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EMPLOYMENT APPLICATION

APPLICATION OF EMPLOYMENT

As and equal opportunity employer, Independent Living, Inc. (ILI) does not discriminate against qualified applicants in hiring or against qualified employees in promoting because of race, national origin, sex, religion, age, disability, marital status, sexual orientation, veteran status or any other
characteristic protected by law. 

ALL APPLICANTS ARE DRUG TESTED PRIOR TO EMPLOYMENT.

Any applicant testing positive for drugs will be disqualified for employment now and in the future. 

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To be considered for a position with ILI all applicants must:

  1. Be 18 years of age and have a high school diploma or GED.

  2. Possess a valid Arkansas driver's license.

  3. Have continuous access to a personal cell phone.

  4. Have continuous access to a reliable vehicle and proof of insurance for that vehicle.

  5. Pass a motor vehicle record evaluation. ILI may not employ individuals with undesirable driving records in any position that involves transporting clients. The following criteria will be used to identify undesirable driving records:

    • More than 3 moving violations and/or accidents in the past 3 years:​

    • More than 2 moving violations and/or accidents in the past year;

    • One major moving violation conviction in the last 3 years​​

  6. Pass a criminal history search and background check with various agencies to include but not be limited to: Arkansas State Police, FBI, Child Maltreatment Registry, and Adult Maltreatment Central Registry.​
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I am interested in working:
Hours I am available to work:
Can you furnish a valid Arkansas driver's license and proof of insurance for your own vehicle?
Are you at least 18 years of age?
Are you able to perform you job without a resonable accommodation?
Have you ever been convicted of a crime, or entered a plea of no contest to a crime?
Do you have any charges pending against you for a crime?

If you were charged or convicted of a crime, or entered a plea of no contest to a crime, please answer the following:

* A plea of no contest is to be considered a criminal conviction by you in completing this application. 

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A charge of conviction does not automatically disqualify you from employment since the nature of the offense, date, and type of job for which you are applying will all be considered. 

Military Record

Are you currently enrolled in Military Reserve?

Educational History

Employment History

May we contact this employer?
May we contact this employer?
May we contact this employer?

Personal References

Additional Information

Please read each of the statements below and type your initials in each of the blocks to acknowledge that you have read and understand. 

1. If hired, I consent to any drug testing that may be required at any time in the course of my employment to determine my ability to perform the duties of my job with ILI.

2. I hereby affirm that the information provided on this application and accompanying resume and any supporting documents, if any, is true and complete.
I understand that any false or misleading representation or omissions may disqualify me from further consideration for employment and may result in discharge, even if discovered at a later date.

3. I agree to adhere to ILI's Employee Handbook and understand that violation of any ILI Policies and Procedures may lead to my dismissal. I understand that ILI's Employee Handbook is not an employment contract and does not give me employment rights.

4. I hereby authorize persons, schools, my current employer (if applicable) and previous employers and organizations named in this application (and accompanying resume and any supporting documents, if any) to provide relevant information regarding an employment decision, and I release all such persons from any liability regarding the provision or use of such information. 

5. I understand the position I am applying for requires a criminal history search and background check with various agencies, to include but not be limited to: Arkansas Department of Motor Vehicles, Arkansas State Police, FBI, Child Maltreatment Registry, and Adult Maltreatment Central Registry. I authorize any investigations(s) that may be required for the protection, safety and well being of ILI, it's clients, or employees.

6. I agree that ILI's liability to me for wages is limited to the amount earned by me as of the date of my termination. I authorize ILI to deduct any monies owed by me to ILI whenever such deduction is not prohibited by law. 

7. I understand that this employment application and any related ILI documents are not contracts of employment and that if I am hired I may voluntarily leave employment at any time for any reason and, likewise, ILI may terminate my employment at any time for any reason. 

8. I understand my employment is contingent upon meeting the physical requirements of the job.

Please use mouse, stylus, or finger to sign

Thanks for submitting!

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