Apply to Work for The ABDD

At The Alliance for Behavioral and Developmental Disabilities we strive find individuals who share our vision of bringing a brighter tomorrow to the lives of others. You have two options:

1. Download, fill out, and print this PDF application, then mail it with your resume and cover letter to:

Alliance for Behavioral and Developmental Disabilities
Human Resource Department
3856 E. State Street
Hermitage, PA 16148

2. Submit your application and resume online using the form below. **Fields marked with an asterisk (*) are required.**

The ABDD does not discriminate on the basis of race, national origin, color, sex, age or disability. It is our intention that all applicants be given equal opportunity and that selection decisions are based on job-related factors.

The ABDD is a drug-free workplace and an equal opportunity employer.

General Information

Full Name

Last Name

First Name

Your Last Name

Contact Details

Address

City

State

ZIP

Phone

Best time to contact

Personal Information

Are you over the age of 18?

Are you authorized to work in the U.S.?

Do you have a valid driver's license?

Driver's License #

Have you previously been employed by ABDD?

Dates of Previous Employment

Have you ever been convicted of a Felony or Misdemeanor?

Please Explain (Conviction of a criminal offense will not necessarily disqualify applicants from employment.)

Education Information

High School

Name

City/State

Years Completed

Did you Graduate?

College/Post High School Education

Name

City/State

Years Completed

Did you Graduate?

Military

Have you ever served in the Military?

Dates of Service

Military Branch

Certifications, Organizations and Training

List by number and year issued, any license, certificate or registration issued by the Commonwealth, or Professional Association which relates to, or is required for the position you are applying for

List any professional organizations to which you belong (Do NOT list any organization that would reveal your race, color, religious creed or national origin)

List any training or experience that you feel would be applicable to the type of work that you are applying for

Previous Employment

Employer #1

Employer Name

Address

Employer Phone

Dates of Employment

Title

Salary

Immediate Supervisor

Reason for Leaving

Employer #2

Employer Name

Address

Employer Phone

Dates of Employment

Title

Salary

Immediate Supervisor

Reason for Leaving

Employer #3

Employer Name

Address

Employer Phone

Dates of Employment

Title

Salary

Immediate Supervisor

Reason for Leaving

References

Please list four professional and/or personal references.

Reference #1

Name

Phone

Reference #2

Name

Phone

Reference #3

Name

Phone

Reference #4

Name

Phone

Additional Information

If there is anything you feel is relevant please use this space for additional comments

How did you hear about us?

Tell us where you heard about us:

Use this field to upload your resume when you click "Submit" below (only pdf, doc, docx, xls, xlsx files allowed)

Signature

I hereby certify to the best of my knowledge, that all statements are true and correct. I am aware that all statements contained herein will be verified and willful misrepresentation will result in disqualification of employment or termination.

By signing below I authorize ABDD to contact any of my previous employers.

Type Full Name (Print)

Retype Full Name (Signature)

Date

ABDD is an Equal Opportunity Employer

Apply to Work for The ABDD

1. Download, fill out, and print this PDF application, then mail it with your resume and cover letter to:

2. Submit your application and resume online using the form below. **Fields marked with an asterisk (*) are required.**

Thank You for Applying to The ABDD

Additional Supports

Apply to Work for The ABDD

1. Download, fill out, and print this PDF application, then mail it with your resume and cover letter to:

2. Submit your application and resume online using the form below. Fields marked with an asterisk (*) are required.

Thank You for Applying to The ABDD

Additional Supports

2. Submit your application and resume online using the form below. **Fields marked with an asterisk (*) are required.**