Are your work records under another name/names? If yes please specify
Have you previously filed an application with SullivanArc, Arc of Orange County, The Arc Sullivan-Orange Counties or The Arc Dutchess?
Have you previously been employed by The Arc Greater Hudson Valley, SullivanArc, The Arc of Orange County, The Arc Sullivan-Orange, or The Arc of Dutchess?
Are you legally eligible for employment in the U.S.A.?
Have you ever been convicted of a crime or have any pending charges and/or have a history of substantiated abuse on file in the OPWDD, OMH or DOH system? If yes provide date and specify below