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Area Agency On Aging of Southeast Arkansas

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We are now accepting resumes for the following positions. Please view job listings for more information and to apply online today.

Area Agency on Aging of Southeast Arkansas does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.

Senior Center Manager – Stuttgart

Food Van Driver – Stuttgart

Kitchen Assistant – Dermott

Home Health Aide in Arkansas County

Home Health Aide in Grant County

Home Health Aide in Jefferson County

Employment Application

"*" indicates required fields

Today's Date*

MM slash DD slash YYYY

Your Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Available Start Date*

MM slash DD slash YYYY

Position Applying For*

Carefully review the job description of the position for which you are applying for and answer the following questions:

Is there anything that will prevent you from obtaining the proper classification of motor vehicle license if it is required for the position for which you are applying?*

Yes

No

Do you own or have access to a car with all required licenses and insurance, which you can use for agency travel, if travel is necessary to perform duties of the position for which you are applying?*

Yes

No

Can you perform with or without reasonable accommodation the essential functions of the position for which you are applying?*

Yes

No

Do you meet the educational, mental, certification and experience requirements of the position for which you are applying?*

Yes

No

If you are applying for a driver's position, are you 21 years of age or older?*

Yes

No

Do you have the skills to operate with or without reasonable accommodation the tools and equipment used in the position for which you are applying?*

Yes

No

Is there anything that will prevent you from working in the environmental factors and work hazards present at the position for which you are applying?*

Yes

No

Have you ever been convicted of a criminal offense?*

Yes

No

If answered yes to the question above, please explain.*

Are you related by blood or marriage to any employee of the Area Agency on Aging of Southeast Arkansas, Inc.?*

Yes

No

If answered yes to the question above, provide name of employee.*

Have you ever been employed by the Area Agency on Aging of Southeast Arkansas, Inc.?*

Yes

No

If answered yes to the question above, please state the position you held and the dates of employment.*

What is the lowest acceptable salary to you?*

What date are you available for employment?*

MM slash DD slash YYYY

Work Experience

Position 1:

Employer (current or most recent)*

Type of Business*

Address*

Street Address City State

Supervisor*

Employment Period (Mo/Yr – Mo/Yr)*

Position*

Salary Per Month*

Reason for Leaving*

Duties*

Position 2:

Employer

Type of Business

Address

Street Address City State

Supervisor

Employment Period (Mo/Yr – Mo/Yr)

Position

Salary Per Month

Reason for Leaving

Duties

Position 3:

Employer

Type of Business

Address

Street Address City State

Supervisor

Employment Period (Mo/Yr – Mo/Yr)

Position

Salary Per Month

Reason for Leaving

Duties

Attach Resume

Accepted file types: pdf, Max. file size: 15 MB.

Email

This field is for validation purposes and should be left unchanged.

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709 E 8th Ave.
Pine Bluff, AR 71601

870-543-6300

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Employment Application

Carefully review the job description of the position for which you are applying for and answer the following questions:

Work Experience

Position 1:

Position 2:

Position 3:

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