Employment Application | Echoing Hope Ranch

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email

Position Desired*

Direct support positions perform hands-on care and support for individuals with developmental disabilities, particularly those with Autism, in their home and community or at our ranch in Hereford, AZ.

Desired Salary or Wage*

Date that you are available to begin working at Echoing Hope Ranch*

Are you Currently Employed*

If so, May We Inquire of Your Present Employer

Education and Training - Please include in chronological order school(s), universities and special courses attended:*

Name of Institution	Location	Inclusive Dates	Major	Degree

Please list any special study/research work or training/skills

Please list any related certifications or licenses

Employment History - Please list your employment begining with the most recent employer*

Employer	Contact Number/Email	Position	Wage/Salary	Inclusive Dates	Reason for Leaving

Application Materials Upload (Resume, Letter, etc)

Drop files here or

Accepted file types: pdf, doc, Max. file size: 32 MB.

How did you hear about this position?

Certification*

Date	Signature

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for damage that may result from utilization of such information. I acknowledge that my signature certifies that all statements provided on this application are true and complete. By submitting this application online, I agree to apply my signature to this application upon interview. I understand that I must be able to obtain a Level I Fingerprint Clearance Card and I will be asked to complete and have notarized a Criminal History Affidavit.