Hillcroft Services

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  • 2012 Ice Cream for Isanogel Card Sales

    Published Friday, March 23, 2012

    Hillcroft Services is pleased to partner with 13 local ice cream businesses for the 2012 Ice Cream for Isanogel campaign. Ice Cream for Isanogel cards are $5 and provide by one get one free offers at Dairy Dream of Albany, Baskin Robbins of Muncie, Ivanhoe's in Upland, Ritter's Frozen Custard of Muncie, Dairy Queen of Muncie, Jerry's Dairy Freezer of Parker City, Tropical Shaved Ice of New Castle, Muncie Frozen Custard, Incredible Yogurt of Muncie, Grandma Betty's Ice Cream Shoppe of Muncie, Camack Station, The Island of Muncie, and Weenie World of New Castle.

    Ice Cream for Isanogel card proceeds are used to support Hillcroft's Art and Recreation programs.

    For more information and to purchase Ice Cream for Isanogel cards, please contact Brenda Williamson, Vice President of Development and Marketing at 765-284-4166 or bwilliamson@hillcroft.org.

  • 8th Annual Hilcroft Masters Golf Outing

    Published Wednesday, March 7, 2012

    The 8th Annual Hillcroft Masters Golf Outing will be held on Friday, May 11th at The Player's Club in Yorktown. The Hillcroft Masters is a great opportunity for local businesses and individuals to have fun and help make a difference in the lives of children and adults with disabilities. To download a registration form please click here. For more information, please contact Brenda Williamson, Vice President of Development at Marketing, at 765-284-4166 or bwilliamson@hillcroft.org.

  • 2012 Disability Awareness Month Celebration

    Published Tuesday, March 6, 2012

    Each March, Indiana celebrates Disability Awareness Month. Led by the Indiana Governor’s Council for People with Disabilities, the goal of Disability Awareness Month is to increase awareness and promote independence, integration and inclusion of all people with disabilities.

    Hillcroft Services partnered with Muncie Mayor Dennis Tyler to lead Disability Awareness Month celebrations in Muncie through a Mayoral Proclamation and art reception. On March 2, Mayor Tyler welcomed the Muncie community to Mutual Bank as he proclaimed March as Disability Awareness Month. The reception also included the presentation and sale of artwork created by individuals with disabilities through Hillcroft Services’ art programs. Please click here to view photos from the March 2 Disability Awareness Month reception.

Testimonials

"This relationship is a win-win situation for Meijer, Hillcroft and the individuals we employ. When we work with Hillcroft we know we are getting an employee who has the knowledge, skills and ability to perform the tasks necessary to successfully fulfill the job responsibilities."

-Doug Foland, Store Director
Meijer #139, Muncie, IN

Isanogel Staff Application form


PERSONAL INFORMATION

Name (first, middle, last) : 
Social Security Number : 
Phone Number #1 (xxx-xxx-xxxx) : 
Phone Number #2 (xxx-xxx-xxxx) : 
Email Address : 
T-Shirt Size : 
 Small
 Medium
 Large
 XLarge
 XXLarge
 XXXLarge
Permanent Address : 
School Address : 
Indicate dates available for employment : 
What Position are you applying for?
 Residential Position (must be able to live on site)
 Day Position (not required to live on site)
 Autism Day Camp
If you are applying for a residential position, which position(s) are you most interested in?
 Cabin Life Specialist
 Program Specialist
 Aquatics Director
 Cabin Head
 Cabin Counselor
 Program Instructor
 Registered Nurse
If you are applying for a day position, which position(s) are you interested in most?
 Day Counselor
 Kitchen/Housekeeping Assistant
 Lifegaurd
 Registered Nurse
If you are applying for an Autism Day Camp position, which position(s) are you interested in most?
 Autism Day Camp Director
 Autism Day Camp Assistant Director
 Behavior Specialist
 Teacher/Counselor
 Tutor
Emergency Contact #1 (Name, Phone #1, Phone #2, Relationship to Staff) : 
Emergency Contact #2 (Name, Phone #1, Phone #2, Relationship to Staff) : 
Do you currently have medical or hospitalization insurance?
 Yes
 No
If yes, please list insurance company and policy number : 



FORMAL EDUCATION AND TRAINING

Please indicate highest field of education completed : 
 GED
 High School
 Associate
 College Degree

Please list high school and beyond:

High School Attended : 
Years : 
Degree Granted : 
School Attended : 
Years : 
Major/Area of Study : 
Degree Granted : 
School Attended : 
Years : 
Major/Area of Study : 
Degree Granted : 



EMPLOYMENT HISTORY

Most Recent Employer

Employer : 
Supervisor Name : 
Position Held : 
Dates of Employment (from which month/year to month/year?) : 
Phone Number (xxx-xxx-xxxx) : 
Address : 
Reason for Leaving : 
 Discharge
 Voluntarily Resigned
 Involuntarily Resigned
 Eliminiation of Postion/Layoff
 Moved Away
 Seasonal Position
 Currently Employed Here
 Other

Next Most Recent Employer

Employer : 
Supervisor Name : 
Position Held : 
Dates of Employment (from which month/year to month/year?) : 
Phone Number : 
Address : 
Reason for Leaving : 
 Discharge
 Voluntarily Resigned
 Involuntarily Resigned
 Eliminiation of Postion/Layoff
 Moved Away
 Seasonal Position
 Currently Employed Here
 Other

Next Most Recent Employer

Employer : 
Supervisor Name : 
Position Held : 
Dates of Employment (from which month/year to month/year?) : 
Phone Number : 
Address : 
Reason for Leaving : 
 Discharge
 Voluntarily Resigned
 Involuntarily Resigned
 Eliminiation of Postion/Layoff
 Moved Away
 Seasonal Position
 Currently Employed Here
 Other
Please explain any gaps in employment : 

 

PERSONAL REFERENCES: Please, do not list family members.

Reference One

Name : 
Relationship to Applicant : 
Phone Number (xxx-xxx-xxxx) : 
Address : 
Years/Months Known : 

Reference Two

Name : 
Relationship to Applicant : 
Phone Number (xxx-xxx-xxxx) : 
Address : 
Years/Months Known : 

Reference Three

Name : 
Relationship to Applicant : 
Phone Number (xxx-xxx-xxxx) : 
Address : 
Years/Months Known : 

Please note, that in compliance with agency policy,
Isanogel staff will complete a minimum of three references
on each applicant prior to employment. Efforts will be made
to obtain two employment and one personal reference.



CAMP EXPERIENCE

Camp : 
Dates : 
Camp Director : 
Were you a Camper or Staff?
 Camper
 Staff
Camp : 
Dates : 
Camp Director : 
Were you a Camper or Staff?
 Camper
 Staff
Camp : 
Dates : 
Camp Director : 
Were you a Camper or Staff?
 Camper
 Staff

STUDENT AND PROFESSIONAL ORGANIZATIONS

Organization One : 
Dates Involved : 
Location : 
Organization Two : 
Dates Involved : 
Location : 
Organization Three : 
Dates Involved : 
Location : 



CERTIFICATIONS AND SUPPORT SKILLS:
Please check the following with which you have experience/certification.
Upon employment, copies of documented certification will be required
for those you have indicated.

Health Safety : 
 CPR
 First Aid
 Life Gaurding
 Registered Nurse/LPN
 EMT
Food Service : 
 Cooking/Meal Preparation
 Food Handler's Certification
 Menu Planning
 Purchasing
 Sanitation



ACTIVITIES AND LEADERSHIP EXPERIENCE:
Please briefly summarize any activities and/or leadership experiences that
may assist you in completeing job functions (i.e. student organizations,
leadership courses, etc.)

Activity/Leadership Experience : 
Dates : 
Location : 
Activity/Leadership Experience : 
Dates : 
Location : 
Activity/Leadership Experience : 
Dates : 
Location : 




Please help us get to know you better by answering the following questions
.

Please describe any experience you have, either professionally or personally, in working with children and/or adults with disabilities.
What are your primary goals for working at Isanogel this summer?
What do you think are your greatest assets to contribute to the camp community?
What do you think are some areas that may challenge you in contributing to the camp community?
Are there any reasons you may have difficulty in performing any of the essential functions of the job for which you are applying? (i.e. working long hours, assisting campers with physical care, living in the residential setting, ect.) : 

This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting discrimination on the basis of an applicant's age, race, creed, color, religion, disability, national origin, sex, sexual orientation, genetic information, marital status or family responsibilities and equally to disabled veterans and veterans of the Vietnam era.  Questions directly or indirectly reflecting such status have been included only where needed to determine a bona fide occupational qualification.  Such questions are appropriately noted on the application.  Not withstanding these efforts, this agency does not assume responsibility and hereby disclaims any liability for inclusion in this form, of any questions upon which a violation of State and Federal fair employment practice laws may be based.

If hired, I agree to abide by all of the agency rules and regulations and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the agency or me.  I further understand that no representation, whether oral or written by any representative of the agency, at any time, can constitute a contract of employment.  I understand that the agency and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment.  No agent of the agency has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the CEO or their designee.

I acknowledge that i have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.  I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.  I understand that misrepresentation or the purposeful omission of facts called for on this application is reason to disqualify me from further consideration and is grounds for termination if such items are a business necessity.

I certify that this application was completed by me and that all entries and information in it are TRUE and COMPLETE to the best of my knowledge.  I understand that false, misleading or omitted information in my application may result in the rejection of my application, the revocation or an offer of employment or discharge.

Applicant's Initials : 

This agency is an at-will, equal opportunity employer.

j. As part of our company policy, it is standard procedure to perform National, State and County criminal background checks on someone we are considering for employment. Would you object to such a procedure?
 Yes
 No
k. It is also standard policy to conduct background checks in the areas of Medicaid fraud, driver's record, CNA registry, sexual offenders registry and child abuse registry (for those working with under 18). Would you object to such a procedure?
 Yes
 No
l. As part of our company policy, it is standard procedure to perform National, State and County criminal background checks on someone we are considering for employment. Would you object to such a procedure?
 Yes
 No
m. It is also standard policy to conduct background checks in the areas of Medicaid fraud, driver's record, CNA registry, sexual offenders registry and child abuse registry (for those working with under 18). Would you object to such a procedure?
 Yes
 No
n. Are you legally entitled to work in the United States? If hired, verification will be required by law.
 Yes
 No
Date Cleared for Hire : 
for the position of : 
Reviewedby/Name : 
Title : 
Date : 
Recommended by/Name : 
Title : 
Date : 
Recommended by/Name : 
Title : 
Date : 
Recommended by/Name : 
Title : 
Date : 
Approvedby/Name : 
Title : 
Date :