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COMMUNITY INTERACTIONS, INC.
It is the policy of Community Interactions, Inc. to be an Equal Opportunity Employer. We consider applicants for all positions without regards to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. Community Interactions, Inc. is a drug free workplace and conducts random drug screening for all employees.
Please complete this application in it's entirety.
Date of Application
Home Telephone NumberPlease enter in the following format (xxx) xxx-xxxx
Email Address (required)
Date of Birth (MM/DD/YYYY)
How did you learn about Community Interactions?
Position Applying For---Direct Support Professional (DSP)Administrative Assistant-PA Day ProgramAdministrative Assistant-Southeastern PA
Preferred Program---Day Program ServicesResidential ServicesNo preference
Date Available to start
Are you interested inCheck all that apply Per-Diem Full-Time Part-Time
Preferred Shift Day Afternoon/Evening Overnight Weekends
Have you ever been employed by Community Interactions Inc.? Yes No
If so, when did you leave?
Do you currently possess a valid Driver's License? Yes No
Some programs may require use of a personal vehicle. Would you consider using your personal vehicle? Answering No does not preclude you from employment from CI. Yes No
Have you ever been convicted of a criminal or federal offense? Yes No
If you answered yes, please explainA conviction will not automatically bar you from employment with Community Interactions Inc.
Select your education level---High School or GEDTrade SchoolSome College/Technical SchoolCollege/Trade School GraduatePost College
Current or Most Recent EmployerPlease include employer name, address, and telephone number
Dates of Employment
Brief Description of job duties
May we contact this employer? Yes No
Previous EmployerPlease include employer name, address, and telephone number
Personal Reference (required)Please list the name of someone who is not related to you.
Home Telephone Number (required)Please enter in the following format (xxx) xxx-xxxx
Please upload any supporting documentsresume, references, etc.
Please enter the security code below.
Thank you for applying.
Toll Free: 1-877-328-4799 Local: 610-328-9008
740 S. Chester Rd Swarthmore, PA 19081
© 2016 Community Interactions Inc.