Careers | TSI Las Vegas

TSI Employment Application - Community Training Specialist

This is not an employment contract. Please answer all questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating employment. We cannot hire anyone with a criminal background in accordance to NRS 449.174. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, or any handicap.

Name *

First

Last

Social Security Number *

Email *

Phone *

Phone Type *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date you can start work *

Full Time or Part Time preferred? *

Upload your resume

Click or drag a file to this area to upload.

Do you or any family member have or had any affiliation with Transition Services, Inc? *

Please explain

Driving Information

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

What state do you have a license from?

Have you had any moving violations? *

Please explain:

How did you find out about this position?

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

If other

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.

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

Job Title

Supervisor's Name

Job Duties

Reason For Leaving

Next Employer

Company Name (next employer)

Phone

City

State

Job Title

Supervisor's Name

Job Duties

Reason For Leaving

Third Employer

Company Name (third employer)

Phone

City

State

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 year of 18 years? *

Do you have a High School Dipoma or Equivalent? *

Applicant Information

What training, skills, licenses, certificates, computer software and level of knowledge of computers or experiences have you had that will benefit you in this job? *

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

List any hobbies you may have

Are there any days or hours you cannot work?

Do you have any physical situations that may prevent you from doing your job or would demonstrate a need for adaptations to be made for you? *

Please describe:

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 discharge. 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 *

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 which contracts with the State of Nevada Developmental Services Regional Centers (Desert, Rural or Sierra Regional Center)? *

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? *

Have you ever been the accused (placed on re-assignment/administrative leave) in an abuse, neglect or exploitation complaint and/or investigation? *

Were the accusations confirmed or substantiated?

What was the outcome? (Check all that apply)

Termination
Suspension
Retraining
Other

Please explain:

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

Signature

Email *