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BellaVia Villages Interview Form
We would like to get to know you, your strengths and the experiences that you might bring to our team!
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Email
*
Your email
Name
*
Your answer
Mailing Address
Your answer
Phone
Your answer
Current Employer
Your answer
How long have you worked there?
Your answer
Please describe your work experience with supporting individuals living with intellectual and/or developmental disabilities, like Autism.
Your answer
Have you worked primarily with male or female clients?
Male
Female
Both
Clear selection
Describe the settings in which you provided that care. For example, did you provide that care in a residential setting, in an institutional setting, in your client’s home, or out in the community?
Your answer
Please describe the training that you have received in “person centered care.”
Your answer
How skilled are you in assisting clients with their personal hygiene routines (bathing, dressing, grooming, etc)?
Not very skilled
1
2
3
4
5
I'm skilled!
Clear selection
How would you describe the personal characteristics and strengths that make you good at the work of advocating for and supporting differently-abled individuals, as they learn to develop their strengths and overcome their challenges, in everyday life?
Your answer
Have you managed a team of direct care providers serving individuals with intellectual and/or developmental disabilities?
Yes
No
Clear selection
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