Apply for Residential Re-Entry Monitor

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required. . It is important that you complete the application in full. An incomplete application may disqualify you from further consideration.

Summary
Title:Residential Re-Entry Monitor
ID:3000
Notes:N/A
Starting Pay:$11.83 Hourly + $4.41 Hourly Fringe Pay
Location:Fort Worth, TX
2nd Location:N/A
Classification:Full-Time Hourly
Work Schedule:40 hours/varies
Contact Information
* First Name:
Middle Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Primary Phone #:
2nd Phone Number:
* Email:
Application Information
Source:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
VOA Texas Application for Employment
Please answer all questions and complete all sections. Incomplete applications will not be considered.
Employment Application

Note: You must fully complete the application form below whether or not you have submitted a resume and/or cover letter.

GENERAL INFORMATION
* Employment Type Desired: Check all that apply.:
  
  
* Employment Times Available: Check all that apply.:
  
  
  
* Are you at least 18 years of age?:
Yes   No
* Do you have the legal right to work in the United States?:
Yes   No
(Proof of citizenship or immigration status will be required upon employment.)

* Have you ever been convicted of a felony or a misdemeanor?:
Yes   No
If Yes, please explain giving date, felony or misdemeanor, and offense.:
* Do you have any criminal charges currently pending?:
Yes   No
* Are you currently on parole or probation, including deferred adjudication or pre-trial diversion?:
Yes   No
If Yes, please explain.:
* Have you ever served in the United States Military Service?:
Yes   No
Branch of Service:
Type of Discharge:
* Are you related to a current VOATX employee?:
Yes   No
If Yes, please list:
* Have you ever been employed, or are you currently employed, by Volunteers of America Texas?:
Yes   No   Currently
Where?:
When?:
Note: If you are currently employed at VOATX, your supervisor may be contacted.

* Have you ever applied to Volunteers of America Texas?:
Yes   No
Where?:
When?:
If currently employed, may we contact your present employer?:
Yes   No
* How did you learn about this position?:
Please specify here:

EDUCATION
Verification of Diplomas, Degrees, and Licenses must be provided prior to employment.

Type of
School
Name of
School
Location
(City,State)
Graduated? Degree
Diploma
Type
Major Course
of Study
High School
Yes   No
College or
University
Yes   No
Business or
Trade School
Yes   No
Other
Yes   No
Other
Yes   No

Licenses/Certificates Held
License/Certificate Issuing Agency Number Expiration Date

Please briefly describe any specialized training/workshops, apprenticeships, skills or extra-curricular activites you feel may be helpful to us in considering your application.:

Please list any languages other than English that you can speak, read, and/or write.:

REFERENCES List 3 persons who know you well (Not relatives or employers).

Name Email Address Day
Phone Number
Relationship Years
Known

EMPLOYMENT HISTORY
Beginning with your present or last job, please give your complete employment history up to 15 years if applicable. Please include job related military service or volunteer work. This section must be completed even if a resume is attached.

Current or Last Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name
*
*
*

*
Job Title Brief List of Duties Rate of Pay Reason for Leaving
*


Previous Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name
*
*
*

Job Title Brief List of Duties Rate of Pay Reason for Leaving
*
*


Previous Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name

Job Title Brief List of Duties Rate of Pay Reason for Leaving


Previous Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name

Job Title Brief List of Duties Rate of Pay Reason for Leaving


Previous Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name

Job Title Brief List of Duties Rate of Pay Reason for Leaving


Previous Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name

Job Title Brief List of Duties Rate of Pay Reason for Leaving


Previous Employer

Employer Name City,State Phone # From/To (MO/YR) Supervisor Name

Job Title Brief List of Duties Rate of Pay Reason for Leaving

Please explain any gaps of employment with a duration of more than 3 months:
COMMENTS:
Use this section to add information, if necessary, about your work experiences:

APPLICANT STATEMENT
I certify that all information I have provided in order to apply for and secure work with Volunteers of America Texas is true, complete and correct.

I expressly authorize Volunteers of America Texas, its employees or agents to contact and obtain information from all references (personal and professional), present and former employers, public agencies, licensing authorities and education institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Volunteers of America Texas, its agents or employees for seeking, gathering and using information in the employment process and all other persons and entities furnishing such information about me.

I understand that this application remains current for only 90 days.

I understand that Texas is an ‘at will’ state. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and Volunteers of America Texas reserves the same right to terminate my employment at any time, with or without cause or prior notice, except as may be required by law. Neither this application, nor any letter, nor any statement by a VOA employee will constitute an agreement or contract for employment of any kind. I understand that no supervisor or employee of Volunteers of America Texas is authorized to make any assurances or agreements contrary to the foregoing express language. This policy may only be changed by a written contract signed by you and the president of Volunteers of America Texas.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.


VOLUNTEERS OF AMERICA TEXAS CONDUCTS DRUG SCREENINGS.


DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.


* I certify that I have read, fully understand, and accept all terms of the foregoing Applicant Statement.:
Yes


* Please print full name as your electronic signature:

1. Questions About You
Please complete the following questions so that we may learn more about you, your background, and your abilities.
* Are you aware of any situation that may create a conflict of interest if you were employed by Volunteers of America Texas?
Yes
No
If yes, please explain:
* Do you have a current, valid driver's license? If offered employment with Volunteers of America Texas, you will be required to obtain a driver's license prior to start date.
Yes
No
* Are you able to work flexible schedules, including evenings and weekends, if required?:
Yes
No
* Select the answer that describes the best time that we can reach you?:
Mornings, before noon
Afternoons, between 12:00pm and 5:00pm
Evenings, after 5:00pm
Weekends
Anytime
* What is your highest level of completed education?:
Some high school but no diploma or GED
High School Diploma or GED equivalent
Associates Degree
Bachelors Degree
Master’s Degree
Education above a Master’s Degree
* If offered employment with Volunteers of America Texas, how much notice do you need to provide your current employer?:
Available immediately
1 week
2 weeks
More than 2 weeks
* What is your skill level with Microsoft Office programs? (Word, Excel, PowerPoint):
1: Beginner
2: Advanced Beginner
3: Competent
4: Proficient
5: Expert
* Have you ever been excluded, suspended or debarred from, or otherwise been declared ineligible to participate in the Medicare, Medicaid or any other federally funded health care program?
Yes
No
Voluntary Self-Identification of Disability CC-305
Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 01/31/2017

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:
  • Blindness
  • Autism
  • Bipolar disorder
  • Post-traumatic stress disorder (PTSD)
  • Deafness
  • Cerebral palsy
  • Major depression
  • Obsessive compulsive disorder
  • Cancer
  • HIV/AIDS
  • Multiple sclerosis (MS)
  • Impairments requiring the use of a wheelchair
  • Diabetes
  • Epilepsy
  • Schizophrenia
  • Muscular dystrophy
  • Missing limbs or partially missing limbs
  • Intellectual disability (previously called mental retardation)

* Please check one of the boxes below:
YES, I HAVE A DISABILITY (or previously had a disability)
NO, I DON'T HAVE A DISABILITY
I DON'T WISH TO ANSWER

* Signature (type name):* Date:

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.

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