Employment – Ledgewood

APPLICANT INFORMATION

Let’s start with a few basics so we know how to reach you.

Name *

First

Last

Phone *

Email *

Preferred Method of Communication *

Email
Phone
Text

(Please ensure your selected contact method is accurate.)

City / Town of Residence (Maine):

(Optional)

Date Available to Begin Employment

(Optional)

About You

(Optional)
Tell us a little about yourself. You may share your background, interests, or what drew you to long-term care.

POSITION PREFERENCES

Help us understand where your interests lie.

Employment Type(s) Interested In *

Full-Time
Part-Time
Per Diem (as needed)
Temporary / Seasonal
No Preference

(Select all that apply)

Department(s) of Interest *

Nursing
Social Services
Business Office
Housekeeping & Laundry
Dietary (Cook / Aide)
Maintenance
Activities
No Preference

(Select all that apply — this helps us route your application appropriately)

EMPLOYMENT HISTORY

(Optional Section)

If you plan to upload a resume, you may skip this section.

Employer #1 should be your most recent position.

Employer #1 - Name

Employer #1 - Position Held

Employer #1 - Dates (FROM - TO)

Employer #1 - May we contact?

Employer #2 - Name

Employer #2 - Position Held

Employer #2 - Dates (FROM - TO)

Employer #2 - May we contact?

EDUCATION + LICENSES

(Optional Section but Encouraged)

Highest Level of Education Completed

High School or GED
Some College
Associates Degree
Bachelor’s Degree
Graduate / Professional Degree
Trade or Technical Training
Prefer not to answer

Professional License Type

CNA
CNA-M (CMT)
LPN
RN
Other (please specify)

(Select all that apply)

License Number

License Expiration Date

Are you currently CPR certified?

Other relevant certifications or training

RESUME + REFERENCES

(Uploading a résumé is encouraged but not required)

Upload Resume and/or References

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

You may upload up to two files (PDF or DOC).

Reference #1 - Name *

Reference #1 - Relationship *

Reference #1 - Phone or Email *

Reference #2 - Name

Reference #2 - Relationship

Reference #2 - Phone or Email

ADDITIONAL INFORMATION

(Optional Section)

Is there anything else you would like us to know about you? (Optional)

If someone encouraged you to apply, please share their name (optional).

How did you hear about Ledgewood? *

A current or former Ledgewood employee
Online job posting (Indeed, etc.)
Local newspaper or community listing
Drove by / Walk-in interest
Community referral
Other

This question helps us understand how applicants find us.

CONSENT & PRIVACY ACKNOWLEDGEMENTS

Please review and acknowledge the statements below before submitting your application.

Application Accuracy Certification *

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification or termination if hired.

Background Check & Credential Verification Acknowledgement *

I understand that employment at Ledgewood is subject to applicable background checks, credential verification, and job-related requirements as permitted by law.

Terms of Employment Acknowledgment *

I understand that submission of this application does not guarantee employment and does not create a contract of employment. I further understand that, if hired, my employment with Ledgewood will be subject to applicable policies, procedures, and job-related requirements.

I acknowledge that the information I provide will be used solely for employment consideration and handled in accordance with Ledgewood’s Privacy Policy.

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Employment at Ledgewood

APPLICANT INFORMATION

POSITION PREFERENCES

EMPLOYMENT HISTORY

EDUCATION + LICENSES

RESUME + REFERENCES

ADDITIONAL INFORMATION

CONSENT & PRIVACY ACKNOWLEDGEMENTS

Almost finished!