Employment Opportunities Click Here to review our current openings on Indeed Employment Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4Full Legal Name *FirstMiddleLastAddressAddress Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail Address *EmailConfirm EmailPhone Number *Position you are applying for? *Choose the specific position you are applying forDSP (Direct Support Professional)QMHPSponsored ResidentialSensory Gym ManagerSensory Gym Attendant (Floater)Available Start Date *NextGED or Highest Grade Completed *--- Select Choice ---GEDElementaryHigh School Graduate (12th Grade)Associate DegreeBachelors DegreeMasters DegreeDoctorate DegreeNot ApplicableDate Completed/Received *List any Relevant Certifications or DegreesProvide details relating to your most current Caregiving Experiences(s) - Professional and Personal Experience are Relevant * List Degrees Address NextWhich job status would you accept (select all that apply) *Part TimeFull TimeWhich shift will you accept (select all that apply) *DayEveningNightWeekendsSpecify preferred shift hours *Will you accept employment that requires travel? *--- Select Choice ---YesNoAre you able to provide your own transportation for employment? *--- Select Choice ---YesNoPlease select the Geographic Regions You Are Willing To Work (Check All That Apply) New River ValleyFloydGiles County (Pearisburg/Narrows Area)Montgomery (Christiansburg/Blacksburg Area)Pulaski/DublinRadfordMount RogersGalaxGraysonHillsvilleCanaRoanoke ValleyBotetourt (Daleville/Fincastle Area)RoanokeSalemVintonPeidmont RegionFranklin County (Boones Mill, Ferrum, Hardy, Henry, Moneta, Wirtz and nearby areas)Henry County (Axton, Bassett, Martinsville, Collinsville, Horsepasture, Ridgeway and nearby areas)Patrick County (Stuart, Ararat, Claudville, Critz, Meadows of Dan, Woolwine and nearby areas)NextOPTIONAL: Attach your resume (.doc, .docx, .pdf or .rtf formats only) Drag & Drop Files, Choose Files to Upload Only One File Allowed for UploadTerms (MUST CHECK BOX TO CONFIRM)-By checking this box and submitting this application for employment, I hereby certify that all entries on this application are true and complete. I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment in the service of this company. I understand that all information on this application (and any attachments) is subject to verification and I consent to criminal history background checks. *Yes, I ConfirmCustom Captcha * = PreviousSubmit
