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Charity Hospice Care

Follow-up employment application

Already submitted your résumé? Complete this application so HR can review your availability, qualifications, and references. No second résumé upload is needed.

Complete, review, and submit to HR.

Review your answers, then select Submit Application to send them through Formspree to hr@charityhhs.org. You will see a confirmation when your submission is accepted.

Do not include your SSN, birth date, medical records, banking information, or patient information. Entries are not saved if you close or reload this page. Fields marked * are required.

Position applied for

Equal access to programs, services and employment is available to all persons. Applicants requiring accommodation to the application and/or interview process should contact a representative of the Personnel Department. Complete the fields below.

Applicant information

Quick questions

Can you, after employment, submit verification of your legal right to work in the United States?

Have you filed an application here before?

Have you been employed here before?

May we contact you at work?

Are you on lay-off or subject to recall?

Are you able to meet the attendance requirements of the position?

Will you relocate if the job requires it?

Will you travel if the job requires it?

Will you work overtime if required?

Educational background (job related)

List last three (3) schools attended, starting with the most recent.

SchoolYears completedDegree/DiplomaGPA/class rankMajor

List any foreign language(s) you know and check the boxes describing your skill level.

LanguageSpeak someSpeak fluentlyReadWrite

References

List names of persons not related to you who are willing to provide professional and/or character references.

NameTelephoneYears known

List professional, trade, business or civic associations and any offices held. (Exclude memberships which would reveal sex, race, national origin, age, color, disability or other protected status.)

OrganizationOffices held

Employment history

List your last four (4) employers, assignments or volunteer activities, starting with the most recent, including military service. You may explain gaps without providing medical or other sensitive details.

Employer 1
Employer 2
Employer 3
Employer 4

Skills and qualifications

8. Applicant certification

I certify that the information in this application and my submitted résumé is accurate and complete to the best of my knowledge. I authorize Charity to verify my employment, education, professional credentials, and references, subject to my current-employer contact preference. This is not authorization for a consumer report or background check.

I understand this application does not constitute an offer or contract of employment. If hired as an employee, employment is at will to the extent permitted by law, subject to any applicable written agreement.

Charity provides equal employment opportunity without unlawful discrimination. To request an accommodation in the application process, contact HR. Do not enter medical information here.

Applicant privacy: Information supplied to HR is used to evaluate qualifications and communicate about hiring. This page holds your entries while it is open. Selecting Submit Application sends your answers to Formspree for storage and delivery to Charity HR. A downloadable copy contains the information you enter.

Referral source