Quality Assurance / Quality Improvement Specialists (Social Services)

Job Code: 1540200 Location: Westchester County, NY

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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. DO YOU HAVE SOCIAL SERVICES EXPERIENCE? *

Yes
No

5. WHAT IS THE HIGHEST LEVEL OF EDUCATION YOU HAVE ATTAINED? *

6. DO YOU HAVE ANY MANAGEMENT EXPERIENCE? *

Yes
No

7. IF SO, PLEASE DESCRIBE.

8. WHAT DAYS AND HOURS ARE YOU AVAILABLE? *

9. A NYS DRIVER'S LICENSE IS REQUIRED FOR SOME POSITIONS. DO YOU POSSESS A VALID DRIVER'S LICENSE? *

Yes
No

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

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