Application for Employment

Make a profound difference in someone’s life, the community and society. Become part of our team that has been providing hope, passion and purpose to individuals with intellectual and other developmental disabilities, and their families, since 1951.

Shore Community Services, Inc. is an Equal Opportunity Employer. It does not discriminate because of age, color, disability, marital status, national origin or ancestry, race, religion, sex, sexual orientation, an unfavorable discharge from military service or any other characteristic protected by federal, state or local law.

If you have any questions about available positions, please email us.

General Application Form

Position(s) Applying for

First Name

Last Name

Phone Number

Education/Training

All applicants are required to have at a minimum (based on position) a high school diploma or GED from the US or an US Equivalency Evaluation report. It is the applicant's responsibility to provide the diploma, GED certificate or DHS approved US Equivalency Evaluation report. Applicants who completed College/University are required to provide the US diploma or an US Equivalency accreditation for postsecondary institutions.

High School

Year Graduated

College/University

Year Graduated

Other

Year Graduated

Working Considerations

Some positions require you to be at least 21 years of age. Are you at least 21 years of age?

Yes No

Do you have a valid Illinois Driver’s License?

Yes No

Have you previously been employed with Shore Community Services?

Yes No

Certifications

CPR/First Aid

Yes No

CPI or Safety Care

Yes No

DSP Training

Yes No

QIDP Training

Yes No

Job History

Please attach resume below and include the following informations:

Employer
Job Title
Dates Employed
Address
Phone Number
Reason for Leaving
Supervisor Name
Did you have supervisory duties

Resume

Addition Information (Optional)

Please read the following carefully and initial each paragraph.

Authorization

I hereby authorize Shore Community Services, Inc. (SCS) to thoroughly investigate my references, work records, education, criminal record (including finger printing) and other matters related to my suitability for employment and, further, authorize my current and former employers to disclose to SCS any and all letters, reports, and other information pertaining to my employment with them, without giving me prior notice of such disclosure. In addition, I hereby release SCS, my current and former employers, and all other persons, corporations, partnerships, and association from any and all claims, demands, and liabilities arising out of or in any way related to such investigation or disclosure.

Understanding

I understand that nothing contained in the application or conveyed to me during any interview that may be granted is intended to create an employment contract, implied or explicit, between me and SCS. I understand that the offer of employment can only be made by the Director or her/his designee. In addition, I understand and agree that if I am employed; my employment relationship with SCS is strictly voluntary and at our mutual will. I understand that if employed, my employment is for no definite period and may be terminated at anytime, with or without prior notice, with or without cause or reason, at the option of either myself or SCS and that no promises or representations contrary to the foregoing are binding on SCS unless made in writing and signed jointly by SCS’s Director and myself.

Signature

My signature below certifies that I have read and understand this complete page and agree to the terms and conditions outlined in this document. I further understand that I may need to complete additional applications if asked to do so.

Date

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