Apply to Quincea Ventures Social Enterprise Application Step 1 of 5 20% Your Personal InformationIt is the policy of Quiñcea Inc. to provide equal opportunity in employment. Selection and employment of applicants shall be made on the basis of their qualifications, without regard for disability, national origin, race, color, religion or sex.Your Name First Last Your Email Address Enter Email Confirm Email Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your PhoneBest Time To Call YouMorningsAfternoonEvening Position You're Applying ForPosition You're Applying For HCBS DTA VOC Select AllDesired Schedule Full Time Part Time Seasonal Split Shift Select AllHours You Are Available for WorkPlease tell us what hours you are available for work each day of the week.MondayTuesdayWednesdayThursdayFriday Add RemoveDo you have a valid driver's license? Yes No Driver's License InformationDriver's License NumberStateExpirationHave you ever been employed with Quincea? Yes No Explain previous employmentWhat was your reason for leaving?How did you hear about us? Friend Flyer Website Newspaper Employee Other Explain how you heard about usList names or any other relevant information for how you heard about us.Previous EmploymentYour Previous EmployersPlease list your previous employers, the dates you worked and the position you heldEmployerDatesPositionPhone Add Remove More About YouAre you fluent in any other languages? (please specify)Have you ever been employed under another name? Yes No If yes what name did you use?Applicant EducationEnter Education HistoryInstitution NameLocation (City/State)Degree/DiplomaMajorNumber of Credits Add RemoveWork HistoryStart with your most recent employerCompany NameAddressSupervisorPhoneDates of EmploymentJob TitleDuties Add RemoveTell Us About YourselfUpload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. Applicant Emergency Information:InsuranceCompanyPolicy NumberAddressPhone Number Add RemoveEmergency ContactsNameRelationAddressPhone Number Add Remove The information requested below is requested for a legally permissible reason. Quiñcea Inc., does not discriminate in its employment practices based on race, age, color, gender, ethnic group, national origin, religion, citizenship, marital status, sexual orientation, veteran status, medical condition, physical or mental disability.Are you 18 years or older? Yes No Do you have the legal right to work in the United States of America? Yes No Can you obtain three letters of recommendation? Yes No To the best of your knowledge, are you able to pass a fingerprint clearance? Yes No Terms and Conditions(Required)Please read before you sign: 1. I understand that Quiñcea employees are fingerprinted and need to be cleared by DES Office of Investigations and Department of Public Safety. 2. If accepted, l agree to be governed and abide by all Quincea rules and regulations. 3. I authorize inquiry with regard to my character, ability, and habits of any and al persons, and agree to hold such person harmless with respect to any information that they may give. 4. I certify that all answers to the questions on this application are true and I understand that any misstatement or omission of facts may disqualify me or be cause for dismissal. 5. I understand that any employment offered is for an indefinite duration, at will, and that Quificea Inc. may terminate my employment at any time with lawful cause. I agree to the terms and conditions.Digital SignatureToday's Date MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.
