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Bobbi Chipman, Human Resources Director

For more information on employment opportunities:

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BE SURE TO READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. 

I authorize and agree to cooperate in a thorough investigation of all statements made herein and other matters relating to my background and qualifications. I understand that any investigation conducted may include a request for employment and educational history, credit reports, consumer reports, investigative consumer reports, driving record, and criminal history. 

I understand I may be required to successfully pass a drug-screening examination. I hereby consent to a pre-and/or post-employment drug screen as a condition of being hired or of my continued employment, if required.

I acknowledge that I have been informed of prohibitions of the Iowa Smokefree Air Act.

I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.  

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Please check all shifts that you are able to work.

Only Residential Facilitators have set schedules; Direct Care staff do not have set schedules.

If you want 40 or more hours you need to provide 80 or more hours of availability.

(You should be available for twice as many shifts as you want).

9am-3pm3pm-10pm10pm-9am
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please answer the below questions: 

I, the undersigned, agree to the above availability. I understand that any changes made to my availability before my potential date of hire need to be approved by the Human Resources Coordinator. 

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