Re-Focus, Inc Hosts
2nd Annual
Starry Night Event!

Re-Focus, Inc. is hosting their 2nd Anuual Starry Night Gala and Silent Auction on May 21st! » Read More...

2008 Swing into Spring Dinner Dance and Raffle a Huge Success

The Swing into Spring Dinner Dance and Raffle was a huge success with proceeds benefiting the Dream Grant Program.
» Read More...

Newcomers! View
a New Video Clip
About Re-Focus!

Re-Focus, Inc. offers this short video clip to introduce the agency and many of the folks we support - return visitors, of course, are also welcome to checkout the latest video! » See More...

 

Re-Focus, Inc. On-line Preliminary Application

This is an on-line preliminary application that will help us determine how you might best fit into our organization. After review, we may follow up with a phone call and have you come in for a full application and possible interview.

Please enter your application information below. Items shown in RED are required, so be sure that these information fields are filled in completely. After you have filled in the necessary info, press the Apply Now! button below.

Application Info:

Position?  
 
First Name:     Last Name:
Addr 1:   
Addr 2: 
City:      State:   Zip Code:
Day Tel:  (Type this format: 555-222-3434)
Alternate Tel:  (Type this format: 555-222-3434)
Email: 
 
Do you have experience in this area?  
If you have experience, how many years?  
Why are you interested in working 
with adults with disabilities? 
Tell us about one of your greatest 
accomplishments: 
How did you hear about Re-Focus, Inc?