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Home
What We Do
Employment Services
Village Experience Learning Center
General
Class Registration
Class Gift Certificates
Residential Supported Living
Village Music and Arts
How Do I?
VCS Events
Activities & Events
Snohomish County Experience Newsletter “Virtual Edition”
Village Gala
Support VCS
Ways to Support VCS
Gratitude
Printables
Working at VCS
Employment Opportunities
Employee Page
About VCS
VCS News
Board & Executive Management
Mission, Vision, Goals and What We Do
Contact Us
Community Room Rental
Apply Online
Step 1 of 5
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What position are you applying for?
Residential Support Specialist
Residential Support Specialist Float
Residential Support Specialist Graveyard
Positive Behavioral Support Specialist
Positive Behavioral Support Specialist Graveyard
Independent Living Specialist
Employment Specialist
Other (Enter position title below)
Other position applying for:
How did you learn about our job opening?
Indeed
Worksource/Monster
Employee Referral
Friend
VCS Website
Facebook or other social media
Job Fair
Sign posted
Walk-in
Craigslist
None of the above/other
Name
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone
Alternate Phone
Email
Have you ever filed an application with VCS before?
Yes
No
Have you ever been employed with VCS before?
Yes
No
Do any of your friends or relatives work for VCS?
Yes
No
If YES, please provide name:
Are you currently employed?
Yes
No
May we contact your present employer?
Yes
No
Are you legally authorized to accept employment in the US?
Yes
No
Proof of citizenship or immigration status will be required upon employment.
Date available for work
What is your desired salary range?
Per
---
Hour
Month
Year
Are you available to work: (select one or more)
Full time
Part time
On Call/Relief
Temporary
Please indicate preferences: (select one or more)
Mornings
Afternoons
Evenings
Graveyard/Overnight
Weekends
Describe any particular information about the position you desire.
Notice to Applicants:
DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner, with or without reasonable accommodation, the activities involved in the job or occupation for which you have applied? Leave blank if you have not yet reviewed the job description.
Yes
No
EDUCATION
Do you have a High School Diploma or GED?
Yes
No
High School
City
Subjects Studied
Number of Years Completed
Diploma or Degree
College
City
Subjects Studied
Number of Years Completed
Diploma or Degree
Grad or Prof
City
Subjects Studied
Number of Years Completed
Diploma or Degree
Other
City
Subjects Studied
Number of Years Completed
Certification Received
WORK EXPERIENCE
Start with your present or last job; include any job-related military service assignments and volunteer activities. (You may exclude organizations, which may indicate race, color, religion, gender, national origin, disabilities or other protected status.)
Current or most recent job:
Job title
Organization
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor
Worked from
Worked to
Reason for leaving
May we contact?
Yes
No
Job prior to one listed above:
Job title
Organization
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor
Worked from
Worked to
Reason for leaving
May we contact?
Yes
No
Job prior to one listed above:
Job title
Organization
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor
Worked from
Worked to
Reason for leaving
May we contact?
Yes
No
Describe any specialized training, experience, apprenticeship, skills and extra-curricular activities:
Describe any specialized training, experience, apprenticeship, skills and extra-curricular activities:
List professional, trade, business or civic activities and offices held:
Additional information:
PERSONAL / PROFESSIONAL REFERENCES
Reference 1
Name
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Occupation
Phone
Reference 2
Name
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Occupation
Phone
Reference 3
Name
First
Last
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Occupation
Phone
DECLARATIONS AND ACKNOWLEDGMENTS
I understand that the receipt of this application does not imply that I will be employed.
Yes
No
I declare that all statements and answers in this application are true and complete and agree that any untrue or misleading answer, omission concealment or failure to answer any question fully, completely and accurately will be grounds for terminating my employment, regardless of when it is discovered.
Yes
No
I authorize Village Community Services (VCS) or an agent of VCS to investigate my references, to review my former employment record and to keep and preserve records of such investigations. Additionally, I release VCS and all other parties from liability for any damage that may result from, or is related to, the furnishing of information to Village Community Services.
Yes
No
If employed, I agree to read and comply with Company rules, regulations and policies.
Yes
No
If employed, I agree that upon termination of employment, I will return all agency property and records in my possession.
Yes
No
The following user information is saved upon form submission: Remote Computer Name, Browser type, Username.
This information is not used for any purpose other than to track those who choose to submit forms for illegitimate reasons.