Ascendigo is an equal opportunity employer.

Position Desired*

Personal Information

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone*

Email Address*

Preferred Name

Earliest Available Start Date*

Availability*

Control click to multi-select

If hired, can you provide proof of your legal right to work in the US?*

Yes
No

Are you fully vaccinated for COVID-19 and can you supply proof of vaccination?*

Yes
No

Are you 18 years of age or older?*

Yes
No

Are you 21 years of age or older and have a valid driver's license?*

Yes
No

To drive our vehicles, you must be 21 years or older and answer “no” to the following 2 questions:

Have you had any DUI’s or other Class A Major Motor Vehicle Violations in the last 3 years?*

Yes
No

Have you had 3 or more Class B Minor Motor Vehicle Violations in the last 3 years?*

Yes
No
Unsure

Have you previously worked for Ascendigo?*

Yes
No

Do you have any criminal convictions which are not yet spent?*

Yes
No

Due to the positions of trust that we are in with our clients and campers, we require our employees to have a clean background check with no unspent criminal violations. We also require that our employees are not on any flagged lists for state or federal sex offenders.

Education

HIGH SCHOOL

Name of High School

Location of High School

Did you obtain a diploma?

Yes
No

Highschool GPA

COLLEGE OR UNIVERSITY

Name of College or University

Location of College or University

Did you obtain a diploma?

Yes
No

College/University GPA

OTHER SCHOOL

School Type

School Location

Degree or Achievement

Experience

What is your experience working with people on the autism spectrum?

Number of years*

Job responsibilities*

What is your experience in the specific role you are applying for?

Number of years*

Job responsibilities*

Why do you want to work for Ascendigo?*

Have you ever applied to Ascendigo before?*

Yes
No

What position did you apply for?*

Do you know anyone that works at Ascendigo?*

Yes
No

Who do you know that works at Ascendigo?*

Employment History

How many employers do you wish to enter?*

1
2
3
4

Employer*

Position*

Employment Dates*

Reasons for leaving*

2: Employer*

2: Position*

2: Employment Dates*

2: Reasons for leaving*

3: Employer*

3: Position*

3: Employment Dates*

3: Reasons for leaving*

4: Employer*

4: Position*

4: Employment Dates*

4: Reasons for leaving*

References

Please provide 3 professional references. These references are preferably supervisors, colleagues, direct reports, or professors.

R1 Name

R1 Phone

R1 Email

R1: What is your relationship to this person?

R1: How long have you known this person?

R2 Name

R2 Phone

R2 Email

R2: What is your relationship to this person?

R2: How long have you known this person?

R3 Name

R3 Phone

R3 Email

R3: What is your relationship to this person?

R3: How long have you known this person?

Letters of Recommendation

*Three letters of recommendation will be required as a part of the on-boarding documentation prior to the start date of employment.

File

Drop files here or

Accepted file types: pdf, jpg, docx, , Max. file size: 1 MB, Max. files: 3.

Are you able to perform essential job functions, as listed in the job description?*

Yes
No

Please explain:

Where did you hear about Ascendigo?*

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If other, please explain:*

I understand and agree that Ascendigo will submit background checks to the following entities: FBI, CBI, TRAILS and DMV Driving Records. (This does not necessarily disqualify you from employment.)*

Yes, I understand & agree

Attachments

Please attach resume, cover letter and other supporting documents (certificates, other)

Drop files here or

Accepted file types: jpg, pdf, docx, png, gif, Max. file size: 1 MB, Max. files: 5.

Digital Signature

*APPLICANT – PLEASE READ AND SIGN BEFORE SUBMITTING THIS APPLICATION: I authorize the employer or the employer’s agents to investigate my background to ascertain any and all information of concern to my record, whether same is of record or not, and I release employers and persons named herein from all liability of any damages on account of my furnishing such information. I understand that misrepresentation or omission of facts called for on this employment application will, if hired, result in discharge. Ascendigo follows the legal doctrine of “employment-at-will” and hereby puts the applicant on notice that all employment offered by the employer may be terminated at the will of either party with or without cause. I certify that this application was completed by me and that all entries on it and information in it are true and complete. Furthermore, I have read and understand all of the conditions upon which this offer of employment is made. By typing my name in the box below I am offering my digital signature in lieu of my handwritten signature. I understand that my digital signature carries the same legal bindings as my handwritten signature.

Digital Signature*