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Statewide Independent Living Council of Hawaii
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Application for Employment

If you need assistance during the application or hiring process to accommodate a disability, you may request a reasonable accommodation by contacting our team.

Step 1 of 8

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Your Personal Information

Your Name(Required)
Address

Availability

I would like to work:(Required)
Hours You Are Available for Work(Required)
Please tell us what hours you are available for work each day of the week. (example: 9am-5pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you have reliable transportation?(Required)

Previous Employment

Please list your current or previous employers, the dates you worked and the position you held.
Duties
Add Another Employer

Previous Employment

Please list your another employer, the dates you worked and the position you held.
Duties

Referral

Did anyone refer you, or do you know anyone presently working at our company?
Name

References

Please list two references whom we can contact. Please do not list relatives.
Name
Name
Skip to Signature

Equal Opportunity Employer

Federal Maintenance is an equal opportunity employer. Applicants are considered for positions without discriminating on the basis of race, color, religion, national origin, ancestry, sex (including gender identity or expression), sexual orientation, age, disability, genetic information, marital status, arrest and court record, credit history, domestic or sexual violence victim status, veteran/military status, citizenship status, or any other characteristic protected by federal, state, or local law.

Medical Information

After an offer of employment is made, but before employment duties begin, and at any time during the course of employment applications may be required to undergo a medical examination (or drug test) at the Federal Maintenance Hawaii’s expense and by a company-chosen physician. I authorize the physician conducting the examination and laboratory testing any specimens obtained by the physician to disclose the results of the examination and the laboratory tests to the Federal Maintenance Hawaii.

Authorization to Work in the United States

It is the policy of Federal Maintenance Hawaii to hire only U.S. citizens and aliens who are authorized to work in this country. As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work, and complete the U.S. Immigration and Naturalization Services Form I-9.

Legal Notices

By signing below, I certify that all statements made on this application are true and complete to the best of my knowledge. I understand my application may not be considered if it is incompleted. Further, I understand that any misrepresentation or omission made herein, when discovered, may subject me to discharge. I authorize the Federal Maintenance Hawaii to investigate my work history, education, character, reputation, and background as it deems necessary for purpose of considering my application for employment. I hereby give permission to Federal Maintenance Hawaii, Inc to contact any reference I furnish and for all those contacted to release whatever information that is pertinent to my application for employment. I understand any information released is strictly confidential between the reference and Federal Maintenance Hawaii and will not be furnished to anyone else including me. I release all contacted from claims of liability as a result of furnishing information about me or my employment. This application is not a contract and cannot create a contract of employment for any specific period. I understand that if I am employed, my employment is “at will” and can be terminated at any time, either by myself or Federal Maintenance Hawaii, with or without cause or reason and with or without notice.
Digital Signature(Required)
Clear Signature

Submit My Application

Click "Submit My Application" to send your applications. The following forms are optional.
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  • About The Council
  • Independent Living Philosophy
  • Get Involved
  • Hawaii State Plan
  • Meetings and Events
  • Community Voice
  • Independent Living Network
  • Resources

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