Median Community & Cares | Job Interest FormInterested in working at Median Community & Cares? Please complete the form below:"*" indicates required fieldsWhen do you intend to start working?*Application Date*First Name*Last Name*Phone Number*Email*Highest Level of Education*High SchoolCertificate (less than 6 months training)College (2 year associate degree)University (4 year bachelors degree)MastersDoctorateName of School/College/University*Are you eligible to work in the USA?*YesNoWhich job position are you interested in?*Caregiver / Resident AssistantNursing AssistantClinical Nursing (RN/LPN)What availabilities do you have?*Casual/On CallPart-TimeFull-TimeMost preferred shift*MorningEveningsNightsPlease select the shift (s) that you are available to workMorning (8:00am - 4:00pm)* Monday Tuesday Wednesday Thursday Friday Saturday SundayEvening (4:00pm - 12:00am)* Monday Tuesday Wednesday Thursday Friday Saturday SundayNights (12:00am - 8:00am)* Monday Tuesday Wednesday Thursday Friday Saturday SundayAre you available to work other shifts (other than selected above) ?*Not Available to work other shiftsMorning ShiftsEvening ShiftsNight ShiftsMorning (8:00am - 4:00pm)* Monday Tuesday Wednesday Thursday Friday Saturday SundayEvening (4:00pm - 12:00am)* Monday Tuesday Wednesday Thursday Friday Saturday SundayNights (12:00am - 8:00am)* Monday Tuesday Wednesday Thursday Friday Saturday SundayAdditional notes/requests regarding your scheduleDo you have current Mantoux or Chest X-ray results?*YesNoDo you have a reliable means of transportation?*YesNoEqual Opportunity Employer StatementMedian Community & Care is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.Consent* Please type your name below to certify that all the information on this form is true and correct.First Name*Last Name*Δ
