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Do you enjoy caring for others? Are you looking for meaningful employment?

INCOR may be the perfect place for you! We are seeking kind, compassionate, and caring staff to support individuals with their daily living activities, as well as job coaches who can provide guidance, encouragement, and training in the workplace.

Application Form

First, Middle, Last Name

Phone

Mailing Address

Have you been employed with INCOR before?

Yes No

What position are you applying for?

Are you seeking part time or full time?

Full time Part time

Are there certain shifts you are interested in?

1st Shift (Overnights) 2nd Shift (Days) 3rd Shift (Nights)

If hired, when can you start?

Do you have relatives working for INCOR?

Yes No

If yes, list name(s). Otherwise, put N/A (not applicable)

If referred by an employee, list name. Otherwise, put N/A (not applicable)

What training or certifications have you received? Must provide copies upon hire.

In order to work for INCOR, you must have the following:

Must be 18 years or older

Under 18 18+

Do you have a valid drivers license?

Yes No

Clean, reliable transportation?
Some positions will require you to transport individuals around the community.

Yes No

Current auto insurance?

Yes No

You may be required to lift up to 40lbs, as well as bending, twisting, stooping, and walking. Can you perform these activities without assistance?

Yes No

Are you eligible for work in the US?

Yes No

High School Diploma or GED?

Yes No

We are required to check criminal records, references, and abuse and neglect registry before hiring.

If there is anything on your background, do you have a disposition for said conviction?
A copy will be required before you can be put to work.

Yes No N/A

Would you be willing to take a drug test as a condition of employment?

Yes No

Have you ever served or currently serve in the military?

Yes No

If yes, please list rank, date of service, and any relevant skills required. Otherwise, put N/A (not applicable).

If offered a position, would you be willing to provide identification of your sex, and ethnicity/racial group and/or disability so that we can monitor the effectiveness of our EEOC program?
Providing the information will not affect your employment application.

Please list all previous employment, starting with the most recent. MM/DD/YYYY

Please list 3* references with name and phone number

Are you capable of using technology such as a tablet or computer to clock in/out and complete documentation?

Yes No

Do you have experience working with people with disabilities?

Yes No

If yes, please explain. Otherwise, put N/A (not applicable).

Have you worked with an individual who could get physically aggressive (hits, bites, scratches, etc)?

Yes No

How did you feel about working with someone who could get physically aggressive?

How do you feel about working with someone who does not communicate in words?

On a scale of 1 to 5, one being very comfortable and five being unwilling or unable to do it, rank yourself on the following tasks.

What We Offer

Paid training provided
Flexible opportunities in a variety of settings: residential homes, our resale store, production center, or as a community job coach
The chance to directly impact lives while supporting INCOR’s mission of increasing individuals’ self-sufficiency and quality of life
Health, dental, vision insurance
Employer paid life insurance for all full-time employees
Employer-matching retirement plan
Paid time off

If you’re ready to make a difference, apply today, complete training, and join our team!

INCOR is an Equal Employment Opportunity Employer (EEOC). We do not discriminate against qualified applicants based upon any protected group status, including but not limited to race, color, creed, religion, gender, national origin, ancestry, age, marital status, military or veteran status, sexual orientation, physical or mental disability or medical condition or any other characteristic protected by law as defined.

This application will be considered active for 90 days. If you have not been hired within 90 days of submitting this application and you wish to be considered for employment, you must complete a new application.

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