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1400 W. Seminary St. Richland, Center, WI
Schmitt Woodland Hills
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Home
About Us
Our History
Mission, Vision, & Values
Non-Profit
Our Team
Levels of Care
Independent Apartments
Richwood
Sylvan
Buena Vista
Forest
Willow
Assisted Living
Skilled Nursing Health Center
Amenities
Activities
Beauty & Barber Shop
Dining
Housekeeping & Laundry
Pastoral Care
End-of-Life Comfort Care
Get Involved
Donate Now
About Donating
Volunteer
Newsletter
Careers
Current Openings
Apply
Contact
Apply
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Employment Application
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Name
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Desired Salary
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Are you over 17 years of age?
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If No, can you furnish a work permit upon Hire?
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Position Applying For
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Are you seeking
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Full Time
Part Time
Are you able to rotate shifts, if applicable?
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Shift desired?
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Day
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What other positions would you consider?
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Have you ever filed an application with us?
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Registry or Professional License Number:
Registry or Professional License Number State
Are you a citizen of the United States?
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If No, are you authorized to work in the U.S.?
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Have you ever worked for this company?
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If yes, when?
Do you have any convictions within the last seven years?
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If yes, explain:
The existence of any convictions does not institute an automatic bar to employment and will be considered only if the nature of such conviction bears direct and substantial relationship to the position applied for.
Summarize special skills, qualifications, and certifications acquired from employment or other experience
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Are there any limitations that would prevent you from performing ALL duties of the job for which you are applying?
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If Yes, what accommodations could be made:
Name of High School
High School Address
Did you graduate?
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Degree
Name of College
College Address
Did you graduate?
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Degree
Name
Address
Did you graduate? (copy)
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Degree
Company
Supervisor Name
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Last
Job Title
Ending Salary
Responsibilities
Reason for Leaving
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Company
Supervisor Name
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Last
Job Title
Ending Salary
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
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Company
Supervisor Name
First
Last
Job Title
Ending Salary
Responsibilities
Reason for Leaving
May we contact your previous supervisor for a reference?
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