Application

Fill out the fields below to submit your application online.

Your Information
Position Your Applying For
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
How long have you lived at this address?*
Phone*
Email*
Have you lived outside of Texas for the past 7 years?*
Please provide that address (if you lived outside of Texas):*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Position for which you are applying*
Please describe*
How did you learn of this position?*
Name of the employee who referred you?
Name of the external person who referred you?
Other:
Check the following options you would consider:*
- Full Time
- Part Time
If part time, specify hours or days available:*
Date available to start*
MM slash DD slash YYYY
Do you have any commitments that might affect your position with us?*
If so, please describe:
Education
High School*
Name, City, State
College*
Name, City, State
Major Course of Study*
Graduate School
Name, City, State
Major Course of Study
Trade School
Name, City, State
Major Course of Study
List any other education, training, special skills, or certificates/licenses that you possess related to this internship.
List any machines or equipment on which you are qualified and are experienced in operating.
List any languages that you speak fluently:
Languages you can read and write:
Do you have a valid driver’s license in this state?*
GENERAL INFORMATION
List any relatives working for this organization:*
Have you ever been convicted of, plead guilty to, or no contest to a felony or misdemeanor offense, or been granted deferred adjudication?*
If yes, please explain.*
Do you believe you can perform the essential functions of the position you are applying for?*
EMPLOYMENT/INTERN/VOLUNTEER HISTORY
List all work and volunteer experience beginning with the present or most recent job.
1) Name of Employer or Internship, Type of Business*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date*
MM slash DD slash YYYY
End date*
MM slash DD slash YYYY
Job Title*
Name and Title of Supervisor*
Business Phone*
Employment*
- Full Time
- Part Time
Brief Description of Job Duties*
Reason for Leaving*
2) Name of Employer or Internship, Type of Business
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Job Title
Name and Title of Supervisor
Business Phone
Employment
- Full Time
- Part Time
Brief Description of Job Duties
Reason for Leaving
3) Name of Employer or Internship, Type of Business
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Job Title
Name and Title of Supervisor
Business Phone
Employment
- Full Time
- Part Time
Brief Description of Job Duties
Reason for Leaving
PROFESSIONAL REFERENCES
List three persons who are previous supervisors or professional associates who have known you for at least three years. Please do not list friends or relatives.
1) Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Occupation*
Phone*
Relationship*
2) Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Occupation*
Phone*
Relationship*
3) Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Occupation*
Phone*
Relationship*
Please include any other information you think would be helpful to us in considering you for internship, such as additional work experience, and articles/books published.
Please include any other information you think would be helpful to us in considering you for internship, such as additional work experience, and articles/books published.
Resumes and Refernce Letters*
Max. file size: 2 MB.
Please upload resume and any pertinent documents here.
Criminal Background Check Authorization/Waiver/Indemnity/Confidentiality/Media Consent*
I agree to immediately notify The Arc of the Capital Area if I am convicted of, receive deferred adjudication in, or otherwise plead guilty or no contest to a felony, or any crime involving dishonesty or a breach of trust, while my application is pending or during my period of internship. I certify that all the information contained in this application (and accompanying resume, if any) is true, correct and complete, and further understand that any misstatement or omission of information is grounds for immediate dismissal. I authorize all persons listed above (and on the accompanying resume, if any) to give The Arc of the Capital Area any and all information concerning my previous employment and education and any pertinent information they may have, and release all parties, such persons and The Arc of the Capital Area, from liability for any damage that may result from furnishing same to The Arc of the Capital Area. If interning at The Arc of the Capital Area, I agree to conform to the rules and regulations of The Arc of the Capital Area. I further understand that my internship can be terminated, with or without cause or notice, at any time, at the discretion of either The Arc of the Capital Area or myself. I authorize The Arc of the Capital Area to conduct a criminal history check. I hereby give permission for The Arc to obtain information relating to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications. I understand that this information will be used, in part, to determine my eligibility for a volunteer position with this organization. I also understand that as long as I remain a volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received. I, the undersigned, do for myself, my heirs, executors and administrator, hereby remise, release and forever discharge and agree to indemnify The Arc of the Capital Area, a service of United Way/Capital Area and each of their officers, directors, employees and agents harmless from and against any and all causes of actions, suits, liabilities, cost, debts and sums of money, claims and demands whatsoever, and any and all related expenses resulting from the investigation of my background in connection with my application to become a volunteer. I understand that any information released to me about any Arc of the Capital Area client is strictly confidential. I agree to keep this information confidential. I understand that The Arc of the Capital Area adheres to a tobacco free policy in all facilities where volunteer activities take place. I agree to not use tobacco products while volunteering or when on the premises. I hereby grant permission for The Arc of the Capital Area to use my name, likeness, written and spoken comments in informational, promotional, development, and fundraising materials to promote quality programs and community awareness for persons with disabilities.
- Yes, I have read these things and agree.
Untitled

Application

Application

Your Information

Education

GENERAL INFORMATION

EMPLOYMENT/INTERN/VOLUNTEER HISTORY

PROFESSIONAL REFERENCES