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Preliminary Application for Employment

Phone Number: 609-531-0211 | Fax: 609-386-2244 | www.arcofburlington.org

The Arc of Burlington County's Equal Opportunity Hiring Practices are designed to provide equal opportunity to all applicants regardless of race, color, creed. national origin, sex, family status or disability.

Contact Information
What Kind of Position?
How did you learn about us?
I.) Have you filled an application here before?
2,) Have you worked for the Arc of Burlington Count
3.) Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?
4.) Have you ever plead "Guilty" or "No Contest" to, or been convicted of a crime? (The Arc complclcs criminal background checks on employees. Fingerprints ore sent to the FBI and the Stale Police.)
5.) Have you ever been adjudged civilly or criminally liable for abuse of a person with developmental disabilities receiving services?
6.) Do you possess a valid driver"s license from the state you reside in?
Employment History / References

List your last two (2) employers, assignments, or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in comments section below.

Additional Details
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