Job Application
Application for Employment at Phoenix Services Corporation, a non-profit organization serving people with disabilities in Utah.
Name *
First, Middle, Last
Your answer
Email Address *
Your answer
Have you ever been employed by any branch of Phoenix Services? *
If Yes, please provide when and where
If Yes, When and Where
If you have previously been employed by Phoenix Services please tell us when and in which location
Your answer
Are you over 18? *
If hired, can you provide proof of your right to work in the U. S.? *
Date available for work: *
Please enter availability mm/dd/yy
Your answer
Address *
Please enter your FULL address using standard US Postal Service format. Include street, city, state and zip.
Your answer
Phone Number *
This is the phone number we should use to contact you.
Your answer
Do you have a current driver’s license? *
Do you have a personal vehicle available for work *
Have you ever been convicted of a crime *
If Yes, please explain below
Have you ever been convicted of a crime - Yes
If the answer was no, please disregard this box
Your answer
Current or last employer *
Please provide company name, address,phone number, when you were employed (from and to in mm/dd/yy format, Salary Range and Supervisor Name
Your answer
May we contact this employer? *
Previous employer *
Please provide company name, address, when you were employed (from and to in mm/dd/yy format, Salary Range and Supervisor Name
Your answer
May we contact this employer? *
Personal Reference *
Please provide Name and Contact Phone number for all personal references
Your answer
Highest Level of Education Completed *
Please select one
If you hold a college degree or certification, which field is covered?
Your answer
Does your driving record meet the auto insurance requirements below *
Phoenix Services insurance requires the following guidelines. Drivers must have a valid driver’s license of the state they reside in (utah) Drivers should have at least two (2) years driving experience and be at least 18 years old. In the past three (3) years, drivers should have no more than: Two (2) At-Fault Accidents, (proof of not-at-fault status for accidents must be received to rescind this. Your personal auto insurer or DMV can assist with this information) Three (3) Minor-Moving Violations, (personal and/or business) Four (4) Non-Moving Violations, such as: Failure to Appear (FTA) License not in possession, or No Proof of Insurance/Registration Four (4) or more in combination of the above a,b and c. In the past four (4) years, drivers should have zero (0) Major Moving Violations such as: Driving while Suspended/Revoked and/or Invalid License Exhibition of Speed - Speed Contest Reckless Driving Driving under the Influence (DUI_ Vehicular Manslaughter Leaving the Scene of an Accident (Hit and Run) Speeding in excess of 100 mph, etc. You may contact your State Department of Motor Vehicles (DMV) for violation descriptions and codes found on Motor Vehicle Records (MVR) You will be required to provide a personal Motor Vehicle Record (MVR) prior to employment with Phoenix Services.
Background Check *
Phoenix Services is required to perform criminal background checks on all employees regularly, you must agree to undergo a background check to be employed by Phoenix Services.
Please write a brief paragraph about why you would like to work for Phoenix Services
Your answer
What position are you applying for? *
Your answer
How did you hear about us? *
Your answer
Phoenix Services is an “AT-WILL” employer, which means that both the company and its employees retain the right to terminate the employment relationship at any time and for any reason. No supervisor, manager, or representative of the company, except as otherwise provided in a writing signed by the company president, has the authority to enter into any agreement with an employee for employment for any specified period of time or make any commitment contrary to the foregoing at-will employment relationship. *
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As part of our procedure for processing your employment application, your personal and employment references will be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. *
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