Not just a job…its a movement

People with disabilities empowering other people with disabilities to have access to opportunities in life

Job Application

For Jobs/Internships/volunteers
Please complete the form below:
Upload Cover Letter, and Resume*

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Full Name*

First NameJo
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Phone Number*
Applying for Position*
Highest Degree Acquired*
Training and Skills*
Describe what training you have received and list any skills you've acquired.
Previous and Present Volunteer Experience*
(Optional) Disability Experience
Your experience with living with a disability and/or experience with other people with disabilities (if applicable):
(Optional) Living Situation
Current Living Situation: Please describe your present living situation: indicate if you live in a house or apartment by yourself or with others or in a group setting and how this experience can help others with disabilities and their independence
Availability*
Indicate what days of the week you are available
Access to Reliable Transportation*

YesNo
Out of County Travel: Do you have reliable transportation and can travel to multiple counties in the Middle Georgia area?*

YesNo
Additional comments if any:
Start Date Your Available

MonthDayYear
Date
Should be Empty:

Job Application