Apply now! What Position are you applying for? HTS - Habilitation Training SpecialistHM - House ManagerPC - Program CoordinatorNo Preference How did you learn about us? AdvertisementEmployment AgencyFriendRelativeWalk-InOther If "Other", please specify First Name Middle Name Last Name Address Email Phone Number On what date would you be available to start working for us? Which are you available to work? Full TimePart TimeShift WorkNightsWeekendsTemporary Can you travel if the job requires it? YesNo Are you at least 18 years old? YesNo Do you have your high school diploma or equivalent? YesNo Do you have a valid Oklahoma Driver's License? YesNo Have you ever filled out an application with us before? YesNo Are you legally allowed and able to work within the United States? YesNo Are you currently on "lay-off" status and subject to recall? YesNo Have you ever been convicted of a felony or a misdemeanor involving domestic violence? YesNo If yes, please explain: Have you ever completed any of the following training or certifications? Foundations TrainingCPRFirst AidM.A.T. Employment History #1 1. Company Name Phone Number Supervisor Start Date End Date Employment History #2 2. Company Name Phone Number Supervisor Start Date End Date Education High school: Years Completed: Did you graduate? YesNo Trade/Tech School: Course of Study: Years Completed: Did you graduate? YesNo College or University: Course of Study or Degree Sought: Years Completed: Did you graduate? YesNo References Please provide the name and contact information for 2 references who are NOT related to you: Reference Name Contact Information How do you know this person? Reference Name Contact Information How do you know this person? Upload Resume (PDF only, max 5MB) Certification I certify that the information provided is true and complete. I understand that false information may disqualify me from employment.