REACHING MAXIMUM INDEPENDENCE, INC.
A QUALITY SERVICE PROVIDER
6336 Montgomery Drive
San Anotnio, Texas 78239
(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.
PERSONAL:

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* 1. Contact Information:

EMPLOYMENT DESIRED:

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* 2. Are you seeking

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* 3. Tell us about the position you're looking for:

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* 4. Previous employment with RMI

  Yes No I don't recall
Have you ever applied at RMI before?
Have you ever worked for RMI before?

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* 5. How many years have you worked in the disability services industry?

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* 7. Are there any days or hours you would be unable or unwilling to work?

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