Skip to content
RMI Employment Application
REACHING MAXIMUM INDEPENDENCE, INC.
A QUALITY SERVICE PROVIDER
8242 Vicar Dr
San Anotnio, Texas 78218
(210) 656-6674 / Fax (210) 656-0199
PRE-EMPLOYEMENT APPLICATION
Reaching Maximum Independence, Inc is an equal opportunity employer and will consider all applicationa for all positions equally without regard to race, sex, age, color, religion, national origin, veteran status or any disability as provided in the Americans with Disabilities Ace.
This application will be given every consideration, but its receipt does not imply that the applicant will be employed. This application must be completed with all questions answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.
Reaching Maximum Independence, Inc. is a Drug-Free workplace. Upon a contingent job offer, the applicant must submit to a drug test, a criminal history clearance, employee misconduct registry and/or Nurse's aid registry clearance.
P
ERSONAL
:
*
1.
Contact Information
:
(Required.)
Name (Last, First, MI):
Present Address:
City:
State:
Zip:
Phone Number (Day):
Phone Number (Evening):
Email Address:
Social Security Number:
Are you over 18 (yes/no)?
Drivers License State:
Drivers License #:
Drivers License Type:
Is your license currently valid (yes/no)?
E
MPLOYMENT DESIRED
:
*
2.
Are you seeking
(Required.)
Full-time employment
Part-time employment
Temporary employment
*
3.
Tell us about the position you're looking for:
(Required.)
Position applied for:
Salary Desired:
Date available to start:
4.
How did you hear about us?
5.
Employer
Company
Address
City/Town
State/Province
ZIP/Postal Code
Phone Number