Employment Application – Rainbow Acres

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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!
Equal Opportunity Employer
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.
Human Resources
Please complete each section of this application to be considered for employment (even if you attach a resume), and a member of our HR team will contact qualified candidates within 3 business days.
Personal Information
Name*
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.
How did you learn about this position?*
- Internet Search (Google, Bing, Yahoo, etc.)
- Social Media Post (Facebook, Instagram, Twitter, LinkedIn, etc.)
- Job Board Listing (Indeed, Zip Recruiter, etc.)
- Radio or Newspaper Ad
- Other
Were you referred by an employee of Rainbow Acres?*
- Yes
- No
If Yes, please list their name below.
Person that referred you to Rainbow Acres:
Employment Desired
Position*
*
- Full Time
- Part Time
- Temporary
Salary Requirement*
Available Start Date*
Availability
Please 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 History
List names of your employers starting with your 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. *If you upload your resume, you are not required to fill in the employment information beyond the first 3 fields referring to time length of job and salary. If additional information needs to be added, use the spaces provided. PLEASE CHECK THE BOX TO CONFIRM THAT YOUR RESUME IS TRUE, COMPLETE, AND ACCURATE.
Attach a resume
Drop files here or

Max. file size: 60 MB, Max. files: 5.
Acknowledgements for Resume Accuracy
- I confirm that all information provided in this application, including my attached resume, is true, complete and accurate. Any information found to be false or concealed will result in denial or termination of employment with Rainbow Acres.
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
Education
Name 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 Information
Describe 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 References
1. Name
First Last
Title
Phone Number
Company name and location
Relationship
2. Name
First Last
Title
Phone Number
Company name and location
Relationship
3. Name
First Last
Title
Phone Number
Company name and location
Relationship
4. Name
First Last
Title
Phone Number
Company name and location
Relationship
5. Name
First Last
Title
Phone Number
Company name and location
Relationship
Acknowledgements*
I understand that this application does not constitute any agreement or contract for employment at Rainbow Acres.
Acknowledgements*
I confirm that all information provided in this application is true, complete and accurate. Any information found to be false or concealed will result in denial or termination of employment at Rainbow Acres.*
Acknoledgements*
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.*
Acknoledgements*
I understand that should I be employed at Rainbow Acres, I will be required to read, understand, and sign the Rainbow Acres Code of Ethics and adhere to the Rainbow Acres drug testing and vaccination policies.*
Acknoledgements*
I certify that 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.*

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2120 W. Reservation Loop Road
Camp Verde, AZ 86322
(T) (928) 567-5231
(F) (928) 567-9059
(E) info@rainbowacres.com

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