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Viola Ventures Job Application
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Email
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Social Security Number
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
What location are you interested in?
*
Clara Manor - Washington, NC
Hertford Manor- Hertford, NC
Pantego Rest Home - Pantego, NC
Winston Gardens - Windsor, NC
Required
Have you ever worked at any of the facilities listed in the previous question?
*
Yes
No
If you answered yes to the question above please specify which facility.
*
Your answer
Which position(s) are you interested in?
*
Nurse
Manager
Caregiver (MedTech/PCA)
Cook
Transport
Maintenance
Required
Are you currently employed?
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Yes
No
What is your desired start date?
*
MM
/
DD
/
YYYY
What schedule are you interested in?
*
Full-time
Part-time
Please list the names and contact numbers of three persons not related to you, whom you have known at least one year for references.
*
Your answer
List any relevant work experience:
*
Your answer
How did you hear about us?
*
Your answer
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