Employment Application Online Form

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Rainbow Acres has openings for Caregivers. The mission of a Caregiver is to provide excellent care for Ranchers in the Rancher homes at Rainbow Acres and to enhance their quality of life. A successful Caregiver will encourage Ranchers to maintain good health, hygiene, nutrition, money management, communication and community participation.  These are full-time, hourly wage-based positions offered in fixed week or weekend shifts. Salary is negotiable depending on education and experience.

Put your faith to work at Rainbow Acres! Successful applicants will enjoy benefits, rewarding work and good professional relationships. To apply, fill out and submit Rainbow’s online application below. Applications can also be mailed to the following address: Rainbow Acres Attn: Kelli Kowalski, 2120 W Reservation Loop Rd, Camp Verde, AZ  86322-8408.

Contact the Human Resources department at hr@rainbowacres.com with any questions concerning employment at Rainbow Acres and the application process.

Personal Information
Name*:
Address*:
City*:
State*:
Zip*:
Phone*:
Email*:
Social Security Number*:
Job Information
Position you are applying for:
Hours:  Part Time Full Time Temporary
Salary expectation:
Date available for work:
Personal Background
Submit Resume and/or Complete Education/Employment History below:
 
High School
Name:
Location (city and state):
Diploma?  Yes No
College (start with most recent):
Name:
Location (city and state):
Date of Graduation:
Major:
   
Name:
Location (city and state):
Date of Graduation:
Major:
   
Name:
Location (city and state):
Date of Graduation:
Major:
   
Specialized Training, Trade School, Etc.:
Name:
Location (city and state):
Date of Graduation/Certification:
Major/Specialty:
   
Name:
Location (city and state):
Date of Graduation/Certification:
Major/Specialty:
   
Name:
Location (city and state):
Date of Graduation/Certification:
Major/Specialty:
   
Military Experience:
Have you ever served in the U.S. Armed Forces?  Yes No
Volunteer Experience:
Have you ever worked as a volunteer?  Yes No
With whom?
From:
To:
Briefly describe your responsibilities during your volunteer service.
Faith Experience:
Are you a member of a:  Christian Church Temple Mosque Other
Have you ever worked for a Christian ministry?  Yes No
Briefly Describe your faith journey.
Employment History (start with most recent)
Employer:
Job Title:
From:
To:
Supervisor's Name:
Address:
City:
State:
Zip:
Phone:
Reason for leaving:
 
Duties:
 
Employer:
Job Title:
From:
To:
Supervisor's Name:
Address:
City:
State:
Zip:
Phone:
Reason for leaving:
 
Duties:
 
Employer:
Job Title:
From:
To:
Supervisor's Name:
Address:
City:
State:
Zip:
Phone:
Reason for leaving:
 
Duties:
 
Additional Information
Are you legally authorized to work in the United States? Yes No
Are you at least 18 years of age?  Yes No
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?  Yes No
Please describe any accommodations required:
 
Are you able to qualify for a Level 1 Fingerprint Card through the state of AZ?*  Yes No

*If you currently do not qualify for a Level 1 Fingerprint card please explain. A no response does not necessarily disqualify your application.

 
Have you previously applied for employment with Rainbow Acres?  Yes No
Have you previously been employed at Rainbow Acres?  Yes No
Are you fluent in any languages other than English?  Yes No
If Yes, which language(s) do you speak?
 
What experience do you have working with individuals with developmental disabilities?
 
What special training or education do you have related to working with adults with developmental disabilities?
 
Why do you want to work with adults with developmental disabilities at this time?
How did you hear about this position?
 
References (This section must be filled out completely.)
Current Employer Reference
Supervisor Name:
Company/Organization:
Company/Organization Address:
Company/Organization City:
Company/Organization State:
Company/Organization Zip:
Telephone number where Reference is best reached:
Email where reference is best reached:
Previous Employer Reference
Supervisor Name:
Company/Organization:
Company/Organization Address:
Company/Organization City:
Company/Organization State:
Company/Organization Zip:
Telephone number where Reference is best reached:
Email where reference is best reached:
Personal References
Name:
Relationship:
City:
State:
Zip:
Telephone number where reference is best reached:
Email where reference is best reached:
   
Name:
Relationship:
City:
State:
Zip:
Telephone number where reference is best reached:
Email where reference is best reached:
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Terms and Conditions of Application

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

This application does not constitute an agreement for contract for employment for any specified period or definite duration.  I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

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

I understand that should I be employed at Rainbow Acres, I will be required to read, understand and sign the Rainbow Acres Code of Ethics.

It is the policy of Rainbow Acres that three days before starting employment, the prospective employee undergo a TB test. Any failure to take the test at scheduled times may disqualify the applicant.

Rainbow Acres requires pre-employment drug screening. If you are asked to come in for an interview, you will be required to read and sign the Rainbow Acres Drug Free Workplace Policy, and may have to submit to drug testing pending the outcome of your interview.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.  I waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives for seeking, gathering and using truthful and non-defamatory information in a lawful manner. I further waive any and all claims with regard to the employment process and as to all other persons, corporations or organizations for furnishing such information about me. If you are asked to come in for an interview, you will be required to read and sign the Rainbow Acres Employment Verification Authorization

 BY CHECKING THIS BOX AND SUBMITTING THIS FORM, I HEREBY CERTIFY THAT I HAVE READ AND UNDERSTAND AND AGREE WITH THE TERMS AND CONDITIONS OF THE RAINBOW ACRES EMPLOYMENT APPLICATION.