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EMPLOYMENT APPLICATION Applicant Information First Name Last Name Street Address Apartment / Unit # City State Zip Phone Email Date Available Social Security Number Desired Position Are you a citizen of the United States? * Pflichtfeld YES NO Have you ever worked for this company? * Pflichtfeld YES NO Have you ever been convicted of a felony? * Pflichtfeld YES NO Desired Salary If not, are you authorized to work in the U.S.? * Pflichtfeld YES NO If yes, when? If yes, please explain Employee will notify FCI, Inc. within 14 days if charged with any offense during employment. Education High School From To Did you graduate? * Pflichtfeld YES NO College Degree From To Did you graduate? YES NO Degree Other References Please provide at least 3 professional references. Full Name Phone Relationship Company Address Full Name Phone Relationship Company Address Full Name Phone Relationship Company Address References Previous Employment Company Phone Supervisor Address Job Title Starting Salary Ending Salary Responsibilities Starting Date Ending Date Reason for Leaving May we contact your previous employer for a reference? * Pflichtfeld YES NO Company Phone Supervisor Address Job Title Starting Salary Ending Salary Responsibilities Starting Date Ending Date Reason for Leaving May we contact your previous employer for a reference? YES NO Company Phone Supervisor Address Job Title Starting Salary Ending Salary Responsibilities Starting Date Ending Date Reason for Leaving May we contact your previous employer for a reference? YES NO References Military Service Have you ever served in the U.S. Armed Forces? * Pflichtfeld YES NO If you answered "No" please move on to last section. Branch Starting Date Ending Date Rank at Discharge Type of Discharge If other than Honorable, please explain Resume Please upload your resume here. Military Service Upload File Upload supported file (Max 15MB) Acknowledgement I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. * Pflichtfeld I Agree Your Signature Clear SUBMIT Thank you for your interest. We will be in touch!

5 $ Rabatt auf die Bestellung erhalten Prämie bei der ersten Bestellung nutzen. Prämie erhalten 1. Freunden einen Rabatt in Höhe von 5 $ geben. * 2. 5 $ Rabatt für jeden Freund erhalten, der eine Bestellung aufgibt. * Gilt für Bestellungen über 10 $. Anmelden zum Empfehlen Refer Friends & Get 5 Free Tickets Each! 1. Give your friends 5 free tickets.* 2. Get 5 free tickets for each friend who places an order.**

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QUALIFIKATION & AUSBILDUNG QUALIFIKATION & AUSBILDUNG Das Personal des Fairfield Center for disAbilities and Celebral Palsy durchläuft strenge Tests und Schulungen, darunter: ​ ​ Körperliche, Drogen- und Alkoholscreenings BCII-Check alle 3 Jahre Krankenpflege- und Missbrauchsregister werden jährlich überprüft Erste-Hilfe-/CPR-Schulung Ausbildung zum Tagesdienst für Erwachsene DODD-zertifizierte Ausbildung MUI- und Rechteschulung OSHA Blood Bourne Pathogens Training Training für Brand- und Notfallmaßnahmen Jährlich vom BMV geprüft (Fahrer) DRIVE Fahrgasttraining (Fahrer) Klasse Defensives Fahren (Fahrer)

Unser Staff At Fairfield Center for Independence, we are committed to providing the best possible support. Our team is made up of individuals who share a singular goal - to create a more accessible, inclusive world so that all people have the opportunity to build fulfilling, thriving lives. LEONA ANDREWS BOB BARLOW CHUCK BLANEY TRACI BLANEY DREW BORING RICK CHUVALAS TROY DONAHUE DON ELKINS JEFF FRANKLIN MIKE HEDGES JOE HILL RON HOWELL JIM SAULBEAMER BILL SMITH GREG WOLTZ Josh came on as FCI's Executive Director in 2022 and has been an invaluable asset in leading the Organization through new and exciting changes. With over 22 years of experience in the Intellectual and Developmental Disabilities (IDD) field, he has brought a wealth of knowledge and experience to FCI. In his free time, Josh enjoys golfing, being outdoors, and spending time with family, friends, and his dog Hanzo. He is also fond of traveling and occasionally playing baseball. Josh is passionate about advocating for people with IDD and believes in both being a voice for the voiceless and educating others on how to effectively advocate for themselves. ​ We are incredibly grateful for Josh's exceptional leadership! JOSH STEVENS EXECUTIVE DIRECTOR I'm a paragraph. Click here to add your own text and edit me. It's easy. CASSIDY HAMILTON INDEPENDENCE COORDINATOR Sarah has been FCI's on-site nurse since 2017 and has been an LPN for 18 years. She cares deeply for the wellbeing of others and her favorite part of the job is being a confidant and building meaningful relationships. When not working, she enjoys watching her three children take part in school events, caring for her flowers, drawing, and exercising. Sarah is a compassionate and dedicated nurse and we are lucky to have her on staff. SARAH BRITCH, LPN ON-SITE NURSE & INDEPENDENCE COORDINATOR I'm a paragraph. Click here to add your own text and edit me. It's easy. AARON JOHNSTON ADULT DAY PROGRAM DIRECTOR Genia is an integral part of the FCI team and has been with us since 2017. She values the relationships she has built with people during her time here. As a mother of two and step-mother of three, Genia loves to spend time with her family and attend concerts of any and all kinds. Recently, she celebrated her 10th year of sobriety and is currently pursuing an education and career in substance abuse counseling. We are incredibly proud of Genia's accomplishments and are grateful to have her as a part of our team. GENIA ENGLAND TRANSPORTATION COORDINATOR I'm a paragraph. Click here to add your own text and edit me. It's easy. LAURA JOHNSTON COMMUNITY OUTREACH & RAMP PROGRAM COORDINATOR I'm a paragraph. Click here to add your own text and edit me. It's easy. MITCH GORSUCH TRANSPORTATION DIRECTOR I'm a paragraph. Click here to add your own text and edit me. It's easy. ABBY TENER INDEPENDENCE COORDINATOR BILLIE Hi, I'm Billie! I'm a paragraph. Click here to add your own text and edit me. It's easy. HANZO I'm a paragraph. Click here to add your own text and edit me. It's easy. I'm a paragraph. Click here to add your own text and edit me. It's easy.

Programme & Dienste PROGRAMME & DIENSTLEISTUNGEN Erfüllung der spezifischen und sich ständig ändernden Bedürfnisse von Menschen mit körperlichen und entwicklungsbedingten Behinderungen. Tagesprogramm für Erwachsene Bietet eine Vielzahl von Aktivitäten an, um Erwachsenen mit Behinderungen dabei zu helfen, Fortschritte zu machen, zu lernen, zu wachsen, und Spaß haben. ​ Lern mehr Tagesprogramm für Erwachsene Sichere und gut gebaute Rampen- und Hausmodifikationen werden kostenlos für diejenigen installiert, die sich qualifizieren. LEARN MORE Tagesprogramm für Erwachsene Hin- und Rückfahrt, Transport von Tür zu Tür zu medizinischen Terminen für qualifizierte Einwohner des Landkreises. LEARN MORE Leihschrank für medizinische Geräte Kostenlose Ausleihe medizinischer Geräte an Personen, die in Fairfield County leben. LEARN MORE Andere Online-Ressourcen Klicken Sie unten, um eine Liste mit hilfreichen Online-Ressourcen und Informationen für ältere Menschen und Menschen mit Behinderungen zu erhalten. gehen

2nd Annual Fall Charity Raffle Official Rules Fairfield Center for disABILITIES & Cerebral Palsy, doing business as Faifield Center for Independence (FCI) is a non-profit 501-c3 Organization, and is tax exempt in the state of Ohio. All proceeds from the 2023 Fall Charity Raffle go to benefit United Way of Fairfield County, which is also a 501-c3 Organization. ​ 1. Tickets are sold online through Fairfield Center for Independence's website, via the Wix Point of Sale System. Please keep the confirmation email, as that is your proof of purchase. ​ 2. Each 1 (one) ticket is equal to 1 (one) entry. There is no limit on the number of tickets an individual person can purchase. ​ 3. Each prize will have its own separate drawing. A person is welcome to enter as many drawings as they wish. ​ 3. Purchasing a ticket does not guarantee a prize will be awarded. ​ 2. Winning raffle tickets will only be drawn once and will not be placed back in the container(s) for further draws. 3. No one under the age of 18 shall be eligible to purchase a raffle ticket or win a prize. By purchasing a raffle ticket, you certify that you are over the age of 18. All winners will be required to show photo ID before picking up their prize. 4. The winners of the prizes shall be determined and publicized. The winners will be notified by telephone or email. Winners shall be published on Facebook, Instagram, and our website. ​ 5. By entering into the Raffle, you agree and certify that, should you win, Fairfield Center for Independence may publish your name and picture on our website and social media pages. Your picture will be taken at time of prize pick up. 6. Fairfield Center for Independence shall be responsible for awarding all prizes and making all reasonable efforts to contact the prize winners. Prizes must be picked up at FCI during normal business hours (Monday - Friday, 8 am - 3 pm.) 7. Any prizes which are not claimed shall be secured or placed in safekeeping for a period of six (6) months from the date of the draw. If at that time the prize has still not been claimed, the prize or monies equivalent to the fair market value of the prize shall be donated to United Way of Fairfield County for them to use as they so choose. 8. Only the prizes as described and approved by Fairfield Center for Independence shall be awarded. 9. The value of the prizes are not guaranteed to cover additional taxes or fees at time of redemption, which will ultimately be determined by the business donating the prize. 10. Prizes shall be awarded free and clear of any mortgage, lien or any other encumbrances. ​ 11. Meta Release: This raffle is in no way sponsored, endorsed, administered by, or associated with Facebook, Instagram, or Meta. By entering the raffle, you understand you are providing you information to Fairfield Center for Independence and not to Facebook, Instagram, or Meta. By participating in this raffle, you agree to a complete release from Facebook, Instagram, and Meta for any claims. ​ 12. Collection of Data: Your contact information will be used for purposes of the 2nd Annual Fall Charity Raffle only. Fairfield Center for Independence will not share or sell your data to anyone, and will not contact you for any purposes other than the Raffle. ​ 13. If a prize has more than one chance to win and a person's name is drawn twice, another name will be drawn. ​ 14. Employees of Fairfield Center for Independence (FCI) are ineligible to participate in the Raffle. Any tickets purchased by and FCI employee will not be entered into the drawings, and will instead be considered a donation to United Way of Fairfield County. ​ ​ < Back to Raffle Page

You're Invited! Join us for: Giveaways Live DJ Kona Ice ​Face Painting Spin Art Corn Hole Food Trucks Games Bounce House View event on Facebook. Participating Agencies & Businesses Space Reservation Are you an Agency or Business who would like to participate? Register online before July 22, 2023. FCdCP is partnering with Cross Fit 740 to host a Summer Bash with food trucks, games, raffles, etc. There, we would like to highlight local agencies and businesses and provide a space for each one to share about what they offer. There is no charge for booth space, and bringing a fun activity or contest is more than welcome. This event will help create connections between agencies, but most importantly will help create a personal connection with individuals and families who may currently be in need (or may be in need in the future). The people we serve benefit from building relationships in a safe, informal environment, where they can make a personal connection. And we know this is the same for the individuals and families who make up our community as a whole. We believe this will provide that opportunity! If you'd like to participate, we would love to have you! ​ To Register, please fill out the form below. ​ Please note: You will need to bring your own table(s) and chairs. Agency / Business Registration SUBMIT Thank you! You will receive a confirmation email within 3 business days.

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Tickets on sale beginning October 15th Want a reminder? Email Remind Me Thank you! We will send you an email when ticket sales open.

$1 Rabatt auf die Bestellung erhalten Prämie bei der ersten Bestellung nutzen. Get a Free Ticket $1 Rabatt für jeden empfohlenen Freund erhalten Get a FREE Raffle Ticket each time a friend gets tickets using the link below. No purchase necessary! 1. Freunden einen Rabatt in Höhe von $1 geben. * 2. $1 Rabatt für jeden Freund erhalten, der eine Bestellung aufgibt. ** * Gilt für Bestellungen über $10. ** Dies gilt für den günstigsten Artikel im Warenkorb. Anmelden zum Empfehlen