APPLICATION FOR EMPLOYMENT
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BI-COUNTY SERVICES, INC.
425 East Harrison Road
Bluffton, IN 46714
260-824-1253

Equal Opportunity Employer – Bi-County Services, Inc. will recruit, hire, train and promote persons in all job titles without regard to race, color, religion, national origin, veteran status, sex, age, or physical or mental disability.

In addition, Bi-County Services, Inc. employment policy requires compliance with state and local fair employment practice laws and regulations. Bi-County Services, Inc. will comply with its obligation to provide reasonable accommodation to qualified individuals with disabilities so long as doing so does not cause an undue hardship.

The information provided in this Application for Employment is true, correct and complete. If employed, I understand that falsification, misrepresentation, incomplete information or omission of facts called for on this application will result in termination.

Incomplete applications will not be considered.
0%Personal Information
  • Contact Information

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  • Part time is only available for Supported Living/Day Service positions

  • check all that are applicable
  • If you are offered employment with Bi-County Services, Inc., you will be required, by federal law, to furnish documents showing you to be either a U.S. citizen or an authorized alien. Individuals who do not furnish these documents cannot work for this agency.

  • Education

    Education will be considered only to the extent relevant for the position for which you are applying.
  • Employment History

    Most recent employer first-include all employers for the last 5 years.
  • Employer #1

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  • Employer #3

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  • Personal References (list three)

    Not Relatives or Anyone Previously Mentioned
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