Employment Application Thank you for your interest in working at Rainbow Acres! Our mission is to empower adults with developmental disabilities to live life to their fullest potential with dignity and purpose. We hire qualified, exceptional people who are committed to our mission, have a desire for a unique work experience that requires being a team player with a “can-do” attitude and a posture of compassion and care. We look forward to meeting you! Rainbow Acres is an Equal Opportunity Employer committed to excellence through diversity. Employment decisions are based solely on merit and business needs without regard to race, religion, gender or any other protected characteristics. Please complete each section of this application to be considered for employment (even if you attach a resume). A member of our HR team will contact qualified candidates within 3 business days.Personal InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Are you over 21?* Yes No If No, you may be required to provide authorization to work.Are you legally authorized to work in the United States?* Yes No Are you able to qualify for a Level One Fingerprint Card from the state of Arizona?* Yes No A negative response does not necessarily mean that you will not be considered for employment.Employment DesiredPosition* * Full Time Part Time Temporary Salary Requirement* Available Start Date* AvailabilityPlease document the days and times you are available to work at Rainbow Acres. If you are applying for a role as a Caregiver, please include: weekend availability, days that you are available to provide 24 hour coverage and days that you can provide care beyond traditional work hours of 8am-5pm.*Have you previously applied for employment with Rainbow Acres?* Yes No Have you previously been employed at Rainbow Acres?* Yes No Work HistoryList names of your employers starting with present or most recent employer. Account for all periods of time including military service and any periods of unemployment. If self-employed give firm name and supply business references. PLEASE DO NOT REFERENCE YOUR RESUME.1. Name of Employer* Dates Employed* Salary* Full Address Telephone Position/Department Supervisor Name Reason for Leaving Describe Job Functions/Responsibilities 2. Name of Employer* Dates Employed* Salary* Full Address Telephone Position/Department Supervisor Name Reason for Leaving Describe Job Functions/Responsibilities 3. Name of Employer* Dates Employed* Salary* Full Address Telephone Position/Department Supervisor Name Reason for Leaving Describe Job Functions/Responsibilities Are you presently employed?* Yes No If yes, may we contact your present employer?* Yes No EducationName and Location of School Graduated? Yes No Degree/Course of Study List any professional licenses/certifications you maintain and their expiration dates, if any.Additional InformationDescribe why you are interested in working for Rainbow Acres.What special skills, training or experience do you have working withadults with developmental disabilities (including relevant coursework towards a college degree)?Have you ever worked in a Christian Ministry?* Yes No Do you know of any reason why you cannot perform the essential functions of the job for which you are applying with or without reasonable accommodations?* Yes No Please describe any accommodations required.Professional & Personal References1. Name First Last Title Phone NumberCompany name and location Relationship 2. Name First Last Title Phone NumberCompany name and location Relationship 3. Name First Last Title Phone NumberCompany name and location Relationship 4. Name First Last Title Phone NumberCompany name and location Relationship 5. Name First Last Title Phone NumberCompany name and location Relationship Acknowledgements* I understand that this application does not constitute any agreement or contract for employment at Rainbow Acres. I confirm that all information provided in this application is true, complete and accurate. Anyinformation found to be false or concealed willresult in denial or termination of employment at Rainbow Acres. If accepted for employment, I agree to allow Rainbow Acres to conduct thorough reference checks, a background check, drug testing, and L1 fingerprint clearance for the state of Arizona. I understand that should I be employed at Rainbow Acres, I will be required to read, understand, and sign the Rainbow Acres Code of Ethicsand adhere to the Rainbow Acres drug testing and vaccination policies. By checking this box and submitting this form, I hereby certify that I have read and understand and agree with the terms and conditions of the Rainbow Acres Employment Application. Attach a resume Drop files here or Select files Max. file size: 60 MB, Max. files: 5.