PKT Enterprises - Flower House - ASL Fluent Staff Needed! Direct Support Professional (DSP) M-F 3p-7p

First name

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Last name

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Please enter a valid email address.

Phone number (Mobile preferred)

Please enter a valid phone number.

Upload resume (Optional)

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What is your street address?

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Are you at least 19 years old?

Yes No

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What best describes your education and work experience?

You have a bachelor's degree in a field related to human services, and one year of full-time work experience providing direct care services to persons with disabilities

You have an associate degree in a field related to human services, and two years of full-time work experience providing direct care services to persons with disabilities

You have a diploma in a field related to human services from an accredited postsecondary institution and three years of full-time work experience providing direct care services to persons with disabilities

You have a minimum of 50 hours of education and training related to human services and disabilities; and four years of full-time work experience providing direct care services to persons with disabilities

None of the above

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Have you ever been employed here before?

Yes

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Are you legally eligible for employment in the U.S.?

Yes No

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If hired, when would you be able to start?

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What is your desired hourly/ salary range?

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What is your Driver's License number?

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How did you hear about us?

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What type of employment are you looking for?

Full-Time

Part-Time

Other

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Usually our shifts are broken up into Mornings, Evenings, and Overnights. What type of shift(s) are you looking for?

Mornings: about 8:00am-2:30pm/3:00pm

Evenings: about 2:30pm/3:00pm-10:00pm

Overnights: about 10:00pm-8:00am

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Work History:

Please fill out the information for at least one of your previous employers.

What is the name of your previous/ current employer?

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How long were you employed? (please include start and stop dates)

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What was your Job Title?

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Please summarize the nature of the work you performed and what your job responsibilities were.

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What was your Supervisor's Name and Title?

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What was your previous Supervisor's number?

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May we contact them?

Yes

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What was your reason for leaving?

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What is the name of your previous employer?

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How long were you employed? (please include start and stop dates)

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What was your Job Title?

This is a mandatory field.

Please summarize the nature of the work you performed and what your job responsibilities were.

This is a mandatory field.

What was your Supervisor's Name and Title?

This is a mandatory field.

What was your previous Supervisor's number?

This is a mandatory field.

May we contact them?

Yes

This is a mandatory field.

What was your reason for leaving?

This is a mandatory field.

What is the name of your previous employer?

This is a mandatory field.

How long were you employed? (please include start and stop dates)

This is a mandatory field.

What was your Job Title?

This is a mandatory field.

Please summarize the nature of the work you performed and what your job responsibilities were.

This is a mandatory field.

What was your Supervisor's Name and Title?

This is a mandatory field.

What was your previous Supervisor's number?

This is a mandatory field.

May we contact them?

Yes

This is a mandatory field.

What was your reason for leaving?

This is a mandatory field.

Educational Background:

If you have attended multiple different colleges and/or have multiple degrees please make a note in your answer to related questions.

What is the name and location of the High School you attended?

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How many years of High School did you complete?

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Did you graduate High School (or obtain equivalent, GED)?

Yes

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Do you have any College level education?

Yes

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What was the name and location of the College you attended?

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How many years of College did you complete?

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Did you Graduate? If Yes, what type of degree did you receive?

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What was your area of study?

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References:

Please provide 1 personal reference and 2 professional ones.

Reference Name:

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What is your relationship to your reference?

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Reference Phone Number:

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How many years have you known your reference?

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Reference Name:

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What is your relationship to your reference?

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Reference Phone Number:

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How many years have you known your reference?

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Reference Name:

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What is your relationship to your reference

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Reference Phone Number:

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How many years have you known your reference?

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Applicant Statement:

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (I) cancel further consideration of this application, or (Ii) immediately discharge me from the employers service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all Information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I any have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any application from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are In writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States of America and that federal immigration laws require me to complete an 1-9 form in this regard.

Do you Agree to the above applicant statement?

Yes

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Virtual Signature: please type your Full-Name. (note: an electronic signature is the legal equivalent of a manual signature)

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Certifications:

Are you currently Certified in CPR/ First Aid?

Yes

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Are you currently Certified in Medication Administration?

Yes

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Do you have your Mental Health certification?

Yes

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Please describe any other Certifications you may have

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Final Questions:

Is your Driver's License currently valid?

Yes No

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Is your Vehicle's Insurance current and is your name listed on the policy?

Yes No

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Are you aware of PKT Enterprises' mission of providing quality, communitybased services to vulnerable populations so that they may work, live, socialize, and maintain self-sufficiency in a community setting?

Yes

This is a mandatory field.

Are you willing to work with individuals who may display challenging behaviors such as physical or verbal aggression, difficulty with receptive and expressive language, learning, mobility, self-direction and self-care, and/or limited capacity for independent living or economic self-sufficiency?

Yes

This is a mandatory field.

Are you able to provide physical assistance to individuals with disabilities?

Yes

This is a mandatory field.

Are you able to work more than 40 hours a week on occasion?

Yes

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Are you able to bend, kneel, lift (up to 40 pounds), stoop, stand and/or sit for long periods of time, work in a community environment, handle wheelchair requirements (if needed), with or without reasonable accommodation?

Yes

This is a mandatory field.

By submitting your application you authorize us to share your information with the Company posting the position and you agree to the terms of Workstream's Privacy Policy and Terms of Use, including receiving application updates and other offers from Workstream. You will receive a SMS confirmation message and one message per change in application status and appointment reminders. Reply HELP for help or STOP to opt out of short code SMS service. Message and data rates may apply.

Apply for ASL Fluent Staff Needed! Direct Support Professional (DSP) M-F 3p-7p in Flower House