Apply

Basic details

First name *

Last name *

Date of Birth *

Email *

Phone *

Do you have the legal right to work in the United States? *

Addresses

Address Line 1 *

Address Line 2

City *

State *

Zip / Postal Code *

Any and all previous addresses where you have resided within the last 3 years, along with how long you lived there.

Role Specific Details

Have you ever applied to or worked for Daily Dignity Day Center before? *

Do you have any friends, relative or acquaintances working for Daily Dignity Day Center? *

Shift Availability *

Days Available *

Please list below the skills and qualifications you possess for the position for which you are applying:

What is one thing that you believe makes you stand out from others who apply for this job? *

Have you ever been convicted of a felony? *

If you answered yes to having been convicted of a felony, please describe the matters of the felony in detail.

Previous Employment

Please provide details of your most recent employment (last 2 jobs required). Please include your employer's name, your job title, your supervisor's name, your employer's full address and phone number, your dates employed, and your reason for leaving:

Current or most recent employment:

Prior employment:

References

Please provide 2 personal or personal references below (include contact information):

Reference 1:

Reference 2:

Additional Information

How many years of experience do you have supporting individuals with intellectual disabilities?

Staff are required per the state of New Jersey to undergo an initial drug screening, as well as random drug screening. Do you provide consent to undergo drug screening? *

Have you ever been terminated from any position you held? *

At-will Employment

The relationship between you and the Daily Dignity Day Center is referred to as "employment at will". This means that, if hired, your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Daily Dignity Day Center.
No representative of the Daily Dignity Day Center has authority to enter into any agreement contrary to the foregoing "employment at will" relationship.
You understand that your employment is "at will", and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operating Officer or the Company's President.

Full Name *

Today's Date *

I certify that this application was completed by me, and that all entries and information in it are true and complete to the best of my knowledge.

Job Application