ONYX SUPPORTIVE LIVING
EMPLOYMENT APPLICATION

Personal Details

Please list your addresses for the last five years:
Street City & State Dates (From - To) (MM/YYYY)

Driver Information (for company vehicle use)

All OSL employees may be required to drive company vehicles. Because of this, the following information is needed.


Military History

(DD form 214 must be attached to verify all military service)


Application Questions

PLEASE ANSWER ALL OF THE FOLLOWING QUESTIONS COMPLETELY


Education
Type of School School Name, City, State Dates Attended
From / To (MM/YYYY)
Date of Graduation (MM/YYYY) Degree Obtained
High School
Years Completed: 9 10 11 12
College
Years Completed: 1 2 3 4
College
Years Completed: 1 2 3 4
Graduate or Prof. School
Years Completed: 1 2 3 4

Professional References

(Give the names of four people, who have directly supervised you in a work setting.)

Name (First, Last) City, State Telephone # Occupation Years Known

Personal References

(Give the names of four people, who are not related to you.)

Name (First, Last) City, State Telephone # Occupation Years Known

Work Experience

Account for all employment, self-employment, unemployment for the previous five (5) years or back to your eighteenth (18th) birthday (if under 24 years of age).


Release of Information

I, , the undersigned applicant, certify that all the information I have provided on this application is true and complete to the best of my knowledge. I understand that omitting requested information or giving false information on my application, in my interview(s), or in the progress of my pre-employment evaluation, may result in rejection of my application or, if I am hired, termination.

I understand that Onyx Supportive Living will contact my former or current employers for the purpose of obtaining information or references relating to or about my employment.

I release and discharge Onyx Supportive Living and my current and former employers from any and all claims or liability which may arise from Onyx Supportive Living inquiring about me in connection with my application for employment with Onyx Supportive Living.


Affirmative Action Voluntary Information

Completion of the information below is voluntary. It will be kept confidential and will not be used in the hiring decision.

Applicant Information





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Onyx Supportive Living

Vision Statement

Onyx Supportive Living (OSL) will always strive to provide a family-oriented environment, supportive living and continual enhancement of life skills for Developmentally Disabled participants. OSL will direct our focus on these primary sections to assist in empowering the participant to expand their lives. Guided by a simple phrase, “Attention to Detail”, OSL will capture success.

Mission Statement

Dedication to building a family-oriented environment for all members of OSL will be the priority. We value honesty, self-motivation, respect, passion, accountability and diligence as the core qualities of each individual associated with OSL. Our goal is to challenge each person to become a better human being by encouraging friendliness, patience and attentiveness to all participants of OSL.

Employees/Contractors with the company will receive the best training possible, rewarded with excellent compensation, incentives and advancement opportunities for their dedication to OSL. Each participant will receive special life skills training, along with continual growth and integration into the community. Onyx Supportive Living will constantly push to become a valued-respected provider in the Developmentally Disabled community.