捐赠

615 N. Promenade Street, Havana, IL 62644

在线申请

在线申请

个人信息

任何以前的名字?

No是的

Check all you would consider working:

全职/定期全职/临时部分时间/定期兼职/临时

Relatives or Friends employed in this facility?

No是的

Have you ever been employed by this facility?

No是的

Are you 18 yrs of 年龄 or older?

是的No

你是美国人吗?.S. citizen or an alien legally authorized to work in the United 状态s?

是的No

Would you consider working?

周末 & 假期

是的No

旋转变化

是的No

随叫随到

是的No

任何改变

是的No

Shift availability (check all that apply):

晚上晚上

Have you ever been involved in the substantiated abuse or neglect of children or adults under the laws of this or any other state of the United 状态s?

No是的

Have you been sanctioned, 引用, 报道, or excluded from participation in medicare, 医疗补助计划, or any other healthcare related law or regulation?

No是的

教育/技能

学校 NAME AND ADDRESS OF 学校 学习课程 CHECK LAST YEAR COMPLETED 你毕业了吗?? LIST DIPLOMA OR DEGREE
学校 1234 是的No
大学 1234N/A 是的NoN/A
大学 1234 是的No

Professional Licenses

目前的许可目前注册Eligible For LicenseEligible For RegistrationN/A

License Or Registration Ever Suspended, Revoked Or On Probation?

No是的

Professional Certifications

目前认证Eligible For CertificationN/A

先前的经验

Provide Information Regarding Previous 就业 Beginning With Most Recent Employer.
Previous Experience 1
Previous Experience 2
Previous Experience 3
Previous Experience 4
Previous Experience 5
Previous Experience 6
Previous Experience 7
Previous Experience 8

May We 世界十大电子游戏平台 Your Current Employer?

是的No

参考文献

List At Least Three (3) Professional / Work/学校 参考文献 Who Are Not Relatives Or Personal Acquaintances
参考1
参考2
参考3

签字/提交

Carefully Read This Section Prior To Providing Signature Below

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I understand that any false or misleading representations or omissions made on the application or during the hiring process may disqualify me from further consideration for employment and may result in discharge even if discovered at later date.

I understand that employment may be conditioned upon successfully passing a medical examination, and that I may be required to satisfactorily complete a drug screening as a condition of employment.

I hereby authorize persons, 学校, my current employer (if applicable) and previous employers and other organizations to provide this facility and its affiliates with any requested information regarding my application or suitability for employment, and I completely release all such persons or entities from any and all liability related to the providing or use of such information.

I understand that my employment is at-will which means that I may terminate the employment relationship at any time and for any reason with or without notice, and that the facility has the same right. I understand that no one has the authority to enter into any agreement contrary to the preceding sentence, except for a written agreement signed by an administrative representative of this facility and notarized.