Application for Employment

Application for Employment
As an Autism Aide (aka Direct Support Professional (DSP)/in-home caregiver), you will help adults on The Autism Spectrum achieve their personal goals and have fun while doing so. The people you support love to do fun activities like listening to music, swimming, going to the arcade, thrift store shopping, and going for walks.

You will have the opportunity to help the people we support with daily activities including chores, cooking, personal hygiene, and medication. All the training you need is on-site and paid. This job is perfect for anyone who is looking to have fun and love what they’re doing!
What's your name?*
What's your phone number?*
What's your email address?*
Are you 18 years or older?*

YESNO
Are you authorized to work in the United States on an unrestricted basis?*

YESNO

Schedule & Availability
In what area would you like to work? (Check all that apply.)*

Davis CountySalt Lake CountyUtah County
What shifts are you available to work? (Check all that apply.)*

Mornings/DaysAfternoons/EveningsGraves

Employment History

Please tell us about your most recent employer.
Please list your title at your previous job.*
Please list the name of the company you worked for.*
Please list your job responsibilities in the position at your last job.*
What other qualifications should we consider? Such as volunteer experience, education/certifications, etc.

Background Check

After an employee is hired, a criminal background check, a child abuse registry check, and a Medicaid Fraud database check will be completed.
Would you be able to pass a background check in the above-mentioned categories?*

YESNO
Are you willing to accept the starting rate of $16 per hour?*

YESNO

Signature and Date

CTA is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, age, sex, pregnancy, sexual orientation, gender identity, national origin, disability, or other protected status. We assure you that your opportunity for employment with this company depends solely on your qualifications. Thank you for applying at CTA!
I certify that the information contained in this document is true, correct, and complete. I understand that if employed, false statements reported on this application may be considered sufficient cause for immediate dismissal. If hired, I understand that employment with CTA Community Supports is "at-will," meaning that either I or this company can terminate employment at any time, with or without prior notice, and for any reason.
Signature*

Clear
Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Schedule & Availability