Need Assistance? Call Us Today:731-512-1173|901-692-7948

1112 Whitehall St., Jackson, TN 38301 | 6099 Mt. Moriah Rd. Ext, #1A, Memphis, TN 38115Jackson, TN | Memphis, TNConnect with Us

Careers

Join our dedicated team and make a difference in people's lives every day. Complete the form below to start your journey with us!

* Required Information

Personal Information

Date of Application

Last Name*

First Name*

Middle Initial

Current Address*

City*

State*

Zip Code*

Primary Contact Number*

Email Address*

Type of Contact Number*

HomeMobileOther

High School Diploma or GED*

YesNo

Drivers License*

YesNo

Auto Insurance*

YesNo

Transportation*

YesNo

Hours Available to Work

Date You Are Available to Begin Work*

Desired Number of Hours Per Work Week*

Have You Ever Been Employed by Loving Arms?*

YesNo

Education

High School

High School Name*

City*

State*

Major*

Degree*

Years Attended*

Technical School

Technical School Name

City

State

Major

Degree

Years Attended

College

College Name

City

State

Major

Degree

Years Attended

Professional References

Please provide three professional references below. Professional references include current/former supervisor, colleague, client, and/or vendor.
Relatives are not considered professional references.

Reference 1

Full Name of Professional Reference*

Relationship to Applicant*

Phone*

Years Known*

Reference 2

Full Name of Professional Reference

Relationship to Applicant

Phone

Years Known

Reference 3

Full Name of Professional Reference

Relationship to Applicant

Phone

Years Known

Previous Experience

Please describe any personal, volunteer, or work-related experience with seniors and/or individuals with special needs

Employment History

Present or Most Recent Employer

Company Name*

Telephone Number*

Supervisor's Name*

May We Contact Your Previous Supervisor for a Reference?*

YesNo

Address*

Job Title*

Starting Hourly Salary*

Ending Hourly Salary*

Begin Date*

End Date*

Summary of Duties Performed*

History

Have You Ever Been Convicted of a Crime?*

YesNo

Do You Have a Clean Driving Record?*

YesNo

Has There Been a Substantiated Case of Abuse, Neglect, or Mistreatment or Exploitation Against You?*

YesNo

If Hired, Can You Submit Verification of Your Legal Right to Work in the United States?*

YesNo

How Long Have You Been a Resident of Tennessee?

Months

Years

Disclaimer

I, the undersigned applicant, certify and affirm that, to the best of my knowledge and belief I ("have" or "have not", as applicable) had a case of abuse, neglect, mistreatment or exploitation substantiated against me. As a condition of submitting this application and in order to verify this affirmation, I further release and authorize Loving Arms, LLC, the Tennessee Department of Intellectual and Developmental Disabilities and the Bureau of TennCare to have full and complete access to any and all current or prior personnel or investigative records, from any party, person, business, entity or agency, whether governmental or non-governmental, as pertains to any allegations against me of abuse, neglect, mistreatment or exploitation and to consider this information as may be deemed appropriate. This authorization extends to providing any applicable information in personnel or investigative reports concerning my employment with this employer to my future employers who may be Providers of DIDD services.

Name*

Date

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Get in Touch

Jackson Office 731-512-1173

Memphis Office 901-692-7948

Address: Jackson Office: 1112 Whitehall St. Jackson, TN 38301

Address: Memphis Office: 6099 Mount Moriah Rd. Extended, #1A Memphis, TN 38115

Email Address: [email protected]

Business Hours

Monday - Friday: 8:00 AM - 5:00 PM

Saturday: Closed - Sunday: Closed

Service Areas Covered: West TN