Apply for a Position at UCP of NYC

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Please fill out the form below to apply for a position at UCP of NYC. Information about specific positions we're actively trying to fill can be found here

* required information
EMPLOYMENT APPLICATION 
First Name:*
Middle Name:
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Cell Phone:*
Desired shift(s) (hold down Ctrl. to make multiple selections):*
Position applying for (hold down Ctrl. to make multiple selections):*
What type of employment are you seeking (hold down Ctrl to make multiple selections)?:*
Please check the borough(s) that you can work in (hold down Ctrl. to make multiple selections):*
Are you over the age of 18?:*
If no, can you provide proof of work eligibility:
Are you legally eligible for employment in the United States at this time based on citizenship, immigration and/or visa status?:*
Availability date:*(mm/dd/yyyy)
List the names of relatives/members of your household working for our agency:
Referred by:
Have you ever worked for UCP of NYC before?:*
If yes, please provide details:
If you have ever used another name for education and/or employment, please provide:
Are you able to perform the essential functions of the position as described with or without reasonable accomodation?:*
If you wish to make an accomodation known at this time, please describe:
How did you learn about our agency:*
High School name and address:*
Did you graduate from High School?:*
High School degree received:
Vocational/Technical School name and address:
Did you graduate from Vocational School/Technical School?:
Vocational/Technical School degree received:
Vocational/Technical School major:
College name & address:
Did you graduate from college?:*
College degree received:
College major:
Graduate or Professional School name and address:
Did you graduate from Graduate or Professional School?:*
Graduate or Professional School degree received:
Graduate School major:
Describe other relevant specialized training and study:
Please list any licenses, certifications or professional credentials (include date received, expiration date and issuing state):
Did you serve in the military?:*
If yes, what branch?:
Begin date of military service:(mm/dd/yyyy)
End date of military service:(mm/dd/yyyy)
Rank:
Current status:
Type of position:
Are you currently employed?:*
May we contact your present employer for a job reference?:*
Most recent employment company name and address:
Most recent employment begin date:(mm/dd/yyyy)
Most recent employment end date:
Most recent employment start rate of pay:
Most recent employment finish rate of pay:
Most recent employment name and phone number of supervisor:
Most recent employment job position or title held:
Most recent employment reason for leaving employer:
2nd most recent employment company name & address:
2nd most recent employment begin date of employment:(mm/dd/yyyy)
2nd most recent employment end date of employment:(mm/dd/yyyy)
2nd most recent employment start rate of pay:
2nd most recent employment end rate of pay:
2nd most recent employment name and phone number of supervisor:
2nd most recent employment job position or title held:
2nd most recent employment reason for leaving employer:
3rd most recent employment company name and address:
3rd most recent employment begin date:(mm/dd/yyyy)
3rd most recent employment end date:(mm/dd/yyyy)
3rd most recent employment start rate of pay:
3rd most recent employment finish rate of pay:
3rd most recent employment name and phone number of supervisor:
3rd most recent employment job position or title held:
3rd most recent employment reason for leaving employer:
4th most recent employment company name and address:
4th most recent employment begin date:(mm/dd/yyyy)
4th most recent employment end date:(mm/dd/yyyy)
4th most recent employment start rate of pay:
4th most recent employment finish rate of pay:
4th most recent employment job position or title held:
4th most recent employment reason for leaving employer:
List any periods of self employment (what type of work), gaps in employment and or unemployment with dates:
Have you ever been discharged or asked to resign from any employment?:*
If you have been discharged or asked to resign please briefly explain:
Please list any foreign languages you are competent in:
List other important skills, abilities and experience not already described that would assist in evaluating you for this job:
Have you ever been convicted of an offense anywhere, including felonies, misdemeanors or violations?:*
Are there any criminal charges or violations currently pending against you ?:*
If yes, list offense:
If yes, please list date of conviction:(mm/dd/yyyy)
If yes, please provide court name and location:
If yes, list the result including jail, probation, fines:
Do you have a drivers license?:*
What state issued your license?:
Driver's license expiration date:(mm/dd/yyyy)
Please list any moving violations, license suspensions, license revocations, DWI convictions in the last 3 years:
Please list any driving incident involving harm to a person or property in the last 3 years:
Is your driving record clear of any violations?:*
You understand that your driving record will be confirmed?:*
Please list the name, title, affiliation and phone number of 3 references (no relatives or UCP of NYC staff):
Resume:* Click here to attach file
Cover Letter: Click here to attach file
I agree that I have read and fully understand the application and the Important Information for Applicants page:*
        

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Note : A conviction record will not necessarily disqualify you from the position you are applying for. Your record will be reviewed in accordance with New York State law and a copy of the law is available for you with the job application material. Failure to tell the truth will, when discovered, automatically result in your elimination from consideration or your termination if you have been offered the job. If you are not sure how to answer these questions, you are to talk with a representative of Human Resources to answer this section accurately.

 

**Failure to tell truth will, when discovered, automatically result in your elimination from consideration or your termination if you have been offered the job. If you are not sure how to answer these questions, you are to talk with a representative of Human Resources to answer this section accurately.

 

 

 

 

 

 

 

 

 

 

 

 

 

***Important Information for Applicants

 
 

United Cerebral Palsy of New York City
80 Maiden Lane - 8th Floor
New York, NY 10038

info@ucpnyc.org

 

        

To Donate
 Click here or call
(212) 683-6700, ext. 207

General Inquiries
(877) UCP-CONNECT or
projectconnect@ucpnyc.org