Application for Employment

Thank you for your interest in Bethshan Association.

Before you begin, there are minimum requirements you must meet:

  • You must be at least 18 years old.
  • Must already have your high school diploma or GED.
  • Have a valid Driver’s License
  • Must pass the Test of Adult Basic Education (TABE) literacy test
  • Must pass a criminal background check without any disqualifying violations.
  • Must pass a physical, drug test, and TB test.

First Name (required)

Last Name (required)

Address (required)

City (required)


Zip Code

Telephone Number

Mobile/Other Number

Your Email (required)

Are you looking for:
Full TimePart Time

Position applying for:
Direct Support PersonQIDP – Qualified Intellectual Disability ProfessionalRN/LPNDietary, Maintenance or Housekeeping

Highest level of Education:
HS Diploma or GEDAssociate DegreeBachelor's DegreeGraduate Degree

How did you hear of this position:
Employee ReferralAdvertisementBethshan WebsiteSocial MediaSchoolOther

Do you have a valid Illinois driver's license?:

Driver's License Number: (required)

Have you ever pleaded "guilty" or "no contest" to, or been convicted of, a misdemeanor or felony?:

If yes, please provide date(s) and details:

Have you ever been arrested for any matters for which you are out on bail or on your own recognizance pending trial?

Are you legally eligible for employment in this country?

Are you available?

Please list your employment history including employers and dates employed.

Please attach resume and cover letter here which includes employment history, educational background, skills, licenses, certification, and references.

Comments or additional information