Careers

Equal Opportunity Employer

Commonwealth Supportive Services does not discriminate in hiring or employment on the basis of race, color, religion, sex, nationality, age, disability, marital status, recipients of public assistance, veteran status, sexual orientation preference or other factors identified and protected by federal, state, or local legislation. CSS will ensure that reasonable accommodation is made to meet the needs of handicapped employees and those with Limited English Proficiency (LEP).

Our agency is now looking for:

Licensed Practical Nurses
Certified Nursing Assistants
Personal Care Assistants

Program Specialist
Program Supervisors
Direct Support Staff

To apply with us, please fill out our form below. We’ll get back to you as soon as possible.

CareerForm

FULL NAME

FIRST NAME

MIDDLE NAME

LAST NAME

ADDRESS

APPARTMENT/UNIT NUMBER

Address

City

State

Zip Code

Country

PHONE NUMBER

Email

DATE AVAILABLE

LAST 4 DIGITS OF SOCIAL SECURITY NUMBER

POSITION APPLIED FOR

DESIRED SALARY

ARE YOU AUTHERIZED TO WORK IN THE US?

DO YOU KNOW ANYONE WHO WORKS AT CSS?

ARE YOU AT LEAST 18 YEARS OR OLDER?

WHO?

HAVE YOU BEEN CONVICTED OF A CRIME THAT WOULD PREVENT YOU FROM WORKING WITH PERSONS WITH DISABILITIE

HAVE YOU EVER BEEN TERMINATED FROM EMPLOYMENT OR ASKED TO RESIGN?

EDUCATION

HIGH SCHOOL

ADDRESS

FROM

TO

DIPLOMA

DID YOU GRADUATE?

COLLEGE

ADDRESS

FROM

TO

DIPLOMA

DID YOU GRADUATE?

OTHER

ADDRESS

FROM

TO

DIPLOMA

DID YOU GRADUATE?

DAYS AND HOURS AVAILABLE

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

EMPLOYMENT HISTORY

COMPANY

ADDRESS

STARTING SALARY

PHONE

SUPERVISOR

ENDING SALARY

JOB TITLE

FROM

TO

RESPONSIBILITIES

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

YES

NO

COMPANY

ADDRESS

STARTING SALARY

PHONE

SUPERVISOR

ENDING SALARY

JOB TITLE

FROM

TO

RESPONSIBILITIES

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

YES

NO

COMPANY

ADDRESS

STARTING SALARY

PHONE

SUPERVISOR

ENDING SALARY

JOB TITLE

FROM

TO

RESPONSIBILITIES

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

YES

NO

REFERENCES

PLEASE LIST THREE PROFESSIONAL REFERENCES (NOT RELATED TO YOU)

FULL NAME

COMPANY

ADDRESS

RELATIONSHIP

PHONE

FULL NAME

COMPANY

ADDRESS

RELATIONSHIP

PHONE

FULL NAME

COMPANY

ADDRESS

RELATIONSHIP

PHONE

MILITARY SERVICE

BRANCH

FROM

TO

RANK AT DISCHARGE

IF OTHER THAN HONORABLE, EXPLAIN

TYPE OF DISCHARGE

DISCLAIMER AND SIGNATURE

Commoriwealth Supportive Services (CSS) is an equal opportunity employer. CSS does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, gender, sexual orientation, marital status or any other protected class.

I UNDERSTAND THAT NEITHER THE COMPLETION OF THIS APPLICATION NOR ANY OTHER PART OF MY CONSIDERATION FOR EMPLOYMENT ESTABLISHES ANY OBLIGATION FOR CSS TO HIRE ME. IF I AM HIRED, I UNDERSTAND THAT EITHER CSS OR I CAN TERMINATE MY EMPLOYMENT AT ANY TIME AND FOR ANY REASON, WITH OR WITHOUT PRIOR NOTICE. I UNDERSTAND THAT NO REPRESENTATIVE OF CSS HAS THE AUTHORITY TO MAKE ANY ASSURANCE TO THE CONTRARY.

I ATTEST WITH MY SIGNATURE BELOW THAT I HAVE GIVEN TO COMMONWEALTH SUPPORTIVE SERVICES, TRUE AND COMPLETE INFORMATION ON THIS APPLICATION. NO REQUESTED INFORMATION HAS BEEN CONCEALED. I AUTHORIZE CSS TO CONTACT REFERENCES PROVIDED FOR EMPLOYMENT REFERENCE CHECK. I ALSO AUTHORIZE CSS TO CONDUCT BACKGROUND CHECKS UPON OFFER OF EMPLOYMENT. IF ANY INFORMATION I HAVE PROVIDED IS UNTRUE, I UNDERSTAND THAT THIS WILL CONSTITUTE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE DISMISSAL.

PRINT NAME

DATE