Employment Application

Thank you for your interest in SHINE Support Services. Please complete each applicable section of this application. Fields marked with an asterisk are required.

Position Information
Personal Information
You may leave this blank, but you must provide a SSN before beginning employment.
Contact Information
You may choose to complete all three driver's license fields or instead upload a clear copy of your driver's license.
Employment Eligibility and Background
Are you legally eligible to work in the United States? *
Are you at least 18 years old? *
Have you previously worked for SHINE? *
Have you ever been convicted of a crime other than a minor traffic violation? *
Do you have a relative employed by SHINE? *
Education and Training
Did you graduate from high school? *
Have you earned a GED? *
Employment History

Please begin with your most recent employer.

Employer 1

Employer 2

Employer 3

Professional References

Please provide three references who are not relatives.

Reference 1

Reference 2

Reference 3

Current Certifications and Physical Requirements
Are you willing to work with individuals who may exhibit challenging behaviors? *
Are you able to provide physical assistance when required? *
Can you perform the physical requirements of the position, with or without reasonable accommodation? *
Supporting Documents

Upload the documents that support your application. You may click a field to browse or drag files directly onto it.

Additional Information
Applicant Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in rejection of my application or termination of employment.