RMS Employment
Employment

Current Opportunities

Application

Employment Application


Please complete all sections of the application. You may attach additional information or a resume. Please exclude any references to your age, date of birth, race, color, sex, national origin, ancestry, disability, military status and political or religious affiliations.  Applicants under 18 must provide a copy of their work permit. Applicants for direct-care positions must be 18 years of age or older.



Personal Information


First Name *
Middle Name
Last Name *
Street Address *
City *
State *
v
Zip *
Home Phone *
Other Phone
Email *
Region you are applying to: *
v


Position


Position Desired *
Status *
v
Days/Hours Available
Previously employed by RMS? *
v
Are you authorized to work in the U.S.? *
v
How did you hear about RMS?


Residency


Have you lived in the state of Ohio for the past 5 consecutive years?
v
If no, list CITY, STATE, and PERIOD OF RESIDENCE for all residences over the past 5 years.


Job Related Questions


List any friends or relatives working for RMS
Do you know of any reason why you cannot perform the essential functions of the job for which you are applying, with or without reasonable accommodations?
Describe any accommodations(s) required


Education


High School

High School Name
High School Location (City, State)
Number of years attending High School?
+
-
Did you graduate High School?
v
Subjects/Majors
Degree/Certificate Received
GPA

College

College Name
College Location (City, State)
Number of years attending College?
+
-
Did you graduate College?
v
Subjects/Majors
Degree/Certificate Received
GPA

Additional College

Additional College Name
Additional College Location (City, State)
Number of years attending Additional College?
+
-
Did you graduate Additional College?
v
Subjects/Majors
Degree/Certificate Received
GPA

Technical School

Technical School Name
Technical School Location (City, State)
Number of years attending Technical School?
+
-
Did you graduate Technical School?
v
Subjects/Majors
Degree/Certificate Received
GPA

Additional Information

Additional education, training, skils, certificates or licenses that may apply to the position of interest


Employment History


Beginning with the most recent, list all employers from the past 10 years. Do not leave out any employers. Include relevant volunteer experience. Attach additional information if necessary. A resume cannot be substituted for a completed application.

Company
Type of Business
Title
Worked from
v
Worked to
v
Reason for Leaving
Street Address
City
State
v
Supervisor/Title
Phone
Starting rate of pay
Ending rate of pay
May we contact?
v
Job Duties


Company
Type of Business
Title
Worked from
v
Worked to
v
Reason for Leaving
Street Address
City
State
v
Supervisor/Title
Phone
Starting rate of pay
Ending rate of pay
May we contact?
v
Job Duties


Company
Type of Business
Title
Worked from
v
Worked to
v
Reason for Leaving
Street Address
City
State
v
Supervisor/Title
Phone
Starting rate of pay
Ending rate of pay
May we contact?
v
Job Duties


Company
Type of Business
Title
Worked from
v
Worked to
v
Reason for Leaving
Street Address
City
State
v
Supervisor/Title
Phone
Starting rate of pay
Ending rate of pay
May we contact?
v
Job Duties


References


Please provide 3 business references and 1 family member.

Name
Address
Phone
Years Known
Type
v
Name
Address
Phone
Years Known
Type
v
Name
Address
Phone
Years Known
Type
v
Name
Address
Phone
Years Known
Type
v


Supplemental Information



1. Do you have a Valid Driver's License?
v
2. List all auto accidents and moving violations from the past 3 years (Date, Location, Description):
3. Do you have your own means of transportation?
v
4. Do you have car insurance that meets Ohio’s minimum standards?
v
5. Have you ever been convicted of a misdemeanor or felony, other than a minor traffic offense? (NOTE: A “YES” answer will not automatically disqualify you as a candidate for employment. However, failure to disclose an offense may lead to automatic disqualification from consideration).
v
If Yes, Explain:


PLEASE READ THIS STATEMENT CAREFULLY


* I have read this Agreement and agree to the terms and conditions listed above.

Anti-Spam Measure *
Captcha image
Show another codeShow another code
 
Submit
* = required