Apply Now Employee Application Step 1 of 3 33% Your Personal InformationYour Name* First Last Your Email Address* Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Please select what number you would like to enter.WorkHomeCellOtherPhone Number*Best Time To Call YouWhen is the best time for us to reach you via telephone?Best Time To Call YouMorningsEarly AfternoonsLate AfternoonsEveningsOver 21 years of age*Are you at least 21 years of age? Yes No Referred By*Social MediaIndeed.comFriendArc EmployeeJob FairOtherName of Employee Who Referred You Please Tell Us How You Heard About the Position Position You're Applying ForPosition You Are Applying For*LPN Full Time, Part-time & PRNHuman Resources GeneralistDirect Support Professional - St. Landry Day Program (Grand Coteau, La.)Direct Support Professional / Personal Care Attendant - Waiver ServicesDirect Support Professional / Personal Care Attendant - (50+ years of age)Direct Support Professional / Personal Care Attendant - Bossier CityDirect Support Professional / Personal Care Attendant Residential Group HomeDirect Support Professional / Personal Care Attendant FloaterDirector of Nursing (RN)Location* Lafayette, La Erath, La Location* New Iberia, LA Location* New Iberia, LA Location* Bossier City, LA Location* Rayne, LA Duson, LA Opelousas, LA Abbeville, LA Erath, LA Delcambre, LA Lafayette, LA New Iberia, LA Location* Opelousas, LA New Iberia, LA Rayne, LA Duson, LA Lafayette, LA Location* Bossier City, LA Location* Lafayette, LA New Iberia, LA Rayne, LA Duson, LA Location* Lafayette, LA Duson, LA Rayne, LA Opelousas, LA Location* New Iberia, LA Location* Bossier City, LA New Iberia, LA Location* New Iberia, LA Location* New Iberia, LA What shift are you able to work? (Choose all that apply)* Day (8am – 4pm) Day (7am – 3pm) Evening (3pm-11pm) Evening (3pm – 10pm) Overnight (11pm – 7am) Overnight (11pm – 9am) Saturday and Sunday (7am – 7pm) Saturday and Sunday (7pm – 7am) Saturday and Sunday (8am – 8pm) Saturday and Sunday (8pm – 8am) Previous EmploymentYour Previous Employers*Please list your previous employers, the dates you worked and the position you heldEmployerDatesPositionEmployer Phone Add RemoveYour Previous Employers*Please list your previous employers, the dates you worked and the position you heldEmployerDatesPositionEmployer Phone Add RemoveIf currently employed, may we contact your current employer for a reference?* Yes No Not currently employeed References*Please list your references. References cannot be a family member or previous employer.Reference NameRelationshipReference Phone Add Remove More About YouDo you have a valid Driver’s License?* Yes No Have you ever been convicted of a felony or misdemeanor, pled no contest to a felony or misdemeanor, or are you under indictment for a felony that was committed?* Yes No Do you have a legal right to be employed in the U.S.?* Yes No Tell Us About YourselfUpload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 100 MB.Confirm Information Above* I agree that the above information contains my true and complete legal name and is true and correct to the best of my knowledge.Signature (Type Your Full Name)* Equal Opportunity EmployerWe consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status.Consent I agree to receive other communications from Arc of Acadiana.Certify InformationI certify that answers given are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including a criminal history check and motor vehicle record/driver’s license check. Any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Employer. Arc of Acadiana is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please click below. I agreeCAPTCHAEmailThis field is for validation purposes and should be left unchanged.
