Application for Employment

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Application

Email *

Full Name (Last, First, Middle Initial) *

Cell Phone Number *

Email Address *

Street Address, City, State, Zip Code *

Date of Birth (MM/DD/YYYY) *

Position Applied For: *

Desired Salary: $___/hour *

First Date Available to Work *

YYYY

Are you currently employed? *

Are you authorized to work in the U.S.? *

Have you ever been arrested? *

Have you ever been convicted of a felony? *

Completed Education (please select all that apply) *

Highschool graduate

GED

Some College

Associate's Degree

Bachelor's Degree

Master's Degree

Did not graduate from high school or have a GED

Required

Please list 2 previous managers you have worked for. Provide their phone number and where you worked with them: *

Please list your most recent employer: Name of company, phone number, and supervisor name: *

For your most recent employer: What was your job title, your beginning salary, and reason for leaving? *

For your most recent employer: What were your job responsibilities? *

When were you hired for this position? *

YYYY

When did you leave this job? *

Still employed with this company

Plan to give my 2 weeks notice soon

Within the last month

Last year

Other:

Required

What has been your greatest accomplishment? *

What's your favorite dish to cook?
*

Where is the last place you traveled?
*

What's your definition of financial freedom?
*

What do you do for fun? *

What sport did you play or art activity did you participate in growing up?
*

If I opened your kitchen shelves what would I see?
*

I certify that my answers are true and complete to the best of my knowledge. If this application leads to a position, I understand that false or misleading information in my application or interview may cause me to (1) be eliminated from further consideration for a position or (2) may result in my immediate discharge from Compassionate inHOME Caregiving of Oregon. I understand that this company does not unlawfully discriminate. I am aware that inHOME Caregiving of Oregon is an equal employment opportunity company.

I agree

I disagree

Submit

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