application

Full Name *

Phone Number *

Email *

Do you have a valid drivers license with less than 6 points? *

Yes
No

Are you comfortable driving mini daycare bus and regular passenger vans? (No CDL needed) *

Yes
No

Are you comfortable with assisting our adults with personal care and in restroom if necessary? *

Yes
No

Are you able to lift 50 lbs? *

Yes
No

Preferred Division *

Day Support:Assist and supervise developmentally disabled individuals in socialization skills, daily living skills, and provide integrated activities throughout the local community.

Supported Living: Assist and supervise developmentally disabled individuals at home to provide the ability to live independently and adapt effective to all aspects of home life including community involvement, make friends, and have fun. This may require overnight hours.

Supported Employment: Provide direction and training to the developmentally disabled community, providing participant workers an opportunity to be integrated into the workforce. provide evaluations and skill assessments for qualified participant worker to determine program placement.

Are you available to work overnight? *

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