Employment Application

Employment Application

  • 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.
  • Date Format: MM slash DD slash YYYY
  • Name of InstitutionLocationInclusive DatesMajorDegree 
  • EmployerContact Number/EmailPositionWage/SalaryInclusive DatesReason for Leaving 
  • Drop files here or
    Accepted file types: pdf, doc.
  • DateSignature
    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.