Applications

Make a difference and apply to work at United Providers! Below you will find all application forms needed to apply.

Employment Application
Click Here to fill your Employment Application

Background Check Consent
Click Here to fill your Background Check Consent Form

Confidentiality Agreement
Click Here to download your Confidentiality Agreement

Traditional Paperwork
If you prefer to download and fill out all paperwork, please click here to view and download all application forms

Please email completed applications to: [email protected] or fax to: 1(844) 272-3465.

Respite

Respite Care means services provided to an eligible member who is unable to care for himself/herself on a short term basis because of the absence or the need for relief of those persons normally providing care.

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Homemaker

Homemaker Services are general household activities provided in the home of an eligible member when the person ordinarily responsible for these activities is absent or unable to manage these tasks.

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Residential

Under Residential Habilitation Services and Supports (RHSS) the responsibility for the living environment rests with the service agency and encompass Individual Residential Services and Supports and Community Transition Services

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Supported Employment

Supported employment services, which consist of paid employment for persons for whom competitive employment is unlikely, and who, because of their disabilities, need intensive ongoing support to perform in a work setting.

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Mentorship

Provides necessary services and supports for individuals with adults with intellectual or developmental disabilities so they can remain in their homes and communities with minimal impact to individuals’ community and social supports.

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Prevocational Services

Prevocational services are designed to assist individuals with developmental disabilities in acquiring and maintaining work habits and work-related skills.

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