Apply Online – Runningwater Draw Care Center

Personal Information

Name*

First Last

Primary Phone Number*

Secondary Phone Number

Email*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Physical Address*

Street Address Address Line 2 City State ZIP Code

Are you 18 or older?*

Yes
No

If "No", Enter Birthdate*

If you are over 18, you are NOT required to provide your birthdate on your application.

Are you legally allowed to work in the US?*

Yes
No

If you are either a U.S. citizen, or an alien who has the legal right to work in the U.S., click yes.

Please list any specialized training, certifications, accreditations that are relevant to the interview process:

Do you have friends or relatives employed at this facility?*

Yes
No

Have you ever been disciplined for resident abuse?*

Yes
No

If yes, please explain*

Have you ever been convicted, pled guilty or no contest to a felony or misdemeanor?*

Yes
No

If yes, please explain*

Position Information

What position(s) are you applying for?*

Desired Wages

When are you available to start?

Why do you feel you'd be a good fit for the above position(s)?

How did you hear about RDCC and the position(s) you're applying for?

Schedule Information

What type of position are you applying for?

Full-Time
Part-Time
Temporary
Summer Job
Seasonal

If seeking part-time work, please specify the number and days per week

Which shifts do you prefer to work?

Day
Evening
Night
Saturday
Sunday
Holidays

If your preferred shifts are unavailable, which shifts are you willing to work?

Day
Evening
Night
Saturday
Sunday
Holidays

If we need to require shifts, which shifts are you willing to work?

Day
Evening
Night
Saturday
Sunday
Holidays

What reasons might cause you to have to request a change in your scheduled work?

Employment & Experience Information

Beginning with your most recent employer, list the last four positions you've held.

Current/Most Recent Employer

Company

Phone

Your position(s) and job(s) at this company?

Supervisor

First Last

May we contact?

Yes
No

When may we contact?

Now
After Offer of Employment

Starting Pay

Ending Pay

Reason you left and/or are leaving?

2nd Most Recent Employer

Company

Phone

Your position(s) and job(s) at this company?

Supervisor

First Last

May we contact?

Yes
No

When may we contact?

Now
After Offer of Employment

Starting Pay

Ending Pay

Reason you left and/or are leaving?

3rd Most Recent Employer

Company

Phone

Your position(s) and job(s) at this company?

Supervisor

First Last

May we contact?

Yes
No

When may we contact?

Now
After Offer of Employment

Starting Pay

Ending Pay

Reason you left and/or are leaving?

4th Most Recent Employer

Company

Phone

Your position(s) and job(s) at this company?

Supervisor

First Last

May we contact?

Yes
No

When may we contact?

Now
After Offer of Employment

Starting Pay

Ending Pay

Reason you left and/or are leaving?

In the last 5 years, have you been fired or resigned from a job after being told you would be fired?

Yes
No

If yes, what position

Have you ever been employed by RDCC in the past?

Yes
No

If yes, please explain

Do you have any physical limitations that would affect your job performance?

Yes
No

If yes, please explain

What did you like most about your last (or current) job?

What did you like least about your last (or current) job?

In working with residents, what personal character trait do you feel you excel in?

In working with residents, what personal character trait causes you the most problem?

References

Please provide name and phone number for 3-4 references that we may contact.

References

Resume & Other Notes

Upload Your Resume

Please include any other notes or relevant information that you would like considered with your application:

Application Notes

Please read the following carefully:

The following information is important, please make sure to read it before submitting your application:

I hereby certify that the facts set forth in this application are true and correct to the best of my knowledge. I understand that falsification or misrepresentation of any information contained herein shall be cause for dismissal, should I be employed for this or any other position with Runningwater Draw Care Center, Inc.

I hereby authorize the facility to make any inquiries regarding the information contained within this application regarding my qualifications and abilities, contacting my former employers and references listed on this application, and I authorize such individuals and organizations to release information required by this facility.

I understand and agree that in the course of making a hiring decision, a background investigation will be conducted and the contents of this application will be verified. I understand that employment is also dependent on results of a Criminal History Check and for direct care staff, a check from the Employee Misconduct Registry.

Further, I agree to submit if requested by the company, to any testing insofar as it relates to skills or ability to perform the job being applied for or to the accuracy of the information contained within this application, or upon request by the company at any time during my employment. This includes drug-testing as is further explained in the Personnel Policy.

I understand that my employment by this facility would be considered “at will.” Neither this application, nor employment, nor acceptance of the Personnel Policy represent a contract. I may resign with or without cause, and the facility may terminate my employment with or without cause.

I understand that this application will remain effective for a period of sixty (60) days from the date I have listed on page one, and thereafter, I must re-apply if I wish to continue to be considered for employment.

For Applicants Younger than 18

Regulations governing youth employment allow permissible jobs and hours of work, by age as follows:

Youths 18 years or older may perform any job, whether hazardous or not, for unlimited hours;
Youths 16 and 17 years old may perform any non-hazardous job, for unlimited hours; and
Youths 14 and 15 years old may work outside school hours in various non-manufacturing, non-mining, non-hazardous jobs under the following conditions:
no more than 3 hours on a school day;
no more than 18 hours in a school week;
no more than 8 hours on a non-school day; and
no more than 40 hours in a non-school week.
Also, work may not begin before 7am nor end after 7pm except from June 1 - Labor Day, when evening hours are extended to 9pm. Under a special provision, youths enrolled in an approved Work Experience and Career Exploration Program may be employed for up to 23 hours in school weeks and 3 hours on school days (including during school hours).

Convictions Barring Employment

(a) A person for whom the facility is entitled to obtain criminal history record information may not be employed in a facility if the person has been convicted of an offense listed in this subsection:

an offense under Chapter 19, Penal Code (criminal homicide);
an offense under Chapter 20, Penal Code (kidnapping and unlawful restraint);
an offense under Section 21.02, Penal Code (continuous sexual abuse of young child or children);
an offense under Section 21.08, Penal Code (indecent exposure);
an offense under Section 21.11, Penal Code (indecency with a child);
an offense under Section 21.12, Penal Code (improper relationship between educator and student);
an offense under Section 21.15, Penal Code (improper photography or visual recording);
an offense under Section 22.011, Penal Code (sexual assault);
an offense under Section 22.02, Penal Code (aggravated assault);
an offense under Section 22.021, Penal Code (aggravated sexual assault);
an offense under Section 22.04, Penal Code (injury to a child, elderly or disabled individual);
an offense under Section 22.041, Penal Code (abandoning or endangering a child);
an offense under Section 22.05, Penal Code (deadly conduct);
an offense under Section 22.07, Penal Code (terroristic threat);
an offense under Section 22.08, Penal Code (aiding suicide);
an offense under Section 25.031, Penal Code (agreement to abduct from custody);
an offense under Section 25.08, Penal Code (sale or purchase of a child);
an offense under Section 28.02, Penal Code (arson);
an offense under Section 29.02, Penal Code (robbery);
an offense under Section 29.03, Penal Code (aggravated robbery);
an offense under Section 33.021, Penal Code (online solicitation of a minor);
an offense under Section 34.02, Penal Code (money laundering);
an offense under Section 35A.02, Penal Code (Medicaid fraud);
an offense under Section 37.12, Penal Code (false indentification as peace officer);
an offense under Section 42.01,(a)(7), (8), or (9), Penal Code disorderly conduct);
an offense under Section 42.09, Penal Code (cruelty to animals); or
a conviction under the laws of another state, federal law, or the Uniform Code of Military Justice for an offense containing elements that are substantially similar to the elements of an offense listed under Subdivisions 1-27 above.

(b) A person may not be employed in a position the duties of which involve direct contact with a consumer in a facility before the fifth anniversary of the date the person is convicted of:

an offense under Section 22.01, Penal Code (assault) that is punishable as a Class A misdemeanor or as a felony; an offense under Section 30.02, Penal Code (burglary - building or habitation) Refer to (c) for nursing facilities or assisted livings;
an offense under Chapter 31, Penal Code (theft) that is punishable as a felony;
an offense under Section 32.45, Penal Code (misapplication of fiduciary property or property of a financial institution) that is punishable as a Class A misdemeanor or a felony; or
an offense under Section 32.46, Penal Code (securing execution of a document by deception) that is punishable as a Class A misdemeanor or a felony.

(c) In addition to the prohibitions on employment prescribed by Subsections (a) and (b), a person for whom a facility licensed under Chapter 242 - Nursing Facilities or 247 - Assisted Living Facilities, is entitled to obtain criminal history record information may not be employed in a facility licensed under Chapter 242 or 247 if the person has been convicted of:

an offense under Section 30.02, Penal Code (burglary); or
under the laws of another state, federal law, or the Uniform Code of Military Justice for an offense containing elements that are substantially similar to the elements of an offense under Section 30.02, Penal Code

Your Agreement

I have read this document and have been given an opportunity to ask any questions about any part that I do not understand. I hereby affirm that I have no convictions of an offense listed above which would bar employment and acknowledge that a criminal history check will be submitted to the Texas Department of Human Services as required by law. I further understand that other offenses are a potential bar to employment under state law and/or the policies of this facility and that my statement in this affidavit in no way limits my disclosure of other criminal offenses as required by the employment application. I also understand that any incomplete information or misrepresentation, including by omission. on this form or on the facility employment application may be considered grounds for immediate termination.

Please type your full legal name to represent your signature.*

First Last

Date*

Personal Information

Position Information

Schedule Information

Employment & Experience Information

Current/Most Recent Employer

2nd Most Recent Employer

3rd Most Recent Employer

4th Most Recent Employer

References

Resume & Other Notes

Application Notes

For Applicants Younger than 18

Convictions Barring Employment

Your Agreement

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