DSP Application Inquiry Name * First Name Last Name Phone * (###) ### #### Email * Upload Resume FileField; MaxSize=1028KB; Multiple Do you live in Maine? * Select One Yes No Which Position are you applying for? (Please select all that apply) * DSP - Winthrop/Manchester, ME DSP - Lewiston/Auburn, ME DSP - Norway, ME Have you previously worked for Support Solutions? * Yes No Are you looking for Full-Time or Part-Time? * Full-Time Part-Time Can Work Part-Time until a Full-Time Position is Available How did you hear about Support Solutions? (please let us know how you heard about us as it helps us reach our audience better) * Have you ever been a DSP, or have you provided care to others? * Select One Yes, I've been a DSP Yes, I've had personal experience No prior experience Are you at least 18 years old? * Select One Yes No Do you have a HS Diploma/GED/Hi-Set and/or College Degree? * Select One Yes No The starting pay rate is $17.00. Do you agree to this starting wage? * Select One Yes No Do you have a Valid and active Driver's License? *you must have an active driver's license; state requirement* * Select One Yes No Do you have active Auto Insurance on your Vehicle? *your name must be listed as a covered driver on the policy* * Yes No Please list your recent Work History for the last 5 years (if applicable) * Do you have any of the following certifications for this field? * DSP CRMA CPR/FA Diabetes/Epi-Pen Safety Care - Behavioral Intervention None Have you lived in any other state besides Maine in the last 10 years? * Select One Yes No Do you have a vehicle for reliable transportation? * Select One Yes No What days of the week are you available to work? *All open shifts include working a Saturday or Sunday* * Sunday Monday Tuesday Wednesday Thursday Friday Saturday Which shift(s) are you looking for? Select all that apply (these are rough estimates) * 1st Shift - 12 Hour (Days) 1st Shift - 8 Hour (Days) 2nd Shift - 8/10 Hour (Mid-Day) 3rd Shift: Overnights What Towns/Cities are you available to work? (select all that apply) * Auburn Lewiston Manchester Winthrop Norway I am willing to travel to any location Are you comfortable providing assistance when it comes to the hygeine and personal care of the Individuals we support? This ranges from, but is not limited to: Bathing, feeding, dressing, toileting, cleaning up urinary and bowel movement accidents, etc. * Yes, I am willing to provide all necessary hygiene and personal care needs to the individuals supported No, I am not comfortable. (note, if you are not comfortable with these types of care you will not be a qualified candidate) What day/time of day is best to reach you for a phone screening? * Thank you for your submission. Due to the number of applications and limited openings, you may only hear back from the Employment Coordinator if your application and availability meet the needs of what is currently available. At this time, the Employment Coordinator is looking at applications of those who have open availability. Please be sure to check your email within 1 to 2 business days. Thank you.
