RA Employment Application
We are glad you are considering a career at ElderSpan Management! Please answer the following questions so we can get to know you.
Q1. What is your current address?
Q4. If you choose "Other," please explain.
Q6. If you choose "Other," please explain.
Q8. What is your desired pay range?
Q9. When would you be available to start?
The following questions pertain to your employment history. Please start with your CURRENT EMPLOYER. If you haven't had three (3) employers, type "N/A" in the fields, as they require an answer. If you have additional experience that you would like us to consider, please attach a resume or include the information in a cover letter.
Q12. EMPLOYER 1 - Name of Company
Q13. EMPLOYER 1 - Dates of Employment (include month and year)
Q14. EMPLOYER 1 - Position or Job Held
Q15. EMPLOYER 1 - Reason for leaving
Q16. EMPLOYER 2 - Name of Company
Q17. EMPLOYER 2 - Dates of Employment (include month and year)
Q18. EMPLOYER 2 - Position or Job Held
Q19. EMPLOYER 2 - Reason for leaving
Q20. EMPLOYER 3 - Name of Company
Q21. EMPLOYER 3 - Dates of Employment (include month and year)
Q22. EMPLOYER 3 - Position or Job Held
Q23. EMPLOYER 3 - Reason for Leaving
Q24. Any additional experience or information you would like us to consider?
Q25. If you have ever been discharged from employment or asked to resign, please explain.
Please provide 3 Professional References preferably from a current or former manager or supervisor. Include first and last name, email address, phone number and where you worked together.
Q26. REFERENCE 1 - Provide name, email address, phone number and where you worked together.
Q27. REFERENCE 2 - Provide name, email address, phone number and where you worked together.
Q28. REFERENCE 3 - Provide name, email address, phone number and where you worked together.
Q30. If you choose "Current Staff" or "Other," please explain.
Q31. Are you eligible to work in the United States?
Please select one
Yes
No
Caring for our residents includes very important and essential functions. By applying, you agree that you are capable of and understand that this type of work requires: - the physical ability to support up to 100 pounds, walk briskly, stand, climb stairs, sit, bend, reach, squat, push, and pull. - the ability to read and write in English and to complete state mandated training within a required time frame. The following information is so you get to know us better. By applying, you understand and agree: - We support diversity and make our hiring decisions based on ability and qualifications. - We do not tolerate harassment or discrimination. - We can request employment, educational and legal information. - We are an "at-will" employer. Thank you for your interest in working with us and taking valuable time to allow us to get to know you. We will carefully review this information and contact you shortly.