top of page

APPLY NOW

Personal Information

Birthday
Month
Day
Year
Multi-line address

If other than Ohio, please list issuing state

How did you find out about this position?
Have you resided in Ohio for the past five years?
Yes
No
Are you seeking full-time or part-time employment?
Full-Time
Part-Time

Full-time employment is considered no less than 40 hours per week

If hired, can you provide proof of citizenship and/or verification of your legal right to work in the United States? *
Yes
No
Were you ever previously employed by Community Supports, Inc. (CSI)? *
Yes
No
Have you ever been convicted of or pled no contest to a felony and/or misdemeanor? *
Yes
No

Applicant must disclose convictions that have been sealed. (Conviction will not necessarily disqualify an applicant) For purposed of this question "conviction" includes a plea of no contest, a finding of guilty by a judge or jury and bond forfeiture

*This statement is to verify that as of today's date (selected above), I have not been convicted of, or pleaded guilty to any disqualifying offense(s), which would prohibit me from employment with Community Supports, Inc. I also agree, effective the date above, that if I am employed, I will notify Community Supports, Inc. if I receive formal charges, convictions, or make a guilty plea to any of the disqualifying offenses mandated by Ohio Department of Developmental Disabilities within five CD

Have you ever been the subject (PPI) of a Major Unusual Incident (MUI) investigation through Developmental Disability Services or law enforcement?
Yes
No
Do you have a current and valid driver's license?
Yes
No

This is required for employment

Do you currently have liability insurance on your vehicle? *
Yes
No

This is required for employment

Do you have 5 points or fewer on your driver's license? *
Yes
No

Not eligible for employment if you have 6 points or greater

Education

Have you earned your high school diploma or GED? *
Yes
No

Copy of diploma or GED required for employment

Have you earned a degree from a college or university?
Yes
No

Work Experience

Multi-line address
Beginning date of employment
Month
Day
Year
Ending date of employment
Month
Day
Year
Multi-line address
Beginning date of employment
Month
Day
Year
Ending date of employment
Month
Day
Year
Multi-line address
Beginning date of employment
Month
Day
Year
Ending date of employment
Month
Day
Year

References

Is this person a professional or personal reference?
Yes
No

Resumes are required if applying for the Program Coordinator position

*Before submitting Application:
Please Download each File and fill out. and upload the completed document to the Resume upload button

EQUAL OPPORTUNITY EMPLOYER: It is our policy to abide by all Federal, Sate, and local laws prohibiting employment discrimination solely on the basis of a person's race, color, creed, national origin, religion, age (over 40), sex, marital status, sexual preference or physical handicap, except where a reasonable, bona fide occupational qualification exists.

bottom of page