Application | TSI Las Vegas

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TSI Employment Application

Applicant Note: Applicant Note: All qualified applicants will receive consideration without discrimination on the basis of sex, gender, marital status, race, age, national origin, sexual orientation, military service status, ancestry, religion, height, weight, or disability. In order to be considered for employment with TSI, all applicants must: (1) Pass a background check, (2) Prove eligibility to work in the United States, (3) Have a high school diploma, GED, or equivalent (4) Be at least 18 years of age for non-driving positions or at least 21 years of age for driving positions, and (5) Answer all questions completely and accurately. Presenting false or misleading statements or information on an application or resume or during an interview, regardless of when it is discovered, will be considered grounds for dismissal from the application process, or termination of employment.

Date *

Name *

First

Last

Email *

Phone *

Phone Type *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

What Position are you applying for? *

Are you legally authorized to work in the United States for any employer? If no, please explain. *

Do you require sponsorship (e.g., H-1B, L-1, or other visa sponsorship) to work in the United States? If yes, please explain. *

What is your desired starting salary or hourly rate? *

Date you can start work *

Full Time or Part Time preferred? *

Preferred Start Time *

Before 6:00 a.m.
6:00 a.m. - 8:00 a.m.
8:00 a.m. - 10:00 a.m.
No Preference

Preferred End Time *

Before 2:00 p.m.
2:00 p.m. - 4:00 p.m.
4:00 p.m. - 6:00 p.m.
No Preference

Are there any days and/or times during the week that you CANNOT work? *

Please explain *

Weekday evenings *

Weekend daytime *

Weekend evenings *

Upload your resume *

Drag & Drop Files, Choose Files to Upload

Have you ever been employed by or affiliated with Transition Services, Inc.? *

If yes, please provide dates of employment or affiliation, job title, and reason for leaving.

Have any of your family members ever been employed by or affiliated with Transition Services, Inc.? *

If yes, please provide their full name, relationship and affiliation. NOTE: This information is confidential and used to determine any potential conflicts of interest and/or concerns relating to nepotism.

Driving Information

Are you interested in being a driver? (using company vehicles only)

Yes
No
Maybe

Do you have a valid Nevada driver's license? *

What state do you have a license from?

Are you over the age of 21? *

If no, when will you turn 21?

Have you had any moving violations? *

If yes, please explain, including applicable dates: *

How did you find out about this position?

Current Employee
Career Fair
Newspaper Ad
Radio/TV AD
Search Engine
Social Media
Craigslist
Other

Tell us how you found out about this postion *

Have you ever been convicted of any crime? *

Answering “yes” to this question does not constitute an automatic rejection for employment. We do require a State and Federal background check.

Please provide details regarding any criminal convictions, including the nature of the offense, date, and outcome. *

Do you have a current CPR/First Aid Certificate? *

Previous Employers

Please note that your application will not be considered unless every question in this section is answered, especially current phone numbers.

Company Name (most recent or current employer)

Phone

City

State

Start Date

End Date

Job Title

Supervisor's Name

Job Duties

Reason For Leaving

Next Employer

Company Name (next employer)

Phone

City

State

Start Date

End Date

Job Title

Supervisor's Name

Job Duties

Reason For Leaving

Third Employer

Company Name (third employer)

Phone

City

State

Start Date

End Date

Job Title

Supervisor's Name

Job Duties

Reason For Leaving

References

Include only individuals familiar with you for 5 or more years. DO NOT INCLUDE RELATIVES

Name #1

Phone

Relationship & Years Known

Address

Address Line 1

Address Line 2

City

State

Zip Code

Education

Are you over the age of 18? *

Do you have a High School Dipoma or Equivalent? *

High School

College

Additional Schools

City, State

Graduation Date

Degree earned

Applicant Information

What trainings, licenses, or certifications do you hold that would benefit you in this role? *

What other knowledge or experiences have you had that would benefit you in this role?

a When? for

Please describe your familiarity with various business computer software or programs that you have used? *

Please share more about your background and explain what draws you to a position with Transition Services, Inc. *

Do you require any accommodations to perform the essential functions of the job? *

We are committed to providing an inclusive and accessible work environment. If you require any accommodations during the hiring process or for the position you are applying for, please let us know.

Please describe the accommodations needed. *

Gaps In Employment: Please explain any periods within the past seven (7) years when you were not employed or unemployed. *

Certification and Release

I certify that my answers are true and complete to the best of my knowledge, I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in termination. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior and during my employment.

Signature *

Clear Signature

Contract Provider Employee Application Supplemental Questions

Transition Services, Inc is a certified and/or approved contract provider of the Nevada Developmental Services (DS) Regional Center. The Nevada DS Regional Centers require that all employee applicants complete the following questions:

Have you ever worked with any agency that holds a contract with the State of Nevada’s Developmental Services Regional Centers (Desert, Rural, or Sierra Regional Center)? *

Where? *

Where?

When? *

When?

Have you ever worked for an agency, either within or outside, of the State of Nevada that serves a vulnerable population e.g. children, seniors or developmentally disabled? *

Where? *

Where?

When? *

When?

Have you ever had a professional license (e.g., nursing, clinical, etc.) revoked, or have you ever voluntarily surrendered such a license? *

If Yes, what was the outcome? (Check all that apply) *

Termination
Suspension
Retraining
Other

Please explain: *

Have you ever been the subject of an abuse, neglect, or exploitation complaint or investigation, including being placed on administrative leave or reassigned as a result? *

Were the accusations confirmed or substantiated? *

What was the outcome? (Check all that apply) (copy) *

Termination
Suspension
Retraining
Other

Please explain:

I declare that the information provided to the above questions is true and complete.

Signature

Clear Signature

Email *

Custom Captcha *

What is 7+4?

Date / Time

Date

Time