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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? YES NO Have you ever worked for this company? YES NO Have you ever been convicted of a felony? YES NO Desired Salary If not, are you authorized to work in the U.S.? 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 Did you graduate? YES NO College Did you graduate? YES NO From To Degree From To 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? 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? 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. I Agree Your Signature Clear SUBMIT Thank you for your interest. We will be in touch!

TRANSPORTATION Door-to-door medical appointment transportation, provided free of charge to qualified Fairfield County residents. Access to Transportation Means Access to Care Reliable Rides Fewer Missed Appointments Greater Independence You may qualify for Transportation through FCI if you are a Fairfield County resident and participate in at least one of the following Programs: Medicaid Meals on Wheels Fairfield County DD How to Get Started Nuestros conductores son personas totalmente capacitadas y atentas que se han sometido a verificaciones de antecedentes, están certificados en RCP, primeros auxilios y manejo defensivo. La flota de vehículos de FCDCP es accesible para sillas de ruedas. Los principales objetivos del Departamento de Transporte son brindar un servicio seguro, puntual y cortés a todos nuestros clientes. How to Get Started 1. Call Fairfield County Job & Family Services at (740) 652-7889 . ​ 2. Select option 3 from their Directory Menu. ​ 3. Ask if you can start receiving Medical Appointment Transportation Services. ​ 4. Request to ride with FCI. If you're on Medicaid If you receive assistance from Meals on Wheels 1. Call Fairfield County Meals on Wheels at (740) 681-5050 ​ 2. Ask if you can start receiving Medical Appointment Transportation Services. ​ 3. Request to ride with FCI. If you receive support from Fairfield County Board of Developmental Disabilities Talk with your representative at Fairfield DD to see if you are eligible for Transportation through FCI. Transportatin: How to Get Started

CONTACT US Main Phone: 740-653-5501 Transport Line: 740-653-1186 VISIT US Monday - Friday 8:00 - 4:00 681 East 6th Ave. Lancaster, OH 43130 TELL US Me gustaría obtener más información sobre... ENVIAR ¡Gracias! Estaremos en contacto. Política de derechos civiles de FCdCP Aviso al público

ABOUT US Supporting people as they strive for independent, fulfilled lives. Dignity Committed to treating people with respect and kindness, while honoring their inherent worth as an individual. Dignity Inclusion Committed to fostering and strengthening relationships to create a vibrant and more inclusive community. Inclusion OUR VALUES Empowerment Committed to the belief that every individual deserves to feel confident in their own abilities and to steer their lives in the direction they choose. Empowerment Accessibility Committed to providing accessibility solutions for homes and healthcare transport, as well as advocating for more accessible and inclusive public spaces for all. Accessibility Reliability Committed to providing consistent, dependable, and empathetic support with the highest level of care and compassion. Reliability MARIA MOWDER BOARD PRESIDENT EDWIN R. PAYNE, MD FORMER CEO OUR HISTORY For nearly 70 years, Fairfield Center for Independence has remained at the forefront of empowering people within our community. ​ In 1954, United Cerebral Palsy was officially incorporated, thus providing the foundation on which the Organization would be built. A separate but similar Company, The Fairfield Council for the Disabled, was established as a non-profit Adult Day Center in 1981, and the two Organizations operated alongside and with each other until 1993, when they merged to create Fairfield Center for disABILITIES & Cerebral Palsy, Inc. (FCdCP). With an ever-increasing need for services in Fairfield County, FCdCP experienced steady growth. Over the next several years, three more Programs were added: Medical Appointment Transportation, Ramp and Home Modifications, and the Equipment Loan Closet. These with the original Adult Day Program enabled FCdCP to better meet a wider range of individual needs. ​ In 2023, FCdCP changed its name to Fairfield Center for Independence (FCI), to better reflect its purpose of supporting people as they strive to live independent, fulfilled lives. The Organization continues to operate its Programs and Services with the goal of fostering individual growth, empowerment, and well-being. MEET OUR TEAM Unique people from all walks of life, working together to make a difference in Fairfield County. ADMINISTRATION & ADULT DAY STAFF TRANSPORTATION STAFF EMOTIONAL SUPPORT TEAM BILLIE, ESA Hi, I'm Billie! I volunteer at FCI as an Emotional Support Animal, and assist regularly in the Adult Day Program. When I was a baby, I had an eye infection and had to have both eyes removed. With lots of love and support from my mommy Cassidy, I've developed my other senses and am able to navigate my surroundings using smell and sound. My favorite part of my job is helping people feel better when they're sad or scared, and providing entertainment by chasing my toys. When I'm not at The Center, I enjoy playing with my kitty siblings at home, sitting outside, and taking hikes with my mommy. I'm also fond of pulling shoes out of closets and attacking toes. HANZO, ESA What's up, I'm Hanzo! I am an ESA and the Offical Good Boy of the Center for Independence. I was adopted in 2023 by my dad, Josh. On a regular basis, he takes me to work with him to visit. My job is very important: making people smile and laugh, and getting lots of pats on the head! It's a tough gig, but someone's gotta do it. In my time off, I love to take my dad for walks and help redecorate by chewing accent pillows. BOARD OF DIRECTORS VOLUNTEER OPPORTUNITIES SERVICES

EMPLOYMENT Are you looking for a role that's fun, rewarding, and will make a difference? Do you enjoy a challenge and working with a team? Want a workplace that's positive, provides paid training, and has great weekday hours? If you answered "YES," FCI is looking for you! ​ We are an established (and growing) non-profit organization committe d to providing support to people as they explore their interests, engage in their communi ty, and be come em powered to pursue a fulfilled life. Take a look below to view our available employment opportunities. Download Application APPLY ONLINE NOW Please click above to apply online or send your completed application and resume to Executive Director Josh Stevens at jstevens@fairfieldci.org Questions? Give us a call at 740-653-5501

Boletin informativo NUESTRO BOLETÍN

JOIN OUR TEAM Are you looking for a role that's fun, rewarding, and will make a difference? Want a workplace that's positive, provides paid training, and has great weekday hours? If you answered "YES," FCI is looking for you! ​ We are an established (and growing) non-profit organization committe d to providing support to people as they explore their interests, engage in their communi ty, and be come em powered to pursue a fulfilled life. As a DSP (Direct Support Professional), you will serve as a friend, mentor, and support person to individuals with developmental disabilities. Each day is different, with the freedom to be creative in your work. You will provide individualized d irect care, help plan and lead community engagement activities, and help develop skills for empow erment and independence. ​ Pre-apply below or stop in for an interview Wednesdays, 10 am - 2 pm. Job Highlights ​ •Candidates without experience welcome ​ •Those who are interested in starting a career in healthcare ​ •Those interested in g aining more experience in the IDD field ​ •Candidates of all ages (Ag e 21 - retirees) ​ •Valid driver's license and car insurance ​ •Fewer than 6 points in the last two years on your motor vehicle record ​ •Can push, lift or carry up to 50 lbs and can climb, balance, kneel and crouch ​ Responsibilities ​ •Providing direct care and support to individuals with developmental disabilities – our goal is to encourage increased independence and empowerment while assuring each person's health and safety needs are being met at all times ​ •Supervising, teaching and assisting individuals in all aspects of achievin g their goals ​ •Completing various tasks including meal preparation and maintaining a clean and safe working environment ​ Benefits ​ •Paid training including CPR, First Aid and Medication Administration courses and certifications ​ •Benefit package for full-time employees ​ • Paid-time off ​ First Name Last Name Email Phone Street Address City State Zip Date Available Are you a citizen of the United States? YES NO Have you ever been convicted of a felony? YES NO High School From To Did you graduate? YES NO Previous Employer SUBMIT Questions? Give us a call at 740-653-5501

BOARD OF DIRECTORS Passionate and dedicated individuals who volunteer their time and expertise to help us achieve our mission. Maria Mowder, President Maria has lived in Lancaster for 13 years and is an active volunteer with the high school and Lancaster Baseball Extra Inners club. Maria also leads the Lancaster MS self-help group and is an active participant in the Walk MS event. Maria is a Credentials Coordinator at Fairfield Medical Center. Read More David Macioci, Vice President David has lived in Lancaster since 1951. He is a graduate of Ohio University and obtained his Master’s Degree in education from Eastern Kentucky University. He has taught at Forest Rose School, Fisher Catholic High School, Ohio University - Lancaster and was the State of Ohio Activity Administrator II. He has served on the YMCA Board of Directors, was a Charter Board member of the Fairfield County Community Challenge, and is currently a 28 year Board member of the St. Vincent DePaul Society Board of which he held the office of Interim President for 3 years. Read More Mary Snider, Treasurer Mary has been a longtime resident of Fairfield County and Lancaster. She is President and CEO of Fairfield Federal Savings and Loan Association. Mary earned a Bachelor of Science degree from Ohio University and a Master of Business Administration from The Ohio State University. In addition to the Center, Mary serves on the Ohio University Coordinating Council and the Fairfield County Revolving Loan Fund. Read More Eryn Binner, Delegating RN Bio unavailable Read More Kenneth Bussart, Board Member Ken Bussart was born in Fairfield County. He retired from United Parcel Service in 2015 after 30 years of service as an automotive and air ground support supervisor. Ken suffers from MS, diabetes and heart disease. As a way of giving back, he rebuilds wheelchairs and customizes them to give to people who otherwise would be unable to afford one. Read More Brian Shonk, Board Member Brian is a Lancaster native and a Fisher Catholic graduate. He is a partner in Dagger, Johnston, Miller, Ogilvie & Hampson Law Firm in Lancaster, OH, focusing on estate planning, trust and probate administration and closely-held businesses. He obtained his Undergraduate Degree from Case Western Reserve University and his Juris Doctorate from Boston College Law School in 1986, joining the Dagger Firm in 1987. Brian has been and continues to be involved in many community service organizations, including Board Member and President (1995-96) of the Fairfield County Board of MR/DD, the Fisher Catholic Foundation (1996-2012), United Way Campaign Chair (2012), Chairman of the Fairfield County Chamber of Commerce (2016) and Board Member of the Fairfield County Foundation (2013-19). Read More Kathy Stimmell, Board Member Kathy has been a resident of Lancaster since 1972. She was, for a short time, an employee of Fairfield Industries, and then a 10-year employee of United Cerebral Palsy of Fairfield County. She started Stimmell’s Boarding Care (a semi-independent living family home) in 1986, and in 1996 she opened Stimmell’s Elder Care (a private 24 hour residential care center). In 2020, after 36 years, Kathy retired and is living the good life! Read More Curt Upp, Board Member Bio unavailable Read More David Welsh, Board Member David has been a resident of Fairfield County since 1958. He attended Ohio University Lancaster from 1970-1971, and went on to work at the Ohio Department of Job & Family Services in Management for over 30 years. David worked as the Adult Day Service Manager at the Fairifeld Center for disABILITIES until his retirement in 2021, and now volunteers weekly at the Center's Adult Day Program. Read More

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Comercio TIENDA ¡Tu cubertería favorita por una gran causa! Una parte de todos los ingresos help support FCdCP. COMPRA AHORA

Oportunidades para voluntarios VOLUNTARIO Programa de rampa ¡Ofrecerse como voluntario para ayudar a construir rampas es una manera divertida y fácil de marcar una diferencia significativa en su comunidad! ​ ​ ¿Qué hacen los voluntarios del equipo Ramp? ​ Los voluntarios de nuestro equipo de rampas ayudan a construir rampas para personas con discapacidades en el condado de Fairfield. ​ Los voluntarios se reúnen en la casa donde se instalará la rampa para ayudar a a medir, cavar y cortar, transportar, atornillar y clavar tablas de madera para hacer una rampa _cc781905-5cde-3194-bb3b- 136bad5cf58d_ . Las compilaciones normalmente solo toman unas pocas horas y se completan a principios de la tarde. ​ El voluntariado es una experiencia divertida, una excelente manera de estar al aire libre y activo, y brinda una oportunidad fantástica para ayudar a los necesitados de una manera significativa y personal. ​ ​ ¿Qué se necesita para ser un voluntario del equipo Ramp? ​ ​ Nuestros Voluntarios de Rampa son confiables, cariñosos y les encanta ayudar a los demás. ​ No se necesita experiencia ni materiales, solo la voluntad de echar una mano. ​ Los voluntarios deben proporcionar su propio transporte hacia y desde los sitios de construcción, que siempre son del condado de Fairfield. ​ ​ Los voluntarios no necesitan hacer ningún compromiso a largo plazo. Puedes unirte a nosotros para una construcción o varias, ¡tú decides! VOLUNTARIO Para saber más sobre Voluntariado, llame al 740-653-550 o complete este formulario. Enviar ¡Gracias por su interés! Estaremos en contacto.

Obtén un descuento de $5 en tu pedido Aplica la recompensa al realizar tu primer pedido. Obtener recompensa 1. Ofrece a tus amigos un descuento de $5. * 2. Obtén un descuento de $5 por cada amigo que haga un pedido. * Se aplica a pedidos superiores a $10. Iniciar sesión para referir 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.**