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Ledgewood
where the heart is
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Admission Inquiry
Employment Application
Ledgewood
where the heart is
Main Menu
Home
Menu Toggle
About
Admission Inquiry
Employment Application
EMPLOYMENT APPLICATION
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Step
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We're so excited that you're interested in working with us!
We've tried to make contacting us as simple as possible. Please, fill out as much of the information below as you can to help us learn about you. Most importantly, provide a way (phone, email, text, address) for us to reach back out to you. Thank you!
Name
*
First
Last
Phone
*
What's the best way to communicate with you?
Email
Phone
Text
Please, choose one and be sure to include an email address and/or a phone number below.
Email
Date of Birth
Date Available to Begin
City/Town of Residence in Maine
Please, briefly tell us a little about you.
Which type of position are you seeking?
Full-time
Part-time
Per Diem (as needed)
Temporary/Seasonal
No preference
In which department(s) are you interested?
Business Office
Nursing
Social Services
Housekeeping & Laundry
Dietary (Cook / Aide)
Maintenance
Activities
No preference
EMPLOYMENT HISTORY
If you do not have a resume to submit later, please share your employment history here. If you have not been employed before, simply leave this blank.
#1 - Organization/Company & Position
May we contact this organization?
Yes
No
#2 - Organization/Company & Position
May we contact this organization? (copy)
Yes
No
#3 - Organization/Company & Position
May we contact this organization?
Yes
No
EDUCATION
Please, if you feel comfortable, share your highest level of education to date.
LICENSES / CERTIFICATIONS
Type of License
CNA
CNA-M (CMT)
LPN
RN
License Number
Date of Expiration of License
Are you CPR certified?
Yes
No
Please, feel free to share other licenses or certifications you feel are relevant to this position.
REFERENCES
Please, provide the names of at least one or two people as references and the best way to contact them. Professional (or working) references are preferred.
Name of first reference & Method of contact (Phone or Email)
Name of second reference & Method of contact (Phone or Email)
Name of third reference & Method of contact (Phone or Email)
RESUME
UPLOAD YOUR RESUME AND/OR REFERENCES!
Click or drag files to this area to upload.
You can upload up to 2 files.
Please, feel free to upload your resume with this application. In fact, we encourage you to do so. 🙂
FINALLY!
Please, feel free to share below anything else about yourself that you feel we should know or might be interested in learning.
How did you learn about us?
A past or present employee of Ledgewood encouraged me to apply.
I saw an ad in a local newspaper
I found an ad in Indeed.com.
I drove by and decided to apply.
I heard about Ledgewood from the community.
If a person encouraged you to apply, please feel free to share that person's name:
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