ARC Employment Application - Addictions Recovery Center

Personal Information

Date

Name

First

Last

Email

Home Phone

Cell Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

What position are you applying for?

Which shifts are you available?

Day
Evening
Night

If you are from outside the area, would you be willing to relocate?

Yes
No
Not Applicable

Date you are available to begin work?

Pay Expectation

Base Salary
Hourly Wage

Please indicate if you are seeking a base salary or hourly wage

Expected Salary or Wage

Careers at ARC Survey

Have you ever applied for employment with Addictions Recovery Center, Inc. before?

Yes
No

If "Yes", enter the MONTH and YEAR you applied:

If "Other":

Education History

School Information (required)

Name of School

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Course of Study

Number of Years Completed

Did you graduate?

Yes
No

Name of Degree (if applicable)

School Information (continued)

Type of school?

High School
College
Graduate
Business/Trade/Technical

Name of School

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Course of Study

Number of Years Completed

Did you graduate?

Yes
No

Name of Degree (if applicable)

School Information (continued)

Type of school?

High School
College
Graduate
Business/Trade/Technical

Name of School

School Address

Address Line 1

Address Line 2

City

State

Zip Code

Course of Study

Number of Years Completed

Did you graduate?

Yes
No

Name of Degree (if applicable)

Professional Memberships and Volunteer Experience

Please tell us about any professional memberships and volunteer experience you may have

Please exclude any which may disclose your race, ethnicity, religion, or national origin

Employment History

Please provide the following details from the last seven (7) years of your employment history. In addition, please upload a cover letter and resume before proceeding to the next section (pdf, doc, docx only). You must complete both the history and uploads before you will be able to submit your application.

Most Recent Employer

Company Name

Company Phone Number

Supervisor Name

May we contact your current supervisor?

Yes
No

Are you still with this employer?

Yes
No

Start of Employment

End of Employment

Job Title

Brief Description of Job Duties

Previous Employer

Company Name

Company Phone Number

Supervisor Name

Start of Employment

End of Employment

Job Title

Brief Description of Job Duties

Reason for leaving?

Previous Employer (continued)

Company Name

Company Phone Number

Supervisor Name

Start of Employment

End of Employment

Job Title

Brief Description of Job Duties

Reason for leaving?

Previous Employer (continued)

Company Name

Company Phone Number

Supervisor Name

Start of Employment

End of Employment

Job Title

Brief Description of Job Duties

Reason for leaving?

Upload Your Resume

Cover Letter Upload

Click or drag a file to this area to upload.

.pdf, .doc or .docx files only. 5mb maximum.

Resume Upload

Click or drag a file to this area to upload.

.pdf, .doc or .docx files only. 5mb maximum.

Licensures, Credentials and Other Certifications

Please list any licensures, credentials, and other certifications you may have

First Aid Certification?

Yes
No

If "Yes" select the date received

CPR Certification

Yes
No

If "Yes" select the date received

Food Handlers Certificate

Yes
No

If "Yes" select the date received

Skills, Qualifications & Additional Information

Please list any specialized skills (computer, software, etc.) you have developed from work or other experience

Please list any relevant qualifications you have developed from work or other experience

Please provide any additional information you feel is relevant towards your application for this position

Are you bilingual?

Please list all languages you

Professional References

Please provide three (3) professional references. You must include at least two (2) supervisors.

Reference One

Reference Name

First

Last

Relationship

Your Supervisor
Your Co-Worker

Phone Number

Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Two

Reference Name

First

Last

Relationship

Your Supervisor
Your Co-Worker

Phone Number

Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Three

Reference Name

First

Last

Relationship

Your Supervisor
Your Co-Worker

Phone Number

Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Applicant Consent to Reference Checking

Addictions Recovery Center, Inc. will check the references you provide as part of out hiring process. We will ask a series of questions about your background, work experience, character, education, and personality.

After reading this policy, please indicate your agreement by checking the box and entering your initials in the space provided

Voluntary Reference Consent

I voluntary consent to allow Addictions Recovery Center, Inc. to check my references. I understand that questions may be asked about my background, work experience, personality, personal habits and education.

Please enter your initials and click NEXT to proceed to the next section

Submit Application

Please read the following and check each of the accompanying boxes to acknowledge you have understood each point. You will not be able to submit your application without reading and checking the boxes.

Equal Opportunity Employment

I understand Addictions Recovery Center, Inc. is an equal opportunity employer. Further, I acknowledge Addictions Recovery Center, Inc. does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status, or unfavorable discharge from military service.

Employment Obligation Understanding

I acknowledge that neither the completion of this application nor any other part of the application process establishes any obligation for Addictions Recovery Center, Inc. to hire me. If I am hired, I understand that either Addictions Recovery Center, Inc or myself can terminate my employment at any time and for any reason, with or without cause and without prior notice. Further, I also understand that no representative of Addictions Recovery Center, Inc. has the authority to make any assurance to the contrary.

Declaration of Truthful Information and Consent for Employment Reference Checks

I attest that all information I have given on this application to Addictions Recovery Center, Inc. is true, and that no requested information has been concealed. Additionally, I authorize Addictions Recovery Center, Inc. to contact references provided for employment reference checks.

Personal Information

Careers at ARC Survey

Education History

School Information (required)

School Information (continued)

School Information (continued)

Professional Memberships and Volunteer Experience

Employment History

Most Recent Employer

Previous Employer

Previous Employer (continued)

Previous Employer (continued)

Upload Your Resume

Licensures, Credentials and Other Certifications

Skills, Qualifications & Additional Information

Professional References

Reference One

Reference Two

Reference Three

Applicant Consent to Reference Checking

After reading this policy, please indicate your agreement by checking the box and entering your initials in the space provided

Submit Application

Submit your application by clicking SUBMIT below