Modern Support Services California

Join Our Team - California

At Modern Support Services, our philosophies integrate the concepts of: Person-Centered Thinking, Universal Enhancement, and Emotional Intelligence to cultivate an environment in which we uphold: integrity, inclusivity, warmth, consideration, and compassion for all people. Our agency is seeking team members who demonstrate: openness, flexibility, commitment, relatability, self-initiative, creativity, reliability, effective communication, willingness, and an ability to be adaptable with change.

If you have any questions regarding the application or would like to know more about our openings, please inquire from within via (818) 244-2677 ext. 0 or info@modernsupportservices.org

Should you be interested in applying, please complete the information below to get started:

An Equal Opportunity Employer

Date *

Last Name *

First Name *

Middle Name

Present Address

No. & Street *

City *

State *

Zip Code *

Preferred Phone *

Home Phone *

How long have you resided at your present address?

Email Address *

If less than five (5) years, please provide prior address which preceded your current address

No. & Street

City

State

Zip Code

Permanent Address

No. & Street

City

State

Zip Code

Employment Desired

Position applying for: *

Personal Information

How did you hear about our company and this job opening? *

Have you ever applied to or worked for Modern Support Services before? *YesNo

If yes, when?

Why are you applying for work at Modern Support Services? *

Employment Application

If hired, would you have a reliable means of transportation to and from work? *YesNo

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.) *YesNo

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation? *YesNo

If no, describe the functions that cannot be performed.
(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, or morale, or if doing so could create conflicts of interest.

What is your interest in working in this field?*

How will your skills improve the quality of life of our Support Recipients?*

What will you contribute to Modern Support Services?*

Give one specific example of an event/occurrence that you are proud of in which you helped someone.*

What are 3 things you should do when providing support to someone?*

Name 5-10 things that you value in your life (i.e. going out, hiking, music, etc.)*

Education, Training, and Experience

High School

Name *

No. of Years Completed *

Did you Graduate? *YesNo

Degree or Diploma *

Address *

City *

State *

Zip Code *

College/University

Name

No. of Years Completed

Did you Graduate? YesNo

Degree or Diploma

Address

City

State

Zip Code

Vocational/Business

Name

No. of Years Completed

Did you Graduate? YesNo

Degree or Diploma

Address

City

State

Zip Code

Health Care Training

Name

No. of Years Completed

Did you Graduate? YesNo

Degree or Diploma

Address

City

State

Zip Code

Employment History

List below all present and past employment starting with your most recent employer (last five years is sufficient). You must complete this section even if attaching a resume.

Current Employer ? *YesNo

Name of Employer

Phone Number

Type of Business

Your Supervisor's Name

Address

City

State

Zip Code

Dates of Employment:

From

Your Position and Duties

Reason for Leaving

May we contact this employer for a reference? YesNo

References

List below three persons not related to you who have knowledge of your work performance within the last three years.

Reference

First Name

Last Name

Phone Number

Address

City

State

Zip Code

Occupation

No. of Years Acquainted

Reference

First Name

Last Name

Phone Number

Address

City

State

Zip Code

Occupation

No. of Years Acquainted

Reference

First Name

Last Name

Phone Number

Address

City

State

Zip Code

Occupation

No. of Years Acquainted

Please Read Carefully, Initial Each Paragraph and Sign Below

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure mployment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery

I hereby authorize Modern Support Services to horoughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my mployment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

The company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local "Fair Chance" laws.

Date *

Upload Resume *

Signature *

Join Our Team - California

An Equal Opportunity Employer

Present Address

If less than five (5) years, please provide prior address which preceded your current address

Permanent Address

Employment Desired

Personal Information

Employment Application

Education, Training, and Experience

High School

College/University

Vocational/Business

Health Care Training

Employment History

Dates of Employment:

References

Reference

Reference

Reference

Please Read Carefully, Initial Each Paragraph and Sign Below

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