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APPLICANT NOTE: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of gender, marital status, pregnancy, religion, race, age, creed, national origin, presence of disabilities, sexual orientation, genetic screening, or testing information, refusal to submit to a genetic test, ancestry, AIDS or HIV status, and on any other status protected by law.


Contact us today to learn more about our services, schedule a consultation, or make a referral.

As a condition of employment, you are required to submit proof of employment eligibility and identity in compliance with the Immigration Reform and Control Act of 1986.
Please note a conviction is not necessarily a bar to employment. A “Yes” will be considered only as it is relevant to employment and may require further research/investigation.
Job Related Memberships, Licenses and Certifications
Please enter the issuing state
Professional license number required
Job Related Memberships, Licenses and Certifications
Please enter the issuing state
Professional license number required
Job Related Memberships, Licenses and Certifications
Please enter the issuing state
Professional license number required
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Contact Details

We are committed to providing compassionate, person-centered care and support for individuals with ID/D.

Address

55 Versailles Ct,
Reading, PA 19605 USA

Contact Us

Phone: 610-956-6751
Fax: 484-372-4404

Get in Touch

Email Address: transitioncommunityservices@gmail.com