Registration for New Start SLS

What is SLS?

Supported living services (SLS) support people who want to live in their own homes. Supported living services offer an array of services that are available to anyone who desires (or whose family, advocate, or conservator desires for him or her when someone cannot express their own choice) facilitation, instruction, support, and assistance to live in the home of his or her choice.

If you have not yet completed an application, please complete the following form. Click here for full job description.


* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
* SSN/TaxID
Are you 18 or older?
 Yes  No
**Please note that a clear Physical is required within 90 days of the date of hire
Date of last physical
**Please note that a clear TB test result is required within 90 days of the date of hire
Date of last TB test
Have you ever been employed under a different name?
 Yes  No
If yes, what name?
Please fill out the criminal record statement and upload the completed form with your application.
Refer to: Criminal Record Statement
CPR Training Expiration Date
Professional License ID
* Please write a brief summary of what motivated you to place an application with new start supportive living service! Please list any and all qualifications that may meet the needs of our consumers

Driving Qualifications
* Do you have a current valid Driver's License?
 Yes  No
* Has your license ever been revoked or suspended?
 Yes  No
* Expiration Date of CDL
* California Drivers License Number
* Do you have a reliable vehicle that is currently insured?
 Yes  No
* Willing to provide proof of insurance and DMV printout?
 Yes  No

References
Professional Refrence's
Name of Employer
Employer Phone Number
Job Title
Reason for leaving
Start Date - End Date
NAME OF EMPLOYER
EMPLOYER PHONE NUMBER
JOB TITLE
REASON FOR LEAVING
START DATE - END DATE
NAME OF EMPLOYER
EMPLOYER PHONE NUMBER
Job Title
REASON FOR LEAVING
START DATE - END DATE
Personal Refrences
Name
Address
Telephone Number
Relationship
NAME
ADDRESS
TELEPHONE NUMBER
RELATIONSHIP

Education
Please choose the highest grade completed
Do you have a diploma?
 Yes  No
If yes, from where?
Are you currently enrolled in any schools, training programs etc? If yes, please name below
School
Major
Number of years completed
Number of units completed
SCHOOL
MAJOR
NUMBER OF YEARS COMPLETED
NUMBER OF UNITS COMPLETED
List any licenses or certificate held
Name of professional associations of which you are a member

Scheduling

New Start is a business that schedules direct care staff to meet our consumer's needs. The nature of our business requires staff to understand that schedules will be flexible to our consumers needs. Schedules are subject to change at any time. New Start understands that this may be a second job for many staff, however that does not imply you may adjust your own schedule. New Start is contracted to provide training and assistance to our consumers based on their needs and schedules.

New Start asks all applicants and new hires what days and hours they will be available to work. When hired, the Program Manager(s) will then match your available hours with our consumers. Once the schedule has been made, there is no guarantee those hours will remain unchanged. Our consumers have a say in scheduling and may modify their schedule at any time. This does not suggest that consumers and staff may change their schedule without proper authorization. Remember New Start's management must approve all schedule changes.

New Start provides services to our consumers seven days a week, this includes weekends and holidays. Staff is required to submit a two-week notice when requesting day(s) off. A Program Manager will review your request, and will determine if they are capable of approving your time off.
Please take the time to write down the days and hours you are available to work below!
* Sunday
* Monday
* Tuesday
* Wednesday
* Thursday
* Friday
* Saturday



Thank you for your interest!
 
 

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