Iowa Focus - Employment Job Application

Interested in joining our team of over 150 professional support providers making a difference in the lives of persons with disabilities?
As a CARF accredited organization we have a long standing record of involvement in our community.
Focus offers highly competitive pay and benefits including insurance bonus, paid time off, and holiday pay.

FOCUS is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, sex, age, national origin, sexual orientation, religion, marital status, disability or any other legally protected status.

Employment Application

Are you 18 years or older?

Yes
No

Do you have a valid driver's license?

Yes
No

Are you employed now?

Yes
No

If so, may we contact your present employer?

Yes
No

Have you ever applied with us before?

Yes
No

Education

Did you graduate?

Yes
No

Do you have a GED?

Yes
No

Did you graduate?

Yes
No

Did you graduate?

Yes
No

Specialized training or experience: List job related licenses, skills, training, honors, awards, special accomplishments or whether you speak other languages (including ASL)

Employment History

List your last three employers, starting with your present or most recent one first

Job Duties

Reason For Leaving

Job Duties

Reason For Leaving

Job Duties

Reason For Leaving

Please explain any gaps in employment below:

Availability

Please select what hours/days you are NOT available to work.
Flexible Availability is required for Full Time (FT) Employment.
FT status makes employees eligible for higher scales of pay and benefits

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
Early Morning
Mid Morning
Afternoon
Evening
Overnight 10pm -7am

Preferences will be taken into consideration, but do not guarantee hours or shifts. *Flexibility and availability throughout the workweek and/or weekends are required for Full Time (FT) status and compensation. Pay/benefits are tiered higher for FT status to compensate greater availability requirements. Regular work schedules will be consistent but will include occasional changes as assigned by supervisor. Employees are notified of assigned work schedule weekly, with at least 3 days prior notice. Assigned shifts must be attended to maintain FT status and compensation. Failure to work assigned shifts will result in reassignment to Part Time (PT) status and compensation or termination, based on frequency/severity of inflexibility.

References

List 3 persons not related to you who have known you at least a year.

Personal Comments

Tell us about yourself

How did you hear about this job opening?

Newspaper Ad
Website
Friend
Other

Authorization

By submission of this application you authorize and agree to the following:

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge.  I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by FOCUS.
           
I understand that any employment is conditioned on a background check.  I authorize FOCUS to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to FOCUS, without giving me prior notice of such disclosure.  In addition, I release FOCUS, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
           
I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract.  I further understand and agree that if I am hired, my employment will be â€œat willâ€� and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or FOCUS.  No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon FOCUS unless made in writing.

If I am offered employment, I agree to submit to a medical examination or drug test at any time deemed appropriate by FOCUS and as permitted by law.  I consent to such examinations and tests, and I request that the examining doctor disclose to FOCUS that results of the examination, which results shall remain confidential and segregated from my personnel file.  I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by FOCUSâ€™s Drug and Alcohol Policy.

I understand that filling out this form does not indicate there is a position open and does not obligate FOCUS to hire.  If hired, I agree to abide by all FOCUS work rules, policies and procedures.  FOCUS retains the right to revise its policies or procedures, in whole or in part, at any time.

*Flexibility and availability throughout the workweek and/or weekends are required for Full Time (FT) status and compensation.Pay/benefits are tiered higher for FT status to compensate greater availability requirements. Regular work schedules will be consistent but will include occasional changes as assigned by supervisor. Employees are notified of assigned work schedule weekly, with at least 3 days prior notice. Assigned shifts must be attended to maintain FT status and compensation. Failure to work assigned shifts will result in reassignment to Part Time (PT) status and compensation or termination, based on frequency/severity of inflexibility.

Phone:
+1-877-50-FOCUS

501 Main Street Suite 2B
Council Bluffs, IA 51503

E-mail:
[email protected]

About Us

Iowa Focus is one of the largest providers of community based services in Southern Iowa. We have years of experience providing community supports to persons with disabilities.

We Provide

Skills Training
Advocacy
Budgeting & Payee Services
Medication Management
Safety Training
Communication Assistance
Behavioral Intervention
Family Support

Our Certification

Iowa Focus is State and Medicaid Certified. Our Day Habilitation program has been CARF certified.

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