Careers

Are you interested in a career in the senior health care industry? If so, apply with us and become a part of our team!

Job Openings:

A- To provide MEDICATIONSOMATIC TREATMENT

Licensed Practical Nurses
APRNs

B- To provide COUNSELING

LICSWs
LISWs
LPCs
LGSWs
LGPCs
LMFTs
Psychology Associates
Community Support Worker (CSW)

* REQUIRED INFORMATIONS

APPLICANT NAME

DATE OF APPLICATION

ADDRESS

CITY

STATE

ZIP CODE

TELEPHONE NUMBER

EMAIL ADDRESS

POITION(S) APPLYING FOR

HOW DID YOU HEAR ABOUT THIS POSITION ?

WHAT DAYS ARE YOU AVAILABLE FOR WORK ?

WHAT HOURS OR SHIFT ARE YOU AVAILABLE FOR WORK ?

ON WHAT DATE CAN YOU START WORKING IF YOU ARE HIRED ?

DO YOU HAVE RELIABLE TRANSPORTATION TO AND FROM WORK ?

SALARY DESIRED (USD)

HAVE YOU EVER APPLIED TO OR WORKED FOR UNIVERSAL SUPPORT AGENCY SERVICES BEFORE ?

Yes No

ARE YOU 18 YEARS OF AGE OROLDER ?

Yes No

ARE YOU A U.S. CITIZEN OR APPROVED TO WORK IN THE UNITED STATES ?

Yes No

WHAT DOCUMENT CAN YOU PROVIDE AS PROOF OF CITIZENSHIP OR LEGAL STATUS ?

WILL YOU CONSENT TO A MANDATORYCONTROLLED SUBSTANCE TEST ?

Yes No

DO YOU HAVE ANY CONDITION WHICH WOULD REQUIRE JOB ACCOMMODATIONS ?

Yes No

HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENSE (FELONY OR MISDEMEANOR) ?

Yes No

PLEASE LIST BELOW THE SKILLS AND QUALIFICATIONS YOU POSSESS FOR THE POSITION FOR WHICH YOU ARE APPLYING
(Note: UNIVERSAL SUPPORT AGENCY complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

HIGH SCHOOL

Name

Location (City,State)

Year Graduated

Degree Earned

COLLEGE / UNIVERSITY

Name

Location (City,State)

Year Graduated

Degree Earned

VOCATIONAL SCHOOL/SPECIALIZED TRAINING

Name

Location (City,State)

Year Graduated

Degree Earned

ARE YOU A MEMBER OF THE ARMED SERVICES ?

WHAT BRANCH OF THE MILITARY DID YOU ENLIST ?

WHAT BRANCH OF THE MILITARY RANK WHEN DISCHARGED ?

HOW MANY YEARS DID YOU SERVE IN THE MILITARY ?

WHAT MILITARY SKILLS DO YOU POSSESS THAT WOULD BE AN ASSET FOR THIS POSITION?

EMPLOYER NAME

JOB TITLE

SUPERVISOR NAME

EMPLOYER TELEPHONE

EMPLOYER ADDRESS

CITY

STATE

ZIP CODE

DATE EMPLOYED FROM

DATE EMPLOYED TO

REASON FOR LEAVING

EMPLOYER NAME

JOB TITLE

SUPERVISOR NAME

EMPLOYER TELEPHONE

EMPLOYER ADDRESS

CITY

STATE

ZIP CODE

DATE EMPLOYED FROM

DATE EMPLOYED TO

REASON FOR LEAVING

EMPLOYER NAME

JOB TITLE

SUPERVISOR NAME

EMPLOYER TELEPHONE

EMPLOYER ADDRESS

CITY

STATE

ZIP CODE

DATE EMPLOYED FROM

DATE EMPLOYED TO

REASON FOR LEAVING

Reference

Contact information

ADDITIONAL INFORMATION

The relationship between you and the UNIVERSAL SUPPORT AGENCY is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the UNIVERSAL SUPPORT AGENCY. No representative of UNIVERSAL SUPPORT AGENCY has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

APPLICANT NAME

DATE

Je ne suis pas un robot

Job Openings:

* REQUIRED INFORMATIONS

HIGH SCHOOL

COLLEGE / UNIVERSITY

VOCATIONAL SCHOOL/SPECIALIZED TRAINING

GET IN TOUCH

Contact Details

You Know how to reach us.

Locate Us at

650 Pennsylvania Ave SE, Suite 370 Washington DC 20003

Phone: 202-280-7070
Fax: (571) 475-9528

info@universalsupportagency.com

© Copyright 2021 - 2024

Our Partners

Careers

Job Openings:

* REQUIRED INFORMATIONS

HIGH SCHOOL

COLLEGE / UNIVERSITY

VOCATIONAL SCHOOL/SPECIALIZED TRAINING

GET IN TOUCH

Contact Details

You Know how to reach us.

Locate Us at

650 Pennsylvania Ave SE, Suite 370 Washington DC 20003

Phone: 202-280-7070Fax: (571) 475-9528

info@universalsupportagency.com

© Copyright 2021 - 2024

Our Partners

Phone: 202-280-7070
Fax: (571) 475-9528