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The arc in Hawaii
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808-737-7995
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History of The Arc in Hawaii
Core Values and Operating Principles
Strategic Plan
Board of Directors
SERVICES
Eligibility for Services
Adult Health Service
Residential Services
ADVOCACY
EMPLOYMENT
DONATE
FORMS
Application for Employment
Application For ADH Service
Application for Residential Services
CONTACT US
HOME
ABOUT US
History of The Arc in Hawaii
Core Values and Operating Principles
Strategic Plan
Board of Directors
SERVICES
Eligibility for Services
Adult Health Service
Residential Services
ADVOCACY
EMPLOYMENT
DONATE
FORMS
Application for Employment
Application For ADH Service
Application for Residential Services
CONTACT US
Application for Employment
You are here:
Home
Application for Employment
Application for Employment
Application for Employment
1. Personal Information
Name
(Required)
First
Middle
Last
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Home Phone
Cell Phone
(Required)
Work Phone
Email Address
(Required)
Position for which you are applying
Note: If hired, you will be required to perform work as required by The Arc in Hawaii.
Are you looking to work ?
Full Time
Part Time
Salary Expectation
Are you legally authorized to work in the U.S.?
Yes
No
(Note: If offered employment, you will be required to submit documentation as required by the 1986 Immigration Reform and Control Act)
How were you referred to The Arc in Hawaii?
Do you know anyone working for The Arc in Hawaii?
Yes
No
If yes, who?
Have you previously applied for a job with for The Arc in Hawaii?
Yes
No
If yes, when?
Have you previously worked at The Arc in Hawaii?
Yes
No
If yes, when?
Reason for leaving:
Are you Hawaii Visions certified?
Yes
No
(Not applicable if applying for administrative related position)
Name of agency certified with:
Date certified:
MM slash DD slash YYYY
2. Education / Training
High School
School Name & Location
High School
Number of Years Years Completed
High School
Diploma/Degree or Certificate
Undergraduate College University
School Name & Location
Undergraduate College University
Number of Years Years Completed
Undergraduate College University
Diploma/Degree or Certificate
Graduate/ Professional
School Name & Location
Graduate/ Professional
Number of Years Years Completed
Graduate/ Professional
Diploma/Degree or Certificate
Technical/Trade
School Name & Location
Technical/Trade
Number of Years Years Completed
Technical/Trade
Diploma/Degree or Certificate
Describe Course of Study
3. EMPLOYMENT RECORD
(List most recent employer first. Please list all employers for at least the past 10 years and account for any periods that you were NOT working. Failure to disclose all information and/or falsification will invalidate this employment application and if hired, will lead to termination of employment. If additional space is required, please attach sheet.)
Employer
Dates of Service (M/Yr to M/Yr)
Your Job Title
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Telephone Number(s)
Supervisor Name
Work Performed
Reason for Leaving
SPECIAL SKILLS AND QUALIFICATIONS / EMPLOYMENT GAPS
Summarize special job-related skills and qualifications acquired from employment, volunteer work or other special training and experience. Also, explain any periods that you were not working.
What training or experience do you have working with persons with intellectual and/or developmental disabilities?
4. REFERENCES (not relatives)
Name
Occupation
Phone
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
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