Current CAPC, Inc. Job Openings: DIRECT SUPPORT PROFESSIONAL Apply Now Job Description (PDF) SERVICE TEAM COORDINATOR (NEW!) Apply Now Job Description (PDF) CAPC, INC. JOB APPLICATION Job Application "*" indicates required fields Step 1 of 5 20% Here at CAPC we provide the following support to adults with disabilities: - Assist with professional development including on-the-job training. (Ex. Teach job skills like clerical, janitorial, customer service, etc.) - Assistance in learning life skills (Ex. Bill paying, grocery shopping, street safety, etc.) - Help develop social/recreational experiences. (Ex. Utilize community resources, movies, bowling, working out, Self-Advocacy meetings, etc.) - Help in the pursuit of academic interests. (Ex. Take an individual to a college class, sit-in the classroom as a shadow and support, etc.) Select The Job You Are Applying ForSelect Job:* Direct Support Professional - Community Advocate - Full Time (30-39 hrs/week) Direct Support Professional - Community Advocate - Part Time (14-29 hrs/week) Service Team Coordinator Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying?* Yes No Do you meet the requirements of the Direct Support Professional - Community Advocate Job Position?* I have a High School Diploma or GED I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work I have current auto insurance on that vehicle I have current auto registration on that vehicle Do you meet the requirements of the Direct Support Professional - Community Advocate (On Call) Position?* Available to weekdays 2 PM to 10 PM and a rotating weekend shift 6 AM to 2 PM or 2PM to 10 PM I have a High School Diploma or GED I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work I have current auto registration/ insurance on that vehicle Do you meet the requirements of the Case Manager Job Position?* Available 4 days per week Mon-Fri 7:30 AM to 4:30 PM with 1 day per week wither 2 PM to 10 PM or a weekend shift 6 AM to 2 PM or 2PM to 10 PM Experience in the Human Services field I have a High School Diploma or GED I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work Available weekdays 2 p.m.-10 p.m. with 1 day per week wither 2 PM to 10 PM or a weekend shift 6 AM to 2 PM or 2PM to 10 PM I have current auto registration on that vehicle This field is hidden when viewing the formDo you meet the requirements of the Training and Developmental Services Director Job Position?* Experience in the Human Services field I have a High School Diploma or GED I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work I have current auto insurance on that vehicle I have current auto registration on that vehicle This field is hidden when viewing the formDo you meet the requirements of the Director of Services Job Position?* B.A/B.S. or Equivalent experience I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work I have current auto insurance on that vehicle I have current auto registration on that vehicle Do you meet the requirements of the Human Resources Generalist Job Position?* 3 Years Human Resources Experience 1 Year Payroll Experience I have a High School Diploma or GED I have a valid CA Drivers License Do you meet the requirements of the Service Team Coordinator Position?* I have.a High School Diploma or GED I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work I have current auto insurance on that vehicle I have current auto registration on that vehicle Do you meet the requirements of the Personal Assistant Job Position?* I have a valid CA Drivers License I have a safe and reliable vehicle which I can use for work I have current auto insurance on that vehicle I have current auto registration on that vehicle Do you meet the requirements of the Overnight Support Staff Position?* I am available from 10 p.m. - 6 a.m. several nights of the week Personal InformationName* First Last Best Phone Number to reach you at:*Email* Current Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Length of time you have resided at this address?*Do you speak, write, or read languages in addition to English?* Yes No How did you hear about our company? List name if any.Previous EmploymentHave you ever applied to CAPC, Inc before?* Yes No If yes, what year did you applyRecord of Present/Previous Employment: (How many jobs have you had)* 0 3 1 4 2 Have you ever been terminated or asked to resign from any job?* Yes No If yes, please explain circumstancesEmployer #1Company Name of Employer #1:*Your Title from Employer #1:*Name of Supervisor for Employer #1:* First Last Phone Number for Employer #1:*May we contact Employer #1?* Yes No Please Explain*Start Date of Employer #1:* MM slash DD slash YYYY End date of Employer #1:* MM slash DD slash YYYY Reason For Leaving Employer #1:*Employer #2Company Name of Employer #2:*Your Title from Employer 2:*Name of Supervisor for Employer #2:* First Last Phone Number for Employer #2:*May we contact Employer #2?* Yes No Please Explain*Start Date of Employer #2:* MM slash DD slash YYYY End date of Employer #2:* MM slash DD slash YYYY Reason For Leaving Employer #2:*Employer #3Company Name of Employer #3:*Your Title from Employer #3:*Name of Supervisor for Employer #3:* First Last Phone Number for Employer #3:*May we contact Employer #3* Yes No Please Explain*Start Date of Employer #3:* MM slash DD slash YYYY End date of Employer #3:* MM slash DD slash YYYY Reason For Leaving Employer #3:*Employer #4Company Name of Employer #4:*Your Title from Employer #4:*Name of Supervisor for Employer #4:* First Last Phone Number for Employer #4:*May we contact Employer #4* Yes No Please Explain*Start Date of Employer #4:* MM slash DD slash YYYY End date of Employer #4:* MM slash DD slash YYYY Reason For Leaving Employer #4:* CAPC, Inc. provides support 7 days a week, 24 hours a day. It's possible we have an open position that fits your scheduling needs. Shifts AvailableTell us your ideal work schedule.Morning Shift: 6 a.m. - 2 p.m. Monday Tuesday Wednesday Thursday Friday Saturday Sunday * If part time, limited hours will be discussed furtherMorning Shift 8 a.m - 5 p.m. Monday Tuesday Wednesday Thursday Friday Saturday Sunday * If part time, limited hours will be discussed furtherMid Day Shift: 2p.m. - 10 p.m. Monday Tuesday Wednesday Thursday Friday Saturday Sunday * If part time, limited hours will be discussed furtherOvernight Shift 10 p.m. - 6 a.m. Monday Tuesday Wednesday Thursday Friday Saturday Sunday * If part time, limited hours will be discussed furtherTransportationIf hired can you furnish proof that you are over 18 years of age?* Yes No Do you have a valid California Driver's License?* Yes No Do you have a safe and reliable vehicle you can use for work?* Yes No Do you have current auto insurance on that vehicle?* Yes No Do you have current vehicle registration on that vehicle?* Yes No Do you have less than 2 violations on your driving record?* Yes No EducationPlease select your highest level of Education* High School Diploma/ G.E.D. College or University Graduate or Professional Trade School Name of High School or G.E.D. program:*City of High School or G.E.D program:*Diploma Received?* Yes No Describe specialized training, experience, skills, and extra curricular activities:Name of College or University:*City of College or University:*Course of study or major:*Diploma or Degree Received?* Yes No Describe specialized training, experience, skills, and extra curricular activities:*Name of Graduate or Professional School:*City of Graduate or Professional School:*Course of study or major:*Diploma or Degree Received?* Yes No Describe specialized training, experience, skills, and extra curricular activities:*Name of Trade School:*City of Trade School*Course of study or major:*Certificate Received?* Yes No Describe specialized training, experience, skills, and extra curricular activities:*Professional ReferencesPlease list two Professional References (i.e. Teacher, Pastor, or colleague) and their contact information. Reference #1 Name:*Reference #1 Affiliation:Reference #1 Phone:Reference #2 Name:*Reference #2 Affiliation:Reference #2 Phone: Further QuestionsDescribe any additional specialized training, experience, skills, and extra curricular activities:*Upload Resume:Max. file size: 32 MB.Terms & AgreementAPPLICANT'S STATEMENT & AGREEMENT*1. In the event of my employment in a position with CAPC, Inc. (the “Company”), I will comply with all rules and regulations of this Company. I understand that the Company may require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I also understand that any offer of employment may be contingent upon the passing of a physical examination and background check. I consent to the disclosure of the results of any physical examination and related tests to the Company. I also understand that I may be required to take other tests such as personality and honesty tests, prior to and during my employment. I understand that should I decline to sign this consent or take any of the above tests, my application for employment may be rejected or my employment may be terminated. 2. I further understand that the Company may obtain Public Records about me as part of a background investigation. 3. I further understand that the Company may contact my previous employers. I authorize those employers to disclose to the Company all records and information pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment, I hereby waive any rights or claims I have or may have against my former employers, their agents, employees, and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. I authorize the persons named herein as personal references to provide the Company with any pertinent information they may have regarding myself. I also authorize the Company to use social media and other internet resources as part of the pre-employment screening process to the extent permitted by law. 4. I hereby state that all the information that I have provided on this application or any other documents completed in connection with my employment, and in any interview, is true and accurate. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any information provided to the Company is found to be false or incomplete in any respect, I may be dismissed. I understand if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard. 5. I agree that, if hired, my employment shall not be for any specific duration and either the Company or I may terminate my employment relationship at any time, with or without cause and/or with or without prior notice. This express at-will acknowledgement supersedes any and all prior representations or understandings, whether written or oral, express or implied, between the Company and me. 6. If any term or provision, or portion of this Agreement is declared void or unenforceable it shall be severed and the remainder of this Agreement shall be enforceable. DO NOT PROCEED UNTIL YOU HAVE READ THE ABOVE STATEMENT & AGREEMENT. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK A COMPANY REPRESENTATIVE BEFORE SIGNING. BY CHECKING THIS BOX, I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND AND AGREE TO THE SAME. VERIFICATION*I CERTIFY THAT ALL INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION (INCLUDING ATTACHED FORMS, IF ANY) IS TRUE AND ACCURATE. AGREE CommentsThis field is for validation purposes and should be left unchanged. CAPC’s Mission To empower individuals with disabilities to maximize the quality of their lives in their home communities.
