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Application for

Direct Support Professional

Vineyard Supported Living Services

ADDRESS:

2377 Gold Meadow Way Suite 165

Gold River, CA 95670

PHONE:

(916) 750-6404

www.vineyard-sls.com/careers

PERSONAL INFORMATION

Multi-line address
POSITION APPLIED FOR (select an option):
PAY TYPE:
EMPLOYMENT DESIRED:
SHIFT DESIRED:
DO YOU HAVE A VALID DRIVER'S LICENSE?
THIS ROLE INVOLVES DRIVING CLIENTS ABOUT 20% OF THE TIME. ARE YOU COMFORTABLE WITH THIS REQUIREMENT?
ARE YOU ABLE TO WORK IN-PERSON, AS STATED IN THE JOB DESCRIPTION?
DO YOU HAVE A RESUME?
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