Employment

Download a hard copy and upload or complete the online application below
HARD COPY APPLICATION

We are accepting applications for RNs, LPNs, CNAs, and CMAs. Must enjoy working with seniors. Must be dependable. Benefits: Health Insurance, Dental, Vision, Paid Holidays, Vacation, Sick Time/Personal Days

Contact our Human Resources Department with questions at k.butler@oakviewinc.net. Send your resume to k.butler@oakviewinc.net, stop in to fill out an application, or fill out our online application below.

We are committed to hiring enthusiastic, professional and caring individuals who take great pride in their work. We want our people to love what they do and love coming to work every day. If this sounds like you, please fill out an application!

Date of Application(Required)

MM slash DD slash YYYY

Name(Required)

First Middle Last

Email(Required)

Position applying for(Required)

Cell Phone(Required)

Home Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please provide all names that you have used the past including maiden names, married names and/or aliases:

Work Availability

Are you at least 16 years of age?(Required)

Yes

Are you 18 years of age?(Required)

Yes

If younger than age 16, can you furnish a work permit?(Required)

Yes

Have you ever been employed here before?(Required)

Yes

If yes, please list the date(s).(Required)

Are you employed now?(Required)

Yes

May we contact your present employer?(Required)

Yes

Can you, if hired, submit verification of your legal right to work in the U.S.?(Required)

Yes

If hired, you will be required to submit documents sufficient to establish employment authorization and identity compliance with the Immigration Reform and Control Act of 1986 and all applicable regulations. While you need not provide this proof of legal status at the time you are interviewed, you will be required to do so after hire.

What date would you be available for work?(Required)

MM slash DD slash YYYY

What wage are you expecting?(Required)

Are you available to work:

Full Time

Part Time

Occasional

(Please check all that apply.)

What days?

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

(Please check all that apply.)

What hours?

6 am - 2 pm

2pm - 10 pm

10 pm - 6 am

6 am - 6 pm (Other)

(Please check all that apply.)

Are you on a layoff and subject to recall?(Required)

Yes

Do you have a record of founded child or dependent adult abuse or have you ever been convicted of a crime other than a simple misdemeanor offense relating to motor vehicles and laws of the road under chapter 321 or equivalent provisions, in this state or any other state?(Required)

Yes

If yes, please explain:(Required)

Are there currently any criminal charges pending involving you, or are you under investigation for child or dependent adult abuse?(Required)

Yes

If yes, please explain:(Required)

Have you ever been or are you currently excluded or debarred from participation in any Federal or State health care program, including Medicare or Medicaid?(Required)

Yes

If yes, please explain:(Required)

Have you ever had a professional license/certification (including nursing, administrator, physician, therapy, social worker, dietician) that was revoked, suspended or voluntarily relinquished?(Required)

Yes

If yes, please explain:(Required)

Education

What is the highest level of education you have completed?

What grade did you complete?

How many years of college did you complete?

How many years of graduate or professional work did you complete?

What year did you complete this education?

Did you receive a diploma or degree?

If a degree, please list it (ex. ASN, BSN, etc.)

Briefly describe your course of study.

Do you hold any current licensure or registration?(Required)

Yes

If yes, please list with license number:

Have you ever had any disciplinary action taken against your license/certification, including as a result of a finding of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property?(Required)

Yes

If yes, please explain:(Required)

Educational honors; extra-curricular activities; professional societies or other information that you believe is related to your ability to perform the position for which you are applying and your application for employment:

Special skills and qualifications, including those acquired from employment or other experience:

Employment Experience

Start with your present or last job. Include military service assignments and/or volunteer activities. Account for all periods of unemployment.

Employer 1

Most Recent Employer

Phone

Address

Street Address Address Line 2 City State ZIP Code

Dates Employed

Start Date

End Date (or present)

Job Title

Supervisor Name

Hourly Rate/ Salary

Starting

Final

Reason for leaving?

Describe the work you performed at this job.

Employer 2

Phone

Address

Street Address Address Line 2 City State ZIP Code

Dates Employed

Start Date

End Date (or present)

Job Title

Supervisor Name

Hourly Rate/ Salary

Starting

Final

Reason for leaving?

Describe the work you performed at this job.

State any additional information you feel may be helpful to us in considering your application.

References

Employment references are preferred. But, if no employment references are available, list Personal References.

Reference 1

Type of reference?

Employment Reference

Personal Reference

Name

First Last

Phone

Relationship

Reference 2

Type of reference?

Employment Reference

Personal Reference

Name

First Last

Phone

Relationship

Reference 3

Type of reference?

Employment Reference

Personal Reference

Name

First Last

Phone

Relationship

Applicant's Statement

I certify that the answers given in this Application for Employment are true and complete to the best of my knowledge. The facility may investigate all statements made in this Application. The facility is required by law to check for any criminal or abuse record. I understand that any false or misleading information provided can result in a decision not to hire; immediate discharge if hired, and civil or criminal penalties in appropriate cases.

In digitally signing this Application I state that I have received a copy of the Job Description for all jobs for which I have applied. I understand that I will be required to fulfill all aspects of any job if I am hired to perform the job. I understand that the failure to fulfill any aspect of the job may result in termination. I also understand that I may be required to take a physical examination conducted by a physician of the employer's choosing after I am given a qualified offer of employment and that a health screening for diseases, such as TB, is required.

I understand that this Application is not a contract of employment; that if hired, regardless of any oral representations to the contrary, the employment relationship between myself and the facility is terminable at will; that I have the right to terminate my employment at any time for any reason, and the facility retains the same right. Any changes to this employment relationship must be in writing. I understand that if hired I am required to abide by all rules and regulations of the facility.

Signature

I agree that my digital signature is an appropriate representation of my physical signature.

An Equal Opportunity Employer

This facility is an equal opportunity employer. Employment decisions are made without regard to age, race, creed, color, sex, sexual orientation, gender identity, national origin, religion, disability, status as a disabled Vietnam era veteran, or other category as specified by law.

State of Iowa Criminal History Check

Please download the following DCI Criminal History Check Form and fill out the name, DOB, Gender, and Social Security fields. Make sure you sign the "Release Authorization Signature" line to give the state of Iowa Division of Criminal Investigation permission to release your criminal history to us.

After you have filled out this form, scan it and upload it to this form.

Upload the completed DCI Criminal History Check form here.

Accepted file types: jpg, png, pdf, Max. file size: 16 MB.

Request for Child and Dependent Adult Abuse Information

Please download the following form and fill Sections 2 and 3. Make sure you sign the "Signature of Registry or Designee" line to give the state of Iowa permission to release the information.

After you have filled out this form, scan it and upload it to this form.

Download the Request for Child and Dependent Adult Abuse Information Form

Upload the completed for Request Child and Dependent Adult Abuse Information form here.

Accepted file types: jpg, png, pdf, Max. file size: 16 MB.

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