Asst Supervisors (Residential)

Job Code: 1402552 Location: Manhattan

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* FIRST NAME	M.I.	* LAST NAME

* HOME PHONE (xxx)xxx-xxxx	WORK PHONE (xxx)xxx-xxxx

* EMAIL

* ADDRESS

* CITY	* STATE/PROVINCE	* POSTAL CODE

* COUNTRY

1. HAVE YOU EVER BEEN AN EMPLOYEE OF YAI/NIPD BEFORE? *

Yes
No

2. IF YES, PLEASE INDICATE WHEN, THE NAME OF THE PROGRAM AND THE NAME OF YOUR SUPERVISOR.

3. ARE YOU LEGALLY EMPLOYABLE UNDER U.S. IMMIGRATION LAWS? (PROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT). *

Yes
No

4. IF NO, PLEASE INDICATE IMMIGRATION STATUS

5. ARE YOU OPEN TO WORKING A 2PM-10PM SHIFT? *

Yes
No

6. ARE YOU OPEN TO WORKING 4 DAYS A WEEK AND 1 WEEKEND EVENING? *

Yes
No

7. DO YOU HAVE SOCIAL SERVICE EXPERIENCE? *

Yes
No

8. DO YOU HAVE SUPERVISORY EXPERIENCE? *

Yes
No

9. PLEASE DETAIL THE NATURE OF YOUR EXPERIENCE. *

10. WHAT ARE YOUR SALARY REQUIREMENTS (PLEASE PUT IN A SPECIFIC DOLLAR AMOUNT)? *

* PLEASE PASTE A COPY OF YOUR RESUME OR PROFILE BELOW.