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Take the first step toward a meaningful career at Community Living Association. We offer competitive pay, full benefits, and the chance to change lives every day.

Full

Benefits at 28hrs/wk

403b

Retirement Match

Paid

Training Provided

Sign-on

Bonus Available

Fill out the form below to apply for a position at CLA. All fields marked with * are required. Our Human Resources department will review your application and be in touch.

Personal Information

First Name *

Last Name *

Address *

City *

State *

Zip *

Home Phone

Cell Phone *

Email Address *

Are you 18 years of age or older? *

Yes No

Are you legally authorized to work in the United States? *

Yes No

Do you have your high school diploma or GED? *

Yes No

Do you have a family member currently working at CLA or on the CLA Board of Directors? *

Yes No

Have you previously worked for CLA? *

Yes No

If yes, start date

If yes, end date

Position Information

Position Applied For

Date Available

Desired Salary/Wage

Employment Type

Full-time Part-time Either

Shift Preference

Days Evenings Overnights Flexible

How did you hear about us?

If referred by employee, name:

Education

High School Name

City/State

Did you graduate?

Yes No

Degree/Diploma

College/University Name

City/State

Did you graduate?

Yes No

Degree/Major

Employment History

Previous Employer 1

Company Name

Phone Number

Address

Supervisor Name

Job Title

Starting Salary

Ending Salary

Start Date

End Date

Responsibilities

Reason for Leaving

Previous Employer 2

Company Name

Phone Number

Address

Supervisor Name

Job Title

Starting Salary

Ending Salary

Start Date

End Date

Responsibilities

Reason for Leaving

Previous Employer 3

Company Name

Phone Number

Address

Supervisor Name

Job Title

Starting Salary

Ending Salary

Start Date

End Date

Responsibilities

Reason for Leaving

References

Please provide three professional references.

Reference 1

Full Name

Relationship

Company

Phone

Reference 2

Full Name

Relationship

Company

Phone

Reference 3

Full Name

Relationship

Company

Phone

Additional Information

Have you ever been convicted of a crime? *

Yes No

If yes, please explain:

Do you have a valid Maine driver's license? *

Yes No

Driver's License Number

Do you have reliable transportation? *

Yes No

Are you able to perform the essential functions of the job with or without reasonable accommodation? *

Yes No

Additional comments or information

Certification and Signature

I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize CLA to investigate my employment history, references, education and experience. I authorize CLA to conduct a criminal background, department of motor vehicle, child protective services and adult protective services checks; should I be offered a position at CLA.

I agree to the above certification statement. *

Electronic Signature (type your full name) *

Date