Job ApplicationPlease fill out the online application below and we will be in touch as soon as possible.Application for EmploymentWe consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.Position(s) Applied For SELECT ONE*Resident AssistantSHC AssistantLead StaffDirectorHow Did You Learn About Us?*Advertisement / SignFriendRelativeDid a current Compass Development Employee refer you?YesNoIf you answer YES, who was the Compass Develpment Employee?Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Social Security #*Birth Date* Date Format: MM slash DD slash YYYY Best Phone # To Reach You At?*Best Time To Call You?* Morning Afternoon Evening AnytimeEmail* Have you ever filed an application with us before?*YesNoIf Yes, give dateHave you ever been employed with us before?*YesNoIf Yes, give dateAre you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?*Proof of status will be required upon employment.YesNoDate available to work?* Date Format: MM slash DD slash YYYY Desired employment status:*Check All That Apply Full Time Part Time weekends Part Time weekday/weekend Sub StatusDesired Shift (all full-time shifts include 1 weekend day)*Check All That Apply 1st Shift (Sunday - Thursday) 1st Shift (Tuesday - Saturday) 2nd Shift (Sunday - Thursday) 2nd Shift (Tuesday - Saturday) 3rd Shift (Saturday - Tuesday) 3rd Shift (Tuesday - Saturday)Are you able to lift with no impairment routinely 30lbs and/or assist clients with transferring, ambulation or to assist if they fall?*YesNoDo you have a valid drivers license?*YesNoHave you ever been charged/arrested/convicted of a crime(s)?*YesNoIf yes, detail charge/arrest/conviction of the crime(s).Work ExperienceWe are an equal opportunity employer. List all jobs within last 5 years (start with your present or most recent employment.) If more denote on back of application. Failure to list all employers will deny employment.Current or Last Employer*AddressStart Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY If still currently working for this company please enter todays date in this fieldPhoneJob TitleSupervisorStarting Hourly Rate/Salary*Ending Hourly Rate/Salary*Work Performed?Reason for Leaving*Resigned with 2 weeks noticeResigned without 2 weeks noticeTerminatedCurrently Still EmployedNot Currently EmployedExplain why you left*May we contact this employer?*YesNoEmployer*AddressStart Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY PhoneJob TitleSupervisorStarting Hourly Rate/Salary*Ending Hourly Rate/Salary*Work Performed?Reason for Leaving*Resigned with 2 weeks noticeResigned without 2 weeks noticeTerminatedExplain why you left*May we contact this employer?*YesNoEmployer*AddressStart Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY PhoneJob TitleSupervisorStarting Hourly Rate/Salary*Ending Hourly Rate/Salary*Work Performed?Reason for Leaving*Resigned with 2 weeks noticeResigned without 2 weeks noticeTerminatedExplain why you left*May we contact this employer?*YesNoAny Comments: Include explanation of any gaps in employment.*Describe any specialized training and/or skills, hobbies and interests.*Please Check All Trainings You Have Received CNA LPN Needs Assessment First Aid Dietary Needs Fire Safety OSHA CPR Medication Administration Challenging Behaviors for CBRF's Client Group Specific for CBRF'sList qualities that you possess related to this field. Examples: behavioral management, incontinence etc.*EducationHigh School*AddressYears Completed*Diploma/GED Received*CollegeAddressCourse of StudyYears CompletedDiploma/Degree ReceivedOther Education (specify)If applicable, Address or LocationCourse of StudyYears CompletedDiploma/Degree ReceivedState any additional information you feel may be helpful to us in considering your application.Personal/Professional ReferencesPlease do not include family members or past supervisors.Reference Name*Phone*Best Time To Call?*Occupation*Reference Name*Phone*Best Time To Call?*Occupation*Reference Name*Phone*Best Time To Call?*Occupation*Applicant's Statement & Digital SignatureI certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as it may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 180 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that FALSE or OMMITTED information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.Type Your Name As Your Digital Signature*Date* Date Format: MM slash DD slash YYYY CAPTCHA Search for: Recent Posts Mission of Compass Development