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Online Job Application

Applicant Information

First Name *

Middle Name

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone *

Email Address *

Date Available *

Desired Salary *

Position you are applying for *

Do you have a valid driver’s license to operate an automobile in this state? *YesNo

If no, explain:

Are you insurable to operate an automobile in this state? *YesNo

If no, explain:

Have you lived in Arkansas for the last 6 months or longer? *YesNo

Are you available to work nights? *YesNo

Are you available to work weekends & holidays? *YesNo

Are you a citizen of the United States? *YesNo

If no, can you submit verification of your legal right to work in the U.S.?YesNo

Have you ever worked for this company? *YesNo

If so, when?

Have you ever been convicted of a felony? *YesNo

If yes, explain:

Have you ever been convicted of any type of theft or fraud? *YesNo

If yes, identify the crime for which you were convicted, the date of the conviction and the location of the court in which you were convicted. Please provide any details you feel are relevant. Conviction of a crime will not automatically disqualify you from consideration from employment, but will be considered as part of any overall evaluation of your qualifications.

Education

High School

City

State/Province

Did you graduate?Yes - DiplomaYes - GEDNo

College

City

State/Province

Did you graduate?YesNo

Degree

Other Education

City

State/Province

Did you graduate?YesNo

Degree

References

Please list three professional references

Full Name *

Relationship *

Company *

Phone *

Street Address

City

State/Province

Full Name *

Relationship *

Company *

Phone *

Street Address

City

State/Province

Full Name *

Relationship *

Company *

Phone *

Street Address

City

State/Province

Previous Employment

Company

Phone

Street Address

City

State/Province

Supervisor

May we contact your previous supervisor for a reference?YesNo

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason For Leaving

Company

Phone

Street Address

City

State/Province

Supervisor

May we contact your previous supervisor for a reference?YesNo

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason For Leaving

Company

Phone

Street Address

City

State/Province

Supervisor

May we contact your previous supervisor for a reference?YesNo

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason For Leaving

Military Service

Branch

From

Rank At Discharge

Type Of Discharge

If other than honorable, explain:

Upload 3 Reference Letters *

Drag and Drop (or) Choose Files

IMPORTANT: 3 letters from people recommending you for the job are required to be uploaded with your application. Any application submitted online without 3 reference letters attached will be automatically rejected and ignored. Do NOT use this section to upload a resume.

I certify that my answers are true and complete to the best of my knowledge. The company, in considering my application may verify the information set forth in this application and obtain background information where legal, relating to my background. I authorize all persons, schools, employers, companies’, corporations, credit bureau registries, and law enforcement agencies to supply any information concerning my background. I understand that this facility has a commitment to maintain an alcohol/drug free workplace and that the facility requires a drug screening test as part of its selections and hiring process. I release Advantages and all persons and companies from any claims, liabilities, or damages from obtaining or furnishing information about me. All employees of Advantages are required to submit to Child/Adult Registry and Criminal Background checks. Additionally, any employee who has a Waiver client placed in their home as an alternative placement will have all background checks computed on all individuals living in the home over the age of 18. If this application leads to employment, I understand that false, misleading or omission of any information in my application or interview may result in my disqualification from consideration for employment, or if employed, my dismissal. I understand that this is not a contract, offer, or promise of employment and that if hired, I will be able to resign at any time for any reason. Likewise, the facility can terminate my employment at any time with or without cause. I further understand and agree that no employee or official of Advantages has any authority to alter the term of my “at will” employment through oral statements or promises in order to be binding on Advantages. Any agreement or promise that alters policy must be in writing and signed by the director. If employed, I agree to abide by and comply with all of ADVANTAGES’S policies, procedures, and rules as provided in the Employee’s Handbook. Any conditional offer of employment by ADVANTAGES is subject to successful completion of all employment requirements including, but not limited to, verification of education, drug testing, and background checks. *

I have read and understand and agree to the statements above.

Full Name *

Date *

Advantages of Southeast Arkansas

Advantages of Southeast Arkansas is a private, nonprofit agency that provides services to persons with developmental delays or disabilities. We are located in Monticello, Arkansas and have provided services in Southeast Arkansas since 1971.

The agency provides a variety of services, including center-based day treatment and community-based waiver services.