We are an equal opportunity employer. We do not discriminate in hiring, promotion, or other employment decisions on the basis of race, sex, color, pregnancy, religion, disability, age, veteran status, sexual orientation, marital status or any other basis protected by law. Those applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the Human Resources Department.
Please do not complete this application until invited to do so by the family offering the position.
(Please list the most recent employer first)
(Rank each skill on a scale from 1-4: 1-never used, 2-somewhat familiar, 3-familiar, 4-proficient)
Employment is contingent upon an acceptable criminal record check, and that if a waiver is required, the waiver request is accepted by both the individual being supported or their guardian, and the State of NH.
Conviction information will not necessarily bar an applicant from employment. If you leave this space blank, you are certifying that you have no current record of conviction.
(Do not include relatives or previously listed supervisors)
NOTICE: PLEASE READ BEFORE SIGNING
I understand that this application will remain active for one year. If I have not heard from the Agency by the end of one year and still wish to be considered for employment, I will need to complete a new application.
By signing below, I acknowledge I have read, understood, and agree to the above Notice Section.