Part Time Housekeeper – Day Shift

Sayre Health Care Center; Sayre (Bradford County); 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 the ability to perform the work required. No question on this application is intended to secure information 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? *
7. Are you a US citizen or legally permitted to work in the US? *
8. Date Available to Start Working * MM/DD/YYYY
9. Are you currently employed? *
10. May we contact your present employer? *

Desired Employment

1. Desired Employment Position * (Please list up to 3 in order of preference)
2. Which of the following will you accept employment of? * (Select all that apply)
   • 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 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
   • Expiration Date
   • Number

Employment History

1. Previous and Current Employers * (List last 3 employers including current, from most recent)
2. Have you ever been convicted of a crime? *
   • Yes
   • No
3. If yes, please specify details or indicate "N/A" if none.
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.