Part Time Housekeeper – Day Shift

Sayre Health Care Center; Sayre, Wapato (OK, WA); On-site; USD 10,000 - 60,000; Full time

Job description

This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship, national origin, ancestry, Vietnam era veteran status, age, or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.

Personal Information

1. Name * First Last
2. Social Security Number
3. Address * Street Address, Address Line 2, City, State, ZIP Code
4. Phone *
5. Email *
6. Are you at least 18 years of age? *
   • Yes
   • No
7. Are you a US citizen or legally permitted to work in the US? *
   • Yes
   • No
8. Date Available to Start Working * MM/DD/YYYY
9. Are you currently employed? *
   • Yes
   • No
10. May we contact your present employer? *
    • Yes
    • No

Desired Employment

1. Desired Employment Position *
   Please list up to 3 positions in order of preference, including shift and salary preferences if applicable.
2. Which of the following will you accept employment of? *
   • Full Time
   • Part Time
   • Temporary

Education

1. Highest Level of Completed Education *
2. High School Name & Location
3. College Name & Location
4. Vocational or Business School Name & Location
5. Professional Education Name & Location
6. Laboratory or X-Ray Training Name & Location
7. Were you in the Military? If yes, which branch? *
8. Professional Licenses and/or Certifications
   Type | Organization or State | Issued | Date Issued | Expiration Date | Number

Employment History

1. Previous and Current Employers *
   List the last 3 employers, including your current employer, from most recent to oldest. Include: Employer Name, City & State, Phone Number, Supervisor, Dates Employed, Salary, and Position.
2. Have you ever been convicted of a crime? *
   • Yes
   • No
3. If yes, please specify details or write 'N/A' if no.
4. Please indicate all you are willing to work. *
   • Weekdays
   • Weekends
   • Holidays
   • Rotating Shifts
5. If available, please upload your resume. Max file size: 20 MB.
6. Acceptance: *
   • I Agree and Accept

I voluntarily give this institution the right to investigate my past employment and activities, agree to cooperate, and release all liability for information supplied. I consent to physical examinations as required. I understand employment may be contingent on passing such examinations. My employment is at-will, and either party may terminate it at any time without cause. I understand that misstatements or omissions may lead to termination. If employed, I will complete an I-9 form and provide evidence of identity and employment eligibility within three days.