Stepping Stones Year-Round Staff Applicaion

Stepping Stones Staff Application

Stepping Stones Employment Application

Application for employment opportunities at Stepping Stones. Please complete the fields below. If you have any issues submitting an application, please contact us at (513) 831-4660 for assistance.

Name(Required)

First Last

Phone(Required)

Email(Required)

How did you learn about Stepping Stones?(Required)

If other, please specify:

Are you currently over the age of 18?(Required)

This application is for what position?(Required)

Direct Support Professional

Educational Aide

Intervention Specialist (Full-Time)

Overnight Recreation Manager

LPN or RN

Lead Kitchen Assistant

Other

If other, what position:

Nursing License #

Personal Address Information:

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employment History:

Employer #1

Most Recent or Current Employer(Required)

Position(Required)

City(Required)

State(Required)

Name of Supervisor(Required)

First Last

Employer Contact Phone(Required)

Employer Contact Email

Start and End Date of Employment(Required)

MM/YY - MM/YY or Present

Reason for Leaving(Required)

May Stepping Stones Contact this Employer?(Required)

Yes

Employer #2

Employer Name

Position

City

State

Supervisor

First Last

Employer Phone

Employer Email

Start and End Date of Employment

MM/YY - MM/YY

Reason for Leaving

May Stepping Stones Contact this Employer?

Yes

Employer #3

Employer Name

Position

City

State

Supervisor

First Last

Employer Phone

Employer Email

Start and End Date of Employment

MM/YY - MM/YY

May Stepping Stones Contact this Employer?

Yes

Education History:

Are you currently enrolled in school?

If yes, at what school?

Highest Level of Education Completed:

School Name

Degree or Diploma

(i.e. High School Diploma, Bachelor's, Masters, Etc.)

Current Level

(i.e. Sophomore, Graduated, etc.)

Career Objective

Personal Background:

Have you ever previously applied for a position at Stepping Stones?

Have you ever been previously employed by Stepping Stones?

Do you have any prior experience working with individuals who have disabilities?

If yes, please explain:

References

References #1

Please include a non-family member as a reference.

Name(Required)

First Last

Best Contact Number(Required)

Email(Required)

Reference's Place of Employment(Required)

Title(Required)

Years Known(Required)

References #2

Please include a non-family member as a reference.

Name

First Last

Best Contact Number

Place of Employment

Title

Years Known

References #3

Please include a non-family member as a reference.

Name

First Last

Best Contact Number

Place of Employment

Title

Years Known

Optional Additional Information

If you would like to include a cover letter or resume with your application please upload here.

Resume:

Max. file size: 32 MB.

Cover Letter:

Max. file size: 32 MB.

Letter of Reference:

Max. file size: 32 MB.

Employee Self-Indentification

Anti-Discrimination Notice It is an unlawful employment practice for an employer to fail or refuse to hire or discharge any individual, or otherwise to discriminate against any individual with respect to that individual's terms and conditions of employment, because of such individual's race, color, religion, sex, or national origin.

This employer is subject to certain governmental record-keeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, this employer invites applicants and employees to voluntarily self-identify their race/ethnicity and gender.

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

What is your gender:

What is your ethnicity

Please choose one from the following options:

Hispanic or Latino: a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

White (Not Hispanic or Latino): a person having origins in any of the original peoples of Europe, the Middle East, or North America.

Black or African American (Not Hispanic or Latino): a person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): a person having origins in any of the original peoples of Hawaii, Guam, Somoa, or other Pacific Islands.

Asian (Not Hispanic or Latino): a person having origins in any of the original peoples of the Far East, Southeast Asia or Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Native American or Alaska Native (Not Hispanic or Latino): a person having origins in any of the original peoples of North or South America (including Central America), and who maintains tribal affiliation or community attachment.

Two or More Races (Not Hispanic or Latino): all persons who identify with more than one of the above five races.

TERMS & CONDITIONS

I have applied for employment at Stepping Stones, by completing an employment application form and/or submitting a resume. I understand that Stepping Stones' agents and employees may wish to contact my former employer(s) (as indicated on the application), and conduct investigative inquiries which include criminal, consumer, driving, education verification and other reports. These background inquiries include information as to character, work habits, education, performance and experience, along with reasons for termination of past employment from previous employers. In signing this WAIVER, I expressly authorize Stepping Stones' agents and employees to make these inquiries. I also authorize sources of information, including past employers, to release the information requested.

I hereby indicate my awareness that false statements or failures to disclose information requested by the application may be sufficient to disqualify me for employment, or if employed, may result in my dismissal. Therefore, I hereby certify that all information contained in this application is true and accurate. I acknowledge that Stepping Stones reserves the right to amend or modify its policies, in its employment handbook or elsewhere, at any time without prior notice. These policies do not create any promises or contractual obligations between Stepping Stones and its employees. If I am employed by Stepping Stones, such employment will be at-will. This means I am free to terminate my employment at any time, for any reason, with or without cause, and Stepping Stones retains the same rights. The Executive Director of Stepping Stones is the only person who may create an exception to employment at will, and such an exception must be in writing and signed by the Executive Director of Stepping Stones.

I understand my application will be considered active for a reasonable length of time. If I wish to be reconsidered for employment, I understand that I should inquire as to whether a new application is needed and/or if applications are being accepted at the time.

Applicant's Signature:(Required)

First Last

Date(Required)

MM slash DD slash YYYY