<p> APPLICATION</p><p>Please complete all sections </p><p>Disability Rights Oregon Information and Referral Assistant Position</p><p>Please submit a letter of interest, a copy of your resume, and a completed application form (available at http://www.droregon.org/about-us/employment). Interviews will begin as resumes are received and qualified candidates identified. The application period will close when the position is filled. Applications must be received by email at: [email protected]. If you need to submit your application in an alternate format, please contact us at [email protected] or 503-243-2081.</p><p>A. Personal Information Name </p><p>Address </p><p>Telephone/Email </p><p>B. Education/Training Years of School Completed School Attended, Degrees Earned, and Years Obtained </p><p>Other Relevant Training </p><p>Relevant Volunteer Activities </p><p>Page 1 of 5 C. Work History (Put current position first and then previous positions) Employer Name, Address, Phone Dates of Employment </p><p>Position </p><p>Reason for Leaving </p><p>Primary Responsibilities</p><p>May We Contact: Yes No</p><p>Employer Name, Address, Phone Dates of Employment </p><p>Position </p><p>Reason for Leaving </p><p>Primary Responsibilities</p><p>May We Contact: Yes No</p><p>Employer Name, Address, Phone Dates of Employment </p><p>Position </p><p>Reason for Leaving </p><p>Primary Responsibilities</p><p>May We Contact: Yes No</p><p>Please add separate sheets for additional employers.</p><p>Page 2 of 5</p><p>D. Please use a check box below to tell us your level of proficiency in each of the following languages. Add additional languages as needed.</p><p>English Level 1 – Elementary – Can fulfill the basic needs in a language, such as ordering meals, asking time, and asking for directions. Level 2 – Limited Working Proficiency – Can fulfill routine social demands, such as small talk about one’s self, one’s family, and current events. Level 3 – Professional Working Proficiency – Can discuss a variety of topics with ease and almost completely understand what others are saying. Level 4 – Full Professional Proficiency – Can participate in all manners of conversations with ease and only rarely makes grammatical mistakes. Level 5 – Native or Bilingual Proficiency – Can use the language the way an educated native speaker of the language would.</p><p>Spanish Level 1 – Elementary – Can fulfill the basic needs in a language, such as ordering meals, asking time, and asking for directions. Level 2 – Limited Working Proficiency – Can fulfill routine social demands, such as small talk about one’s self, one’s family, and current events. Level 3 – Professional Working Proficiency – Can discuss a variety of topics with ease and almost completely understand what others are saying. Level 4 – Full Professional Proficiency – Can participate in all manners of conversations with ease and only rarely makes grammatical mistakes. Level 5 – Native or Bilingual Proficiency – Can use the language the way an educated native speaker of the language would.</p><p>Other Language (Please Specify) Level 1 – Elementary – Can fulfill the basic needs in a language, such as ordering meals, asking time, and asking for directions. Level 2 – Limited Working Proficiency – Can fulfill routine social demands, such as small talk about one’s self, one’s family, and current events. Level 3 – Professional Working Proficiency – Can discuss a variety of topics with ease and almost completely understand what others are saying. Level 4 – Full Professional Proficiency – Can participate in all manners of conversations with ease and only rarely makes grammatical mistakes. Level 5 – Native or Bilingual Proficiency – Can use the language the way an educated native speaker of the language would.</p><p>Page 3 of 5 E. Please use a check box below to tell us your level of expertise in each of the following software programs and technologies. Add additional as needed. Note: be honest: we don’t expect you to be an expert on everything!</p><p>Level of Expertise Name of software/technology None Basic Average Advanced Microsoft Word Microsoft Excel Microsoft PowerPoint Microsoft Outlook Gmail Google Drive Google Calendar Adobe Acrobat SurveyMonkey Skype or other virtual meeting program, please specify:</p><p>Database, please specify:</p><p>Web design platform, please specify:</p><p>Multi-line phone systems Multi-function copiers Postage machines Troubleshooting PC’s</p><p>F. Do you possess any special skills which would be considered valuable in this job? (e.g. medical, education or social service training)</p><p>G. Is there anything else you would like us to consider in reviewing your application?</p><p>Page 4 of 5 H. References</p><p>Please list 3 professional references (supervisors preferred):</p><p>Relationship, Email address, address, and Name # of years phone number</p><p>I declare that the information contained in the above application is complete and true.</p><p>______Signature and Date</p><p>Page 5 of 5</p>