Access-Supports for Living Careers

SELF-DIRECTED RESPITE WORKER-MNY

Direct Care-Community Outreach Howard Beach, Queens, NY United States United States

Thank you for considering a career at Access-Supports for Living. Please take a minute to fill out the following form. After you have completed your application an email will be sent to you with information about how to check the status of your application.

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Personal Information

First Name*

Last Name*

Email*

Cell Phone*

Phone

Address

City

State

Zip

Desired Salary/Rate of Pay?

Days Availabe?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Have you previously been employed at this company or any of our affiliated businesses (The Guidance Center of Westchester, NYFAC, Access: Supports for Living) ?* Yes No

If yes, please supply dates of employment:

Have you previously applied to this Agency?* Yes No

If Yes, please supply name and relationship to you:

What is the name of the individual you are applying to work with?*

Do you live with the individual you are applying to with with?*

Employment History (Required if resume is not included)

Employer Name

Position

Dates of Employment

Employer Name

Position

Dates of Employment

Education

Highest Level of Education

Name of Educational Institution

From/To

Social Profile (optional)

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Additional Files (optional)

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