WARM HEAVEN ENTERPRISE INC.
APPLICATION FOR EMPLOYMENT
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Equal Opportunity Employer


Warm Heaven Enterprise Inc. is dedicated to providing equal employment opportunities to all individuals. We comply with all federal, state, and local regulations that prohibit discrimination based on race, creed, color, gender, sexual orientation, age, national origin, religion, marital status, or disability for individuals qualified to perform the essential functions of the job.

 

Instructions

Please complete all requested information in full. Additional information may be requested as needed. This application is valid for current vacancies only, and you will need to reapply for any future openings. Be sure to sign and date your application.

PERSONAL INFORMATION

Last Name:
First Name:
Middle Initial:
Other Name(s) Used:
Address:
City:
State/ZIP:
Home Phone:
Cell Phone:
Email Address:

Are you 18 years of age or older? 

Position Applying For:
Available Start Date:
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WORK AVAILABILITY

Warm Heaven Enterprise Inc. provides support services 24/7, 365 days a year. Please note that many direct support positions require flexible schedules, including evenings, weekends, and holidays.

Indicate your availability below:

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SATURDAY
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
DAY
NIGHT
Are you eligible for employment in the United States?
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Are you willing to work overtime, weekends, and holidays?
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Would you accept full-time employment (30+ hours/week)?
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Would you accept part-time employment (<30 hours/week)?
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Has any restriction been placed on your eligibility for employment in the United States 
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NOTE :
All employees must submit proof of identity and employment eligibility upon hire
EDUCATION
High School Name:
Years Completed:
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Undergraduate College/University/Vocational School Name:
Years Completed:
Degree Earned:
Course of Study/Major:
Years Completed:
Degree Earned:
Course of Study/Major:
                                           FOR OFFICE USE ONLY
DATE RECEIVED : 
Previous Employment

Instructions: List your most recent employment first. Please fill in all required information. Do not omit any employers. Note: Writing "See Resume" will not be accepted as a substitute.

EMPOLYER # 1
Employer Name:
Dates of Employment:
Phone Number:

Address:

City:
State:
Job Title:
Supervisor’s Name:
Did you resign?
Clear selection
Reason for Leaving:
EMPLOYER # 2
Employer Name:
Dates of Employment:
Phone Number:

Address:

City:
State:
Job Title:
Supervisor’s Name:
Did you resign?
Clear selection
Reason for Leaving:
EMPLOYER # 3
Employer Name:
Dates of Employment:
Phone Number:

Address:

City:
State:
Job Title:
Supervisor’s Name:
Did you resign?
Clear selection
Reason for Leaving:
EMPLOYER # 4
Employer Name:
Dates of Employment:
Phone Number:

Address:

City:
State:
Job Title:
Supervisor’s Name:
Did you resign?
Clear selection
Reason for Leaving:
Certification / Training / Experience
1- Do you hold a current license or certification (e.g., RN, LPN, CNA, etc.) in the state of Maine relevant to the position for which you are applying?          
Clear selection
If yes, specify: State(s):
Date(s) of Certification:
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Expiration Date(s):
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2-Please indicate any related experience, specialized training, seminars, or courses (e.g., supervisory training, non-defensive communication, stress management, etc.) that you believe would benefit you in this role:
Please check any training(s) you have completed:
Please check if you have experience assisting individuals with:

Background

We Will Be Checking This Information

Do you have a valid Maine Driver’s License?
Clear selection
Have you had any traffic violations or accidents in the last three years?

Clear selection
If yes, please explain: 
Applicant Writing Sample
1. Please state your personal view or philosophy regarding people with intellectual disabilities.
2. What personal characteristics and work ethics do you possess that could make you successful in this position?
3. At times, individuals we serve may become aggressive, including behaviors such as biting, hitting, kicking, threatening, or swearing.

Are you willing and able to work with people who experience such challenges? 
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Tell us about some techniques you have used (or may use) to handle such situations:

Acknowledgement

Please carefully read the following statements, as they constitute the terms and conditions of employment with Warm Heaven Enterprise Inc.:

Accuracy of Information
I affirm that the information provided in this application and any supplementary materials is accurate and true to the best of my knowledge. I understand that any false statement, misrepresentation, or omission of fact in this application, my resume, or other materials may result in the refusal of employment, or, if employed, immediate termination.

Confidentiality
I agree to protect and not disclose confidential or proprietary information related to Warm Heaven Enterprise Inc., individuals served, or clients entrusted to the organization, unless such disclosure is on a “need-to-know” basis.

Work Schedules and Requirements
I understand and agree that Warm Heaven Enterprise Inc. strives to accommodate individual preferences but may require the following: overtime, split shifts, rotating work schedules, or work that includes weekends and/or holidays.

Substance-Free Workplace
I acknowledge that Warm Heaven Enterprise Inc. maintains a safe and efficient work environment. As such, the company will not employ individuals who use illegal drugs and/or abuse alcohol or drugs. Warm Heaven reserves the right to screen for substance use, and I consent to pre-employment drug testing if required.

At-Will Employment
I understand that employment with Warm Heaven Enterprise Inc. is at-will. This means that my employment can be terminated at any time, for any reason, with or without notice, and at the discretion of either myself or Warm Heaven Enterprise Inc. I acknowledge that no terms of employment may be altered without written agreement from the CEO.

Authorization for Verification
I authorize Warm Heaven Enterprise Inc. to verify the information provided in my application, including references and records from past and current employers. I waive and release all persons, schools, prior employers, and other entities from any liability related to the disclosure of information. Additionally, I release Warm Heaven Enterprise Inc. from liability for the use of such information during the application review process.

Severability of Provisions
If any provision of this agreement is found to be invalid or unenforceable, the remaining provisions shall remain in effect and valid.

Acknowledgment and Consent

I have read and understand the above statements and conditions of employment. By signing below, I agree to comply with the terms outlined above.

Applicant Signature:
DATE
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