All applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or disability.


Position
Rate of pay expected
Annual   
Hourly   

Personal Information

Name
Address


Phone


Email
Availability
Please specify days and hours
Have you worked at Bridgeway before?
Please list any friends or releatives working for Bridgeway and their relationship to you.
(This information will be used only to determine whether the relative would be in a subordinate or supervisory position for which you have applied.)
When are you available to start work?
Are you willing to work overtime?
Can you travel if required?
Are you legally eligible for employment in the United States?
(Proof of citizenship or immigration status may be required upon employment.)
Are you 18 years of age or older?
Are you on layoff and subject to recall?
Do you have a valid drivers license?
(For positions with duties that include driving, proof of a vaild driver's license and insurability will be required.)
How did you hear about us?






Please list your long term occupational goals.

Education

Name of High School
Did you graduate High School?
Name of College
Did you graduate College?
In what was your degree?
Please describe any other education.
(Business college, Military, ect...)
Please list other skills/abilities including typing speed, computer hardware/software experience, business machines, ect.
Please list any professional licenses or certifications.




 




 




Area of specialization or major interest.

Employment History

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
from to




Add another employer.
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Military Service

Branch of Service
Period of active duty
from
to
Rank at discharge
Date of final discharge
Please describe your duties and any special training.

References

Please list three references that are not related to you.


 


 


Resume Upload

You may use this area to include a .pdf resume up to 10MB. This is optional.






Availability

I would like to work up to hours per week.


I am available to work the following days and times:


I am available for training the following days and times:



Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.


I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand this application is not and is not intended to be a contract of employment.


In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of Bridgeway.


I understand that any employment with Bridgeway is for an indefinite time period and that it may be terminated by either party at any time for any lawful purpose.




Date

IMPORTANT NOTICE ABOUT PRIOR CRIMINAL CONVICTIONS
APPLICANT, EMPLOYEE, INTERN, VOLUNTEER WHO IS APPLYING FOR POSITION THAT WILL PROVIDE DIRECT CARE


We are a facility that cares for people with disabilities, and, as such, we cannot knowingly employ or retain any individual who performs direct care for clients, patients, or residents if that person has been convicted of committing or attempting to commit one or more of the offenses listed below. Under Bridgeway policy, an offer of employment and continued employment in a direct care position, internship or volunteer assignment by this facility is conditioned upon a finding of no prior criminal convictions, such as those listed below.


We are required by law, under the Criminal Background Check Act, to obtain a fingerprint based criminal record background check, pursuant to the Uniform Conviction Information Act (UCIA) before we may retain a direct-care provider as an employee. In addition, Bridgeway follows a policy to check the criminal background of any individual who serves as a volunteer, intern, or in a direct care position. You will receive a copy of this report when we have obtained it.


We may not retain you, if the fingerprint based background check shows that you have been convicted of one or more of the offenses listed below.


You will be contacted by Human Resources in the you receive an adverse report. You may request a waiver, within 5 days of receipt of an adverse report.


If the waiver of the prohibition against employment is granted, the facility has the option, but not the obligation, to retain you.


THE CRIMES WHICH PROHIBIT INDIVIDUALS WHO HAVE BEEN CONVICTED FROM BEING RETAINED BY THIS FACILITY UNLESS A WAIVER IS GRANTED INCLUDE BUT MAY NOT BE LIMITED TO:


  1. Murder, solicitation of murder, solicitation of murder for hire, homicide, manslaughter, or concealment of a homicidal death;
  2. Kidnapping or child abduction, indecent solicitation of a child, sexual exploitation of a child, exploitation of a child, child pornography;
  3. Unlawful restraint or forcible detention;
  4. Assault, battery or infliction of great bodily harm, heinous battery, tampering with food, drugs, or cosmetics, home invasion, predatory criminal sexual assault of a child;
  5. Sexual assault or sexual abuse;
  6. Abuse or gross neglect of a long term care facility resident;
  7. Criminal abuse or neglect of a child, an elderly or disabled person;
  8. Theft, financial exploitation of an elderly or disabled person, robbery, or burglary;
  9. Forgery;
  10. Criminal trespass;
  11. Vehicular hijacking, aggravated vehicular hijacking, aggravated robbery;
  12. Armed violence-elements of offense;
  13. Arson;
  14. Unlawful use of weapons or aggravated discharge of a firearm;
  15. Manufacture, delivery or trafficking of cannabis;
  16. Manufacture, delivery or trafficking of controlled substances.

IMPORTANT NOTICE ABOUT PRIOR CRIMINAL CONVICTIONS
APPLICANT, EMPLOYEE, INTERN, VOLUNTEER WHO IS APPLYING FOR POSITION NOT PROVIDING DIRECT CARE


You may qualify for employment in a position at Bridgeway for which there are no legally required exclusions for persons with an arrest or conviction history. Bridgeway may nevertheless perform a criminal background check on you after you receive a conditional offer of employment but before you are cleared to begin work.


Not every arrest or criminal conviction will disqualify an individual for employment at Bridgeway. In evaluating a person's history, Bridgeway will take into account:


The nature and gravity of the offense. This includes the harm created by the crime and whether the crime was serious (a felony) or less serious (misdemeanors).


The time that has passed. Bridgeway will consider whether there has been a substantial passage of time since conviction or completion of a sentence with no further criminal conduct.


The nature of the job sought. Positions where employees have access to client financial information and property are obviously more sensitive than those which do not involve such factors. Similarly, jobs where employees interact with the public with limited supervision can be sensitive positions.


Before an individual is excluded from employment because of past criminal conduct, Bridgeway will assess relevant individualized factors, which may include but not necessarily limited to:



We may ask for your assistance in securing the information necessary to complete our evaluation of your background. If you fail to cooperate, Bridgeway will make a decision based upon the best information available to it.