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Do you want to become a surrogate? We are now offering a sign on bonus to all qualified and matched surrogates that sign contracts. The first step is to fill out our surrogate application. A fertility specialist will contact you to continue the process. For intended parents interested in surrogacy to start or grow their families please contact us today. The surrogacy process is complex, but we will be with you every step of the way. Call today to get started. Women who may have the ability to produce eggs but are unable to use their uterus or do not have a uterus, may consider a surrogate. A donated egg may also be used with the surrogate in the event a woman cannot produce her own eggs or her uterus is not intact or insufficient to carry a pregnancy. In either case, the husband's sperm, if viable, may be used. Using an egg donor unrelated to the surrogate carrier eliminates any biological tie. The egg of the surrogate is never used as part of the assisted reproduction process, so that a surrogate is never in the position of delivering her own biological child. The basic requirements of a woman to serve as a surrogate are: • Emotionally stable, • Responsible, • In good physical health, • Non-smoker, • Has had at least one successful pregnancy In Texas, there is a judicial process for validating the Gestational Contract (the contract between the intended parents and the surrogate). Included within the various requirements for having a Gestational Contract validated by a Texas court is that the intended parents must be married and the surrogate must have previously carried a child to term. Additionally, there are residency requirements that apply to either the surrogate or the intended parents, but not both. Compensation for a surrogate services generally starts in the range of $35,000 - $40,000, for base compensation with over all fees up to 70k, in many cases. The amount of compensation is dependent upon a variety of factors, including, but not limited to, whether the surrogate carries twins, what procedures a surrogate is required to undergo and whether the delivery is vaginally or by cesarean section.

Do you want to become a surrogate? We are now offering a sign on bonus to all qualified and matched surrogates that sign contracts.The first step is to fill out our surrogate application.A fertility specialist will contact you to continue the process.For intended parents interested in surrogacy to s

Registered Nurse (RN) | Neonatal Intensive Care Unit. Registered Nurse - NICU (Neonatal Intensive Care Unit). TravelNurseSource is working with Prime Staffing to find a qualified NICU RN in New York City, New York, 10019!.

Registered Nurse (RN) | Oncology.TravelNurseSource is working with Prime Staffing to find a qualified Oncology RN in New York, New York, 10025!.Day/ night | Every Other Weekend + 4th Shift per Month.Provide safe, evidence-based oncology nursing care.Assess, plan, implement, and evaluate patient care

A Retail Sales Consultant (RSC) is a brand ambassador to our extraordinarily large base of customers nationwide. Our current full-time Retail Sales Consultants earn a minimum base of ($31,200 + commission). Cooperate with your fellow RSCs to achieve a team approach to sales and customer service.

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Job DescriptionPrime Logistix LLC Hello Candidates, Earn up to $1300 per week! We are currently seeking our next Box Truck Delivery Driver/Helper in Buffalo, NY. As an essential business, we're actively growing our team! Opportunities: *Highly competitive contract and daily rate structures depending on experience! *Route opportunities 5 days a week! *Only local deliveries (No Overnight Routes) *Guaranteed weekly pay + Tips! Requirements: *Two-person delivery, qualified driver and helper. *Strong customer service and communication skills. *Valid drivers license with clean driving record. (For Driver Positions) *Minimum one year commercial driving experience with 26' ft truck (For Driver) *Must have experience with appliance installations. *Must Pass criminal Background check, Drug test. Compensation: Driver= $170 Per Day Helper=$150 Per Day If your interested in this opportunity please feel free to contact us via email or phone (917) 635-3338 (James).

Job Description Summary: The Care Manager’s role is to work in partnership with individuals with I/DD, their family/guardian, and providers to coordinate care and services needed to assist individuals achieve optimal health, wellness, independence, community integration and accomplishing goals. The Care Manager is responsible for providing Health Home core services including comprehensive care management, care coordination and health promotion, comprehensive transitional care, individual and family support, referral to community and social support services, and use of Health Information Technology to link services. Care Managers will provide all services with a person-centered approach. Essential Job Functions: • Conduct comprehensive assessments to identify an individual’s clinical and psychosocial needs, choices, and preferences for services, • Assess and address health and safety issues as well as barriers to care and treatment including social determinants of health, • Collaborate with interdisciplinary team and incorporate input into comprehensive assessment and the person’s Life Plan, • Facilitate, develop, and maintain a person-centered Life Plan that integrates an individual’s personal wants and needs, clinical and non-clinical healthcare related needs, community services, OPWDD services, and natural supports., • Incorporate health promotion and support opportunities for individuals to achieve and maintain optimal health and wellbeing, • Adhere to Incident Management regulations, guidelines, and policies and procedures, • Coordinate and ensure access to chronic disease management, • Facilitate referrals to clinical and community resources, including planning, implementation, and follow-up for comprehensive care management and transitional care, • Participate in internal and external audits, • Coordinate and provide access to long-term care supports and services, • Engage families and natural supports in the care coordination process, • Provide all individuals and families with services that are culturally and linguistically appropriate, • Advocate on behalf of the individual, • Promote self-advocacy and the ability to self-direct, • Use Health Information Technology for documentation, to link services, and facilitate communication among care coordination team, • Secure all health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations, • Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and PCC policies and procedures, • Document all services and maintain appropriate records following all established documentation policies and procedures, • Complete all required training including annual, ongoing, and educational trainings, • Perform all other duties relevant to the position as requested. Knowledge, Skills, and Abilities • Ability to act quickly, assess and act accordingly in crisis situations, • Intermediate technology skills in Outlook, Teams, Word, Excel, online applications as needed, • Understanding use of an EHR system, • Knowledge of ethical and professional responsibilities and boundaries, • Demonstrate professional work habits including dependability, time management, organization, autonomy, and productivity, • Some positions may require bi-lingual skills Education and Experience: • Bachelor’s degree with two years of relevant experience OR, • A license as a Registered Nurse with two years of relevant experience, which can include any employment experience and is not limited to case management/service coordination duties OR, • A Master’s degree with one year of relevant experience. Physical Requirements/Working Conditions: • Ability to sit/stand throughout day to accomplish job, • Ability to enter data, notes, and other documentation into a computer., • Must be able to travel throughout covered territories in Upstate NY as needed., • Must have a valid driver’s license, • Ability to conduct in-person visits and meetings at individuals homes, communities, schools, and other locations as applicable, • Ability to work remotely, satellite office locations, and/or primary office location Corporate Qualifications/Expectations: • Adhere to all Prime Care Coordination policies and procedures., • Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards., • Attend mandatory education and training modules as scheduled; obtain and maintain required certifications., • Maintain all required certifications/training by State regulations and PCC policy, • Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress. Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-341-4600

Job DescriptionConstruction Superintendent – Buffalo, NY Laland Baptiste, LLC is a construction management and consulting firm. Laland Baptiste provides innovative and professional services throughout all phases of the construction life cycle. We pride ourselves on being loyal and reliable to our customers, clients, and our greatest assets, our people. Laland Baptiste is dedicated to providing unparalleled services throughout the construction life cycle. These services include Construction Management, Program Management, Owners Representation, Resident Engineering, Inspection, Preconstruction Consulting, Change Order Review, Value Engineering, Administration Assistance, Document Control and Staff Augmentation. Our clients include the NYS Office of General Services, Dormitory Authority of the State of New York, NYC Health + Hospitals, NYC Department of Design and Construction, NYC Parks & Recreation, NYC School Construction Authority, NYC Economic Development Corporation, Battery Park City Authority, and NYS Parks, Recreations and Historic Preservation. As part of our continuous recruitment process, Laland Baptiste is seeking on-site Construction Superintendents. This Superintendent will have project experience in Higher-Education, Healthcare, or Buildings Rehabilitation, and willing to work in the Buffalo, NY Region. Scope: Construction Superintendent shall possess, at a minimum, six (6) years of experience involving large-scale building/rehabilitation projects preferably with a cost of $10 million or greater. Qualifications: • Associate’s degree in Construction Management or related field or a satisfactory equivalent of the combined education and experience. Bachelor’s degree preferred., • Minimum of 4 years’ experience shall be as an Assistant Superintendent or Inspector on large-scale, multi-contract or single prime building projects., • Must be able to develop/communicate a project work plan, monitor manpower and performance against that work plan, and be able to perform a detailed comparison of the design drawings against each other to ensure coordination between each of the various project trades., • Experience working on higher education projects (college/university preferred), including schedule and budget management experience on multi-disciplinary renovation projects., • Working knowledge of the principles of architectural design, mechanical, electrical and plumbing systems (MEP), and knowledge of construction industry practices and procedures., • Ability to interpret construction documents and possess an understanding of applicable construction codes., • Must be able to make decisions rapidly and under pressure., • Strong proficiency with MS Office and/or other construction software is required., • OSHA 30 certification., • Ability to lead, collaborate and interact effectively with a range of other project participants including architects, engineers, specialty consultants, contractors, and the Client., • Ability to work well under pressure and meet deadlines., • Strong problem-solving skills., • In depth understanding of safety protocols and regulations., • Must have a valid driver's license and reliable transportation. Pay Rate: $60.00-$75.00/Hourly Salary. Actual compensation will depend on the individual’s qualifications, education, skills, and experience. Benefits of Working at Laland Baptiste: Medical / Prescription Plan Dental / Vision Plan Life Insurance Short / Long Term Disability Plan Flexible Spending Accounts 401K Vacation, Holiday, and Personal Days Sick Leave Baptiste University - Continuing Education Laland Baptiste LLC, is an Equal Opportunity Employer Powered by JazzHR B5JaSqImQf

Job Description Summary: The Care Manager’s role is to work in partnership with individuals with I/DD, their family/guardian, and providers to coordinate care and services needed to assist individuals achieve optimal health, wellness, independence, community integration and accomplishing goals. The Care Manager is responsible for providing Health Home core services including comprehensive care management, care coordination and health promotion, comprehensive transitional care, individual and family support, referral to community and social support services, and use of Health Information Technology to link services. Care Managers will provide all services with a person-centered approach. Essential Job Functions: • Conduct comprehensive assessments to identify an individual’s clinical and psychosocial needs, choices, and preferences for services, • Assess and address health and safety issues as well as barriers to care and treatment including social determinants of health, • Collaborate with interdisciplinary team and incorporate input into comprehensive assessment and the person’s Life Plan, • Facilitate, develop, and maintain a person-centered Life Plan that integrates an individual’s personal wants and needs, clinical and non-clinical healthcare related needs, community services, OPWDD services, and natural supports., • Incorporate health promotion and support opportunities for individuals to achieve and maintain optimal health and wellbeing, • Adhere to Incident Management regulations, guidelines, and policies and procedures, • Coordinate and ensure access to chronic disease management, • Facilitate referrals to clinical and community resources, including planning, implementation, and follow-up for comprehensive care management and transitional care, • Participate in internal and external audits, • Coordinate and provide access to long-term care supports and services, • Engage families and natural supports in the care coordination process, • Provide all individuals and families with services that are culturally and linguistically appropriate, • Advocate on behalf of the individual, • Promote self-advocacy and the ability to self-direct, • Use Health Information Technology for documentation, to link services, and facilitate communication among care coordination team, • Secure all health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations, • Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and PCC policies and procedures, • Document all services and maintain appropriate records following all established documentation policies and procedures, • Complete all required training including annual, ongoing, and educational trainings, • Perform all other duties relevant to the position as requested. Knowledge, Skills, and Abilities • Ability to act quickly, assess and act accordingly in crisis situations, • Intermediate technology skills in Outlook, Teams, Word, Excel, online applications as needed, • Understanding use of an EHR system, • Knowledge of ethical and professional responsibilities and boundaries, • Demonstrate professional work habits including dependability, time management, organization, autonomy, and productivity, • Some positions may require bi-lingual skills Education and Experience: • Bachelor’s degree with two years of relevant experience OR, • A license as a Registered Nurse with two years of relevant experience, which can include any employment experience and is not limited to case management/service coordination duties OR, • A Master’s degree with one year of relevant experience. Physical Requirements/Working Conditions: • Ability to sit/stand throughout day to accomplish job, • Ability to enter data, notes, and other documentation into a computer., • Must be able to travel throughout covered territories in Upstate NY as needed., • Must have a valid driver’s license, • Ability to conduct in-person visits and meetings at individuals homes, communities, schools, and other locations as applicable, • Ability to work remotely, satellite office locations, and/or primary office location Corporate Qualifications/Expectations: • Adhere to all Prime Care Coordination policies and procedures., • Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards., • Attend mandatory education and training modules as scheduled; obtain and maintain required certifications., • Maintain all required certifications/training by State regulations and PCC policy, • Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress. Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-341-4600

Job Description Pay Range: $17-$19 hourly Plus $1 Shift Differential We're looking for Cosmetic Inspectors with a of professional automotive prepping experience to join us at Carvana - the fastest-growing used automotive retailer in U.S. history and one of the four fastest companies to make the Fortune 500. As an Entry-level Cosmetic Inspector, you'll be expected to identify cosmetic imperfections and/or repairs pre-reconditioning and post-paint process. May require additional tasks such as prepping, sanding, and masking of vehicles. At Carvana, you'll receive a competitive wage and amazing perks – including a 401(k) with Carvana match and even a vehicle purchase discount – all while using state of the art tools in one of our high-tech Inspection Centers (click here to learn more). If you're joining us in an entry-level position, we offer training programs to make sure your skills and pay progress along with the company. Other perks of the Job • 100% company-paid healthcare premiums, • Generous paid-time off and your birthday is a holiday!, • ASE and tool reimbursement programs We do everything we can to deliver an exceptional customer experience, and that includes delivering great vehicles when expected. If we're in a pinch, mandatory overtime is one way in which we can follow-through on this commitment to our customers. We're looking for team players who are all in on our mission and are able to work mandatory overtime based on our business needs. How To Get Started Join the Carvana team by applying on this page, or call one of our recruiters by phone at (888) 690-7853, Monday through Friday, between 6 AM and 4 PM PT (9AM to 7PM ET). Not a match for this role? We have a variety of paint roles available, depending on your experience - look below to see other roles available to help us get our low-mileage, late-model cars ready for our customers: • Paint Prepper (min 6 months professional experience): prepare vehicles for cosmetic paintwork, including sanding, masking, taping, bagging, unbagging/tear down, and buffing, • Entry-Level Painter (min 1 year professional experience): prime vehicles and perform final sanding before the vehicle is painted, along with buffing, touch-up, paint mixing, and airbrush., • Mid-Level Painter (min 3 years professional experience): match/mix paint color and use water-based paint to paint the vehicle inside our paint booths, • Auto Body roles: Paint, Prep/Body work, Wheel Repair, Airbrush, Interior Repair, Glass Repair, and PDR (Paintless Dent Repair) roles, • Auto Technician/Mechanic roles: Lube and Oil, Inspection, Brake and Tire, Mechanical Repair / Build, and Master Technician roles, • Ability to physically operate vehicle equipment and tools - must be able to lift up to 60 pounds independently, • Must be at least 18 years of age and possess a valid driver's license. Some positions may be subject to an Motor Vehicle Records (MVR) check, • An ability to work in a fast-paced, ever-changing production environment while sometimes being exposed to excessive weather conditions (heat/cold) To make sure our cars are in first-rate condition, we've built multiple vehicle Reconditioning Centers around the country, where our cars are inspected, perfected, and photographed before reaching the Carvana website. Think you've got what it takes to join our team? Apply today! Carvana is an equal employment opportunity employer. All applicants receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, marital status, national origin, age, mental or physical disability, protected veteran status, or genetic information, or any other basis protected by applicable law. Carvana also prohibits harassment of applicants or employees based on any of these protected categories. Hiring is contingent on passing a complete background check. This role is not eligible for visa sponsorship. Must be at least 18 years of age and possess a valid driver's license. Must be able to read, write, speak and understand English.

Job Description Summary: The Care Manager’s role is to work in partnership with individuals with I/DD, their family/guardian, and providers to coordinate care and services needed to assist individuals achieve optimal health, wellness, independence, community integration and accomplishing goals. The Care Manager is responsible for providing Health Home core services including comprehensive care management, care coordination and health promotion, comprehensive transitional care, individual and family support, referral to community and social support services, and use of Health Information Technology to link services. Care Managers will provide all services with a person-centered approach. Essential Job Functions: • Conduct comprehensive assessments to identify an individual’s clinical and psychosocial needs, choices, and preferences for services, • Assess and address health and safety issues as well as barriers to care and treatment including social determinants of health, • Collaborate with interdisciplinary team and incorporate input into comprehensive assessment and the person’s Life Plan, • Facilitate, develop, and maintain a person-centered Life Plan that integrates an individual’s personal wants and needs, clinical and non-clinical healthcare related needs, community services, OPWDD services, and natural supports., • Incorporate health promotion and support opportunities for individuals to achieve and maintain optimal health and wellbeing, • Adhere to Incident Management regulations, guidelines, and policies and procedures, • Coordinate and ensure access to chronic disease management, • Facilitate referrals to clinical and community resources, including planning, implementation, and follow-up for comprehensive care management and transitional care, • Participate in internal and external audits, • Coordinate and provide access to long-term care supports and services, • Engage families and natural supports in the care coordination process, • Provide all individuals and families with services that are culturally and linguistically appropriate, • Advocate on behalf of the individual, • Promote self-advocacy and the ability to self-direct, • Use Health Information Technology for documentation, to link services, and facilitate communication among care coordination team, • Secure all health records and other protected information with the highest regard to confidentiality and HIPAA laws and regulations, • Maintain compliance with all state and federal laws and regulations, Medicaid compliance, and PCC policies and procedures, • Document all services and maintain appropriate records following all established documentation policies and procedures, • Complete all required training including annual, ongoing, and educational trainings, • Perform all other duties relevant to the position as requested. Knowledge, Skills, and Abilities • Ability to act quickly, assess and act accordingly in crisis situations, • Intermediate technology skills in Outlook, Teams, Word, Excel, online applications as needed, • Understanding use of an EHR system, • Knowledge of ethical and professional responsibilities and boundaries, • Demonstrate professional work habits including dependability, time management, organization, autonomy, and productivity, • Some positions may require bi-lingual skills Education and Experience: • Bachelor’s degree with two years of relevant experience OR, • A license as a Registered Nurse with two years of relevant experience, which can include any employment experience and is not limited to case management/service coordination duties OR, • A Master’s degree with one year of relevant experience. Physical Requirements/Working Conditions: • Ability to sit/stand throughout day to accomplish job, • Ability to enter data, notes, and other documentation into a computer., • Must be able to travel throughout covered territories in Upstate NY as needed., • Must have a valid driver’s license, • Ability to conduct in-person visits and meetings at individuals homes, communities, schools, and other locations as applicable, • Ability to work remotely, satellite office locations, and/or primary office location Corporate Qualifications/Expectations: • Adhere to all Prime Care Coordination policies and procedures., • Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards., • Attend mandatory education and training modules as scheduled; obtain and maintain required certifications., • Maintain all required certifications/training by State regulations and PCC policy, • Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress. Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-341-4600

Job Description Prime Care Coordination is a human services agency that partners with people with intellectual and/or developmental disabilities to help them receive services and supports they need to live their lives in the most meaningful way. We are seeking a Clinical Support Specialist (Registered Nurse) to join our team! This hybrid position has a schedule of Monday-Friday 8am-5pm. This position is to support the Western NY region of Prime Care Coordination. PCC Values Its Employees by offering: • Paid time off (25 days per year), • 10 Paid Holidays, • Affordable health care coverage including health, dental, vision, starting as low as $10.00/month, • 401(K) Retirement plan, • Tuition Reimbursement, • Generous Employee referral program, • Employee Wellness Program (earn up to $250 per year!), • Numerous other benefits, please apply to find out more! Summary: The Registered Nurse for Prime Care Coordination (PCC) will serve as a member of the assigned regional clinical support team responsible for reviewing case specific information and consulting with care managers to ensure coordinated services are provided to individuals supported by PCC. The RN is also responsible for providing clinical recommendations to enhance service delivery. In partnership with the care coordination team, the RN will provide training and information to individuals and family members, to promote health and well-being, mitigate risk factors and ensure ongoing support. Essential Job Functions: • Review case specific information and consult with to care managers to ensure coordination of services, • Provide clinical recommendations to enhance service delivery, • In partnership with the care coordination team, provide training and information to individuals and family members, to promote health and well-being and ensure ongoing support;, • Educate Care Managers, individuals and family members on diagnoses, health conditions and medications;, • Provide discharge planning assistance to care managers, and attend discharge conferences when appropriate, to support the care manager and family and ensure the plan is in the best interest of the individual;, • Under the supervision of the director, monitor quality of care outcomes that contribute to overall team performance in achieving desired clinical and operational performance measures., • Assist care managers with the interpretation of assessments and screening tools, recommend additional screening or assessment when appropriate, and facilitate access to preventive health screenings., • Work in partnership with care managers, assess safety concerns in an individual’s environment to promote accessibility and mobility, as well as to provide instruction in patient safety, • Conduct assessments and assist in developing Life Plans, • Conduct clinical reviews for individual specific needs or overall program trends and outcomes, • Conduct home visits for assessment and planning for individuals and families with complex health needs, • Case conference with clinical providers of treatment to ensure continuity of care, • Provide health literacy programs and training for staff, • Provide crisis intervention, referrals and support to individuals and families, • Provide on call availability with shared coverage with other clinical team members, • Represent Prime Care Coordination on appropriate committees, boards, and task forces., • Establish and maintain positive relationships at all levels inside and outside the organization., • Knowledge of OPWDD and/or DOH program and service delivery system., • Must be able to multi-task, establish priorities, and meet deadlines., • Ability to work in a collaborative environment, work independently and motivate others., • Ability to communicate effectively, both orally and in writing., • Ability to act quickly, assess and act accordingly in crisis situations ., • Basic technology skills and understanding of health records., • Must be licensed and currently registered as a Registered Nurse by the New York State Education Department; BSN preferred., • Ability to sit continuously., • Ability to reach above shoulder level., • Ability to turn/twist upper body., • Ability to use hand for repetitive action and fine manipulating for the purpose of keyboarding., • Must be able to travel throughout covered territories in Upstate NY as needed. Prime Care Coordination is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-341-4600