Employment Application – Direct Care Specialist (DCS)

Employment Application – DCS

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Date of Birth*

First Name*

Last Name*

Address*

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Phone*

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1432 Wilkins Rd. | Erie, PA 16505

Office hours: 8:30 AM to 4:30 PM Monday through Friday

VOICES FOR INDEPENDENCE DOES NOT DISCRIMINATE IN THEIR HIRING PRACTICE; ON THE BASIS OF RACE, CREED, COLOR, ETHNICITY, NATIONAL ORIGIN, RELIGION, SEX, SEXUAL ORIENTATION, GENDER EXPRESSION, AGE, HEIGHT, WEIGHT, PHYSICAL OR MENTAL ABILITY, VETERAN STATUS, MILITARY OBLIGATIONS, oR MARITAL STATUS.