This sheet designates the times that I am committing myself to be available to work for Community Integration Support
Services. By signing this sheet, I acknowledge that the decision to hire me will be based in part on the above availability.
I agree any changes to my availability must be approved and signed by my supervisor. I understand that there is no
guarantee of hours if I am offered a position with Community Integration Support Services. I understand that it can take
time to reach and sustain my desired number of hours per week and that multiple factors affect this goal including my
availability, client requests, my skills, and my ability to please the clients to whom I am assigned. Nothing in this statement
is to be construed as a direct, implied or inferred contract of employment.

I certify that the facts contained in this application and/or interview(s) are true and complete. Any misrepresentation or falsification of information or significant
omissions will be cause for rejection of my application or for subsequent discipline up to and including my dismissal from employment if discovered at a later
date.
I understand that, if employed, my employment is not guaranteed for any term, and my employment may be terminated by the employer or myself at any time
and for any reason with or without prior notice. No representative of CISS other than the owner(s) is authorized to make any assurance or promise of continued
employment and any such assurance must be in writing signed by the owner(s).
Community Integration Support Services is an Equal Opportunity Employer. The employer does not discriminate in employment and no questions on this
application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law.

I certify that the facts contained in this application and/or interview(s) are true and complete. Any misrepresentation or falsification of information or significant
omissions will be cause for rejection of my application or for subsequent discipline up to and including my dismissal from employment if discovered at a later
date.
I understand that, if employed, my employment is not guaranteed for any term, and my employment may be terminated by the employer or myself at any time
and for any reason with or without prior notice. No representative of CISS other than the owner(s) is authorized to make any assurance or promise of continued
employment and any such assurance must be in writing signed by the owner(s).
Community Integration Support Services is an Equal Opportunity Employer. The employer does not discriminate in employment and no questions on this
application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law.