Career Application "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Employment RequirementsEMRI requires a criminal background check as a condition for employment. Are you willing to be considered for an assignment to work with individuals with DDS that require a background check? (A conviction is not an automatic elimination for employment) Yes No Do you have a legal right to reside and work in this country? Yes No Would you be willing to take a drug test as a condition for employment? Yes No ApplicantApplication Date Date of Birth Email* First Name*Middle Name*Last NameMaiden, Alias or other Name(s) you use or have used in the pastCurrent Address Street Address City State / Province / Region ZIP / Postal Code Cellular Phone Number*Home Phone Number*In case of an emergency, who should EMRI notify?Relationship to you?Emergency Contact Phone NumberDesired Work ScheduleWhat position(s) are you applying for?Who referred you to EMRI, LLC?Please indicate the type of work you are seeking? Full Time Part Time Temporary Please indicate your desired shift 1st (9am-3pm) 2nd (3pm-11pm) 3rd (11pm-9am) Please indicate which days you are available to work Sunday Monday Tuesday Wednesday Thursday Friday Saturday Have you ever worked in the field of Developmental Disabilities? Yes No Salary RequirementsHourlyAnnuallyCertifications and SkillsDirect Care Staff Initial Training Yes No CPR Certified Yes No First Aid Certified Yes No Medication Administration Yes No Δ
