Online Application

Questions with an asterisk are required.

Today's Date

First Name

Last Name

Street Address

City

State

Zip Code

Telephone Number

E-mail

Position Desired

Do you have experience working with/supporting people with development disabilities, and if so, in what capacity?

Yes - Professional
Yes - Personal
Yes - Educational
Yes - Volunteer
No prior experience

If yes, please briefly detail your experience.

Please select the position(s) you are interested in. If you are applying in Frederick County and not family-specific, please see the DSP job description for further details about each position.

If you are applying to be family specific to someone we support, who is the person and what is your relationship?

Date you can start

Are you employed now?

If so, may we request a reference from your current employer?

Have you ever applied to this organization before?

If so, when?

Education

Applicants must be at least 18 years old and have a high school diploma or equivalent.

Highest Level of Education

Name and Location of School

Dates Attended

Start Date

–

End Date

Did you graduate?

Degree

Additional Qualifications (any active technical/professional licenses and numbers, awards, volunteer posistions)

Employment History

Employer #1 (Required)

Name of Employer/Business #1

Telephone Number (Employer #1)

Address (Employer #1)

Dates of Employment (Employer #1)

Start Date

–

End Date

Position (Employer #1)

Supervisor's Name (Employer #1)

Reason for leaving (Employer #1)

Employer #2

Name of Employer/Business #2

Telephone Number (Employer #2)

Address (Employer #2)

Dates of Employment (Employer #2)

Start Date

–

End Date

Position (Employer #2)

Supervisor (Employer #2)

Reason for leaving (Employer #2)

Employer #3

Name of Employer/Business #3

Telephone Number (Employer #3)

Address (Employer #3)

Dates of Employment (Employer #3)

Start Date

–

End Date

Position (Employer #3)

Supervisor (Employer #3)

Reason for leaving (Employer #3)

General Information

How did you hear about this position?

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Have you ever been dismissed or asked to resign from any position?

If yes, please explain

Please list any additional information you consider pertinent to your application for employment

A background check must be completed as part of the application process. Please check the following checkbox to indicate that you understand and consent for The Arc to perform a background check as part of your application.

I consent to having a background check performed.

Applicant Name

Date of Application

Optional- Attach your resume or cover letter

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Employment Opportunities

Positions Currently Available

Online Application

Education

Employment History

Employer #1 (Required)

Employer #2

Employer #3

General Information

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