Personal Information

    Are you a U.S. citizen?
    Are you authorized to work in the U.S.?

    Objective

     

    Education

    Add at least 1 school.
    + Add School

    Employment

    Add any past work or volunteer experience.
    + Add Employer

    References

    Add at least 3 professional references.
    + Add Reference
    Are you at least 18 years old or older?
    What county do you prefer to work in?
    You may select more than one
    Do you have a high school diploma or GED?
    Have you ever worked for DOY Services Inc.?
    Please select what shifts you are available to work
    Please select what days you are available to work
    Do you have access to reliable transportation?
    Please select any certifications you have:
    Do you have six (6) or more points on your license?
    Have you been arrested or convicted of driving while intoxicated (DWI) or driving under the influence (DUI) in the past three (3) years?
    Are you comfortable transporting clients in your vehicle?
    Do you have proof of valid vehicle insurance?
    Has your professional License ever been suspended, revoked, or under investigation?
    Have you ever been terminated from a job due to abuse, neglect or any misconduct or unlawful acts?
    Have you ever been conviction of anything other than a minor traffic violation
    Are there any physical limitations that will prevent you from carrying out the general duties of a direct care worker?
    Can you drag, lift or pull 150lbs?

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    Authorization

    I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.

    I authorize investigation of all statements contained herein, a background check 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 any damage that may result from utilization of such information.

    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

    DOY Services Inc. Is a equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge will be based pm merit, competence, performance, and business needs. We do not discriminate on the basis or race, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, sexual orientation, gender identity or expression, veteran status, or other status protected under federal, state, or local law.

    Digital Signature