About
Thrift Store
Donations
Managerial Staff
Company Info
By-laws
Code of Ethics
Financial Information
Other Information
Locations
Lewiston Office
East Lewiston
Moscow
Grangeville
Board of Directors
Success Stories
Services
Developmental Therapy
Vocational Services
Choices Care Services
Production
Community Living
Employment
Current Employees
Prospective Employees
News
Contact Us
Online Employment Application
Recent News
Lewiston’s Alive After Five
We’ve Sold Our East Main Street Office
Come Visit Us at the 2012 LC Valley Home & Garden Show
2011 Annual Banquet
August Alive After Five in Lewiston
Choices Care Services
Choices Care Services
Why Choose Us
Choices – Services We Provide
Alzheimer’s Facts
Discover the Difference
Senior Facts and Stats
What to Expect From Our Caregivers
Questions?
Have questions about the services we offer? Please don't hesitate to contact us today!
Contact Us
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Phone
*
Position Applying For
*
When are you available for employment?
*
Which type of employment are you seeking?
*
Full Time
Part Time
Temporary or Summer
Current / Most Recent Employer
Name of Employer
Employer's Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Employer's Phone
Type of Business
Employment Start Date
Employment End Date
Starting Rate of Pay
Ending Rate of Pay
Reason for Leaving
Supervisor's Name and Title
List the jobs you held, duties performed, skills used or learned, advancements or promotions.
May we contact your previous employer?
Yes
No
Previous Employer
Name of Employer
Employer's Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Employer's Phone
Type of Business
Employment Start Date
Employment End Date
Starting Rate of Pay
Ending Rate of Pay
Reason for Leaving
Supervisor's Name and Title
List the jobs you held, duties performed, skills used or learned, advancements or promotions.
Previous Employer
Name of Employer
Employer Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Employer's Phone
Type of Business
Employment Start Date
Employment End Date
Starting Rate of Pay
Ending Rate of Pay
Reason for Leaving
Supervisor's Name and Title
List the jobs you held, duties performed, skills used or learned, advancements or promotions.
Previous Employer
Employer's Name
Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Employer's Phone
Type of Business
Employment Start Date
Employment Start Date
Starting Rate of Pay
Ending Rate of Pay
Reason for Leaving
Supervisor's Name
List the jobs you held, duties performed, skills used or learned, advancements or promotions.
Have you ever been convicted of a criminal offense?
*
Yes
No
If yes, please explain:
*
Are you over 18 years old?
*
Yes
No
Are you authorized to work in the United States?
*
Yes
No
(Federal Law requires proof of identity and employment authorization for all new employees.)
Do you have a valid driver's license?
*
Yes
No
State Driver's License is Issued in:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Driver's License Number
Education
Select the highest grade that you completed
Elementary & Junior High
5
6
7
8
Junior High School Name and Location
High School
1
2
3
4
High School Name and Location
College
1
2
3
4
College Name and Location
College Major
If you are an experienced operator of any business/plant machines or equipment, please list:
Employment Application Agreement
*
I have read and agree to the Employment Application Agreement