Connections Program Staff Application

Part-Time / Substitute Staff Application

Employment Type Desired:

Part-Time

Substitute/Relief

Select all the Apply*

First name

Last name

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Email

Phone

Phone Type

Have you previously worked for The Arc of Mid-Michigan?

Yes

No

Are you legally authorized to work in the United States?

Yes

No

Are you at least 18 years of age?

Yes

No

Availability for Connections Program

(Connections meets twice weekly, with some community outings and special events)

Weekday Afternoons:

Tuesday

Thursday

Please indicate availability for regular program schedule.

Are you willing to work occasional community events or recreational events outside regular program hours?

Yes

No

Education & Training

Highest Level Completed

High School Diploma/GED

Some College

Degree

Certification

Relevant trainings or certifications (CPR/First Aid, CNA, Direct Care, Behavior Training, etc.)

Employment History

Employer #1

Job Title

Dates Employed

Primary Duties

Reason for Leaving

Employer #2

Job Title

Dates Employed

Primary Duties

Reason for Leaving

Experience & Interests

Describe any experience you have supporting adults with intellectual or developmental disabilities in group, social, or community settings:

Connections focuses on friendship, community inclusion, and life skills. What interests you about working in this program?

Working in the community requires patience, positive communication, and good judgment. What strengths would you bring to this role?

Are you comfortable assisting participants with reminders for personal care, appropriate community behavior, and social skills?

Yes

No

Need Training

Do you have a valid Michigan driver’s license?

Yes

No

Are you willing to transport participants (if required)?

Yes

No

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Applicant Statement

I understand that the Connections Program serves adults with developmental disabilities in community and social settings and that staff are expected to model respectful behavior, support participant independence, and follow all policies of The Arc of Mid-Michigan. I certify that the information provided in this application is true and complete. I authorize background checks, reference checks, and verification of information as permitted by law.

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The Arc of Mid-Michigan is an equal opportunity employer committed to inclusive communities and person-centered supports.