In-Home Family Specialists

Job Code: 574378 Location: Bronx, 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 18YRS OF AGE OR OLDER? *

Yes
No

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

Yes
No

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

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

Yes
No

7. WHAT DAYS ARE YOU AVAILABLE TO WORK 3:30PM TO 7:30PM? *

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

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