Voices For Independence

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Employment Application

Home » Employment Application

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Date of Birth*
First Name*
Last Name*
Middle Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Enter Email Confirm Email
Describe Days / Times you’re Available*

Work Experience
Do you have employment history?*
- Yes
- No
Employer*
Dates of Employment
From*
To*
Position*
Supervisor*
Phone*
Reasons for Leaving*

Do you have more employment history?*
- Yes
- No
Employer*
Dates of Employment
From*
To*
Position*
Supervisor*
Phone*
Reasons for Leaving*

Do you have more employment history?*
- Yes
- No
Employer*
Dates of Employment
From*
To*
Position*
Supervisor*
Phone*
Reasons for Leaving*

Holidays
Are you willing to work holidays?*
- Yes
- No
Which holidays?

Criminal Background
Conviction Record: Have you ever been convicted of an offense against the law, or are you now under charges for an offense against the law?*
- Yes
- No
Please explain these charges*
Are you willing to submit to a criminal background check?*
- Yes
- No

Transportation
What is your primary means of transportation?*
- Walking
- Bus
- Car
- Other
If necessary, what back up mode of transportation could you use?*
Do you have a valid driver's license in the Commonwealth of Pennsylvania?*
- Yes
- No

Have you ever worked for VFI?*
- Yes
- No
When have you worked for VFI?*
Are you applying to work for a specific consumer?*
- Yes
- No
Which consumer?*
How did you hear about us?*
Captcha

VFI Online Membership Applications are HERE!

There are exciting new things happening at Voices for Independence for the consumers we serve! As you may or may not know, VFI is currently working towards a merger with Transitional Paths to Independent Living (TRPIL). As with any joining of two, we are taking the best of both worlds and are now sharing them […]

Please Take a Moment to read “Quiet Heroes” and Support our Dedicated In-Home Caregivers

For over 25 years, Voices for Independence has empowered people with disabilities and promoted independent living. Today, our in-home caregivers need your support. We would like to ask you to consider donating to our COVID-19 response with a monetary donation. If you are unable to do so at this time, please remember that VFI is […]

© 2020 ·VFI

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, and marital status.

1432 Wilkins Rd. | Erie, PA 16505
Phone TTY: (814) 874-0064 | Toll Free: (866) 407-0064 | Fax: (814) 874-3497
Office hours: 8:30 AM to 4:30 PM Monday through Friday

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