Personal Information
Name (as you'd like it to appear on the resume)
Please remember to use the same name each time you submit a resume. This will avoid having duplicate entries of your resume on file with our Human Resource Department.
* First Name:
MI:
* Last Name:
* Email:
Mailing Address
* Street Address:
Suite/Apt:
* City:
* State:
Choose a State
Outside US / Canada
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
* Zip:
Phone Numbers
* Home Phone:
Work Phone:
General Information
* Position Desired:
* Desired Salary/Hourly Rate:
* Have you previously worked for the Albany ARC?
Yes
No
If yes, please list your dates of employment:
From
To
Reason for leaving:
Former ARC Supervisor:
Education
Beginning with the most recent, please fill in your educational background, as applicable.
* High School Name:
Address:
* Course of Study or
Degree Received:
* Graduated?:
Yes
No
Technical School Name:
Address:
Course of Study or
Degree Received:
Graduated?:
Yes
No
College Name:
Address:
Course of Study or
Degree Received:
Graduated?:
Yes
No
Postgraduate School Name:
Address:
Course of Study or
Degree Received:
Graduated?:
Yes
No
If you have a license, certification, or other authorizations to practice a trade or profession, please list here:
Employment History
Beginning with the most recent, please fill in the name of the employer, your job title, the dates you worked (MM/DD/YY format) and a brief description of your job responsibilities.
Employer Name:
Employer Address:
Position Held:
Dates of Employment:
From
To
Brief Description of Basic Duties:
Reason for leaving:
Employer Name:
Employer Address:
Position Held:
Dates of Employment:
From
To
Brief Description of Basic Duties:
Reason for leaving:
Employer Name:
Employer Address:
Position Held:
Dates of Employment:
From
To
Brief Description of Basic Duties:
Reason for leaving:
Resume:
Voluntary Affirmative Action Self-Identification Form
Confidential/For Statistical Purposes Only
New Visions, a Chapter of NYSARC, Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy, child-birth, or related medical conditions), national origin, ancestry, age, disability, family care status, veteran status, marital status, sexual orientation, military status or any other characteristic protected by law.
Government agencies require reports regarding the status of applicants. The data collected below will remain confidential and will be used only in the compilation and analysis of data for affirmative action reporting.
Completion of this self-identification form is voluntary. If you opt not to provide the data requested below, your decision will not jeopardize or adversely affect any consideration you may receive for employment, the terms or conditions of employment if you are hired, or your consideration for future opportunities for advancement or training in your employment with New Visions.
Please return this form to New Visions by mail or in person. It will be filed separately from your application, and will be used for statistical purposes only. Changes to your status may be declared at any time prior to or, if applicable, after hire.
Date:
Sunday, September 5, 2010
Position(s) Applied For:
Gender:
Female
Male
Ethnic Group:
Hispanic or Latino (All races) - A person of Mexican Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
American Indian or Alaskan Native - A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific islands
Black or African American - A person having origins in any of the Black racial groups of Africa.
White - A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.
If applicable, please check the items below that apply to you:
Special Disabled Veteran
A veteran who is entitled to compensation under the laws administered by the Veterans’ Administration for disabilities, or who would be eligible for this compensation if he were not already receiving military retired pay. To qualify, veterans must have the following disability ratings: 1) 30% or more, or 2) 10% or 20% for veterans who have a serious employment handicap.
A person who was discharged or released from active duty because of a service-connected disability is also considered to be a “special disabled veteran” without having to meet the above disability ratings.
Veteran of the Vietnam Era
Means an eligible veteran who served any part of his active military, naval, or air service during the Vietnam era. Under federal regulations, the “Vietnam era” is designated as having occurred between August 4, 1964 and May 7, 1975. A person is an eligible veteran if: 1) he served on active duty for more than 180 days and was given other than an honorable discharge; 2) he was discharged or released from active duty because of a service-connected disability; or 3) he was a member of certain reserve units that served on active duty or in certain campaigns or expeditions and was discharged or released with other than a dishonorable discharge.
Individual with a disability
Thank you for applying to the Albany County Association for Retarded Citizens.
Click the Submit Resume button to submit your resume to our Human Resource Department for consideration. Please note that once you click the Submit button, your resume will not be retrievable for editing.
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