The Arc of Spokane Employment Application

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The Arc of Spokane is an Equal Opportunity Employer. Race, color, creed, sexual orientation, gender identity, religion, age, national origin, disability, marital or veteran status, and other categories protected by law are not factors in employment, promotion, compensation or working conditions, provided the sensory, mental, or physical disability does not prevent the job's specific performance.

We promote independence and choice and enhance the quality of life for people with intellectual and developmental disabilities and their families.

Inclusive community. Every life fulfilled.

Date*

Position(s)*

First Name*

Middle Name

Last Name*

Address, line 1*

City*

State*

Zip Code*

Phone*

Email Address*

Do you have a valid driver's license?*

Yes No

State of Issue

Do you know someone working for The Arc of Spokane?*

Yes No

If yes, state name and relationship:

Have you ever applied to or worked for The Arc of Spokane?*

Yes No

If yes, when?

How did you hear about this opening?*

Per RCW 49.94.010, Item 4a and WAC 388-825-600 through 388-825-690, The Arc of Spokane requires all employees to pass a background check which may include a FBI fingerprint check. All employment is contingent on successful initial and ongoing clearance.

Have you ever been convicted of a felony?*

Yes No

*Excluding any sealed or expunged or dismissed convictions

If yes, please explain:

NOTE: No applicant will be denied employment solely on the grounds of a conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

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Availability: Days or shifts you choose may not be available. Your flexibility increases your hiring opportunities. Shifts may vary by location.

Full-Time*

Yes No

Part-Time*

Yes No

Temporary*

Yes No

Fill-In/On-Call*

Yes No

Day Shift*

Yes No

Swing Shift*

Yes No

Night Shift*

Yes No

What days are you available for work (Monday-Sunday)?

Monday*

Yes No

Tuesday*

Yes No

Wednesday*

Yes No

Thursday*

Yes No

Friday*

Yes No

Saturday*

Yes No

Sunday*

Yes No

If hired, what is your available start date?*

Hourly rate of pay or monthly salary desired?*

Why would you like to work for The Arc of Spokane?*

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Education Information
Applicants must be 18 years of age and have a high school diploma or GED to be considered for positions at The Arc of Spokane.

High School Name, City, State*

Did you graduate High School?*

Yes No

If No, did you obtain a GED?*

Yes No

College, University, Community College, Trade School, Technical School, or other education:

Education Type

Name

City, State

Degree

Did you graduate?

Yes No

Education Type

Name

City, State

Degree

Did you graduate?

Yes No

Education Type

Name

City, State

Degree

Did you graduate?

Yes No

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Please describe any experience, training, qualifications or skills which you feel make you especially suited for work at The Arc of Spokane. Include specific hardware or software programs, years of training, years of experience, etc.

Special Skills

Licenses (list states)

Computer Skills

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Professional References

Name*

Company/Title*

Phone*

Email*

Name*

Company/Title*

Phone*

Email*

Name*

Company/Title*

Phone*

Email*

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Employment History

List all previous employers beginning with your present or most recent position.

Company

Position Held

Employer Address

Dates of Employment

Name of Supervisor

Supervisor Phone

Duties

Reason for Leaving

Company

Position Held

Employer Address

Dates of Employment

Name of Supervisor

Supervisor Phone

Duties

Reason for Leaving

Company

Position Held

Employer Address

Dates of Employment

Name of Supervisor

Supervisor Phone

Duties

Reason for Leaving

Company

Position Held

Employer Address

Dates of Employment

Name of Supervisor

Supervisor Phone

Duties

Reason for Leaving

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I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I understand that any omission or misstatement on this application or on any documents used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize The Arc of Spokane to thoroughly investigate my references, work records, education and other matter related to my suitability for employment and, further, authorize my current and former employers to disclose to the company any and all letters, reports and other information pertaining to my employment with them, without giving me prior notice of such disclosure. In addition, I hereby release The Arc of Spokane, my current and former employers, and all other persons, education institutions, law enforcement organizations, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

By signing this application, I voluntarily agree if requested to submit to a pre-employment alcohol/drug screen and pre-employment physical upon receipt of a verbal offer of employment. I understand that failure to pass the alcohol/drug screen and/or physical will result in withdrawal of the employment offer.

I understand that nothing contained in the application or conveyed to me during any interview which may be granted is intended to create an employment contract, implied or explicit, between me and The Arc of Spokane. In addition, I understand and agree that if I am employed, my employment relationship with The Arc of Spokane is strictly voluntary and at our mutual will. I understand that if employed, my employment is for no definite period and may be terminated at any time, with or without prior notice, with or without cause or reason, at the option of either myself or The Arc of Spokane.

Furthermore, if employed, I agree that any dispute arising out of the termination of our employment relationship shall be resolved pursuant to mandatory binding arbitration at the written request of either The Arc of Spokane or myself. This agreement provides that such arbitration shall comply with and be governed by the Federal Arbitration Act and that any arbitration award arising from such dispute shall be limited to back pay.

I understand and agree that any future changes in my title, duties, compensation, working conditions, and/or The Arc of Spokane benefits, policies and procedures will not alter our at-will and arbitration agreements.

I understand that if offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the United States on my first day of employment.

If the position applied for requires driving in the course of work, I understand that I will be required to possess a current and valid Washington driver's license and understand that I will be required to provide a copy of my official driving record and proof of insurance. I also understand that any offer of employment is contingent on my ability to be covered by The Arc of Spokane auto insurance, if requested for my position.

I understand that I am required to abide by all rules and regulations of The Arc of Spokane.

ALL EMPLOYEES ARE RQUIRED TO PASS A BACKGROUND CHECK WHICH MAY INCLUDE AN FBI FINGERPRINT CHECK. ALL EMPLOYMENT IS CONTINGENT ON SUCCESSFUL INITIAL AND ONGOING CLEARANCE.

My signature below or typed name if submitting electronically certifies that I have read and understand this complete page and agree to the terms and conditions outlined.

Applicant's Signature*

Applicant's Signature Date*

PREPARER AND/OR TRANSLATOR CERTIFICATION: To be completed and signed if an Employment Application is prepared by a person other than the applicant.

I attest, under penalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct.

Preparer's/Translator's Signature

Preparer/Translator Phone Number

Preparer's/Translator's Signature Date

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SUBMIT

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
[email protected]

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