies, or procedures of Evansville ARC, Inc.

By clicking the Submit button you indicate that you have read and agree to the above terms and that the information submitted is accurate.
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