Application: Activity Assistant, All Saints Neighborhood - Every Other Weekend Job at ElderSpan Management, LLC in Madison, WI; Verona, WI

Q2. Please select the shift(s) you are most interested in working.

Days (generally 7 am - 3 pm)
Afternoon/Evening (generally 3 pm - 11 pm)
Overnight (generally (11 pm - 7 am)
Other

Q3. If you choose "Other," please explain.

Q4. Employment type you are looking for:

Full-Time (generally between 32 and 40 hours per week)
Half-Time (generally between 24 and 32 hours per week)
Part-Time (generally between 12 and 24 hours per week)
Casual (generally 12 hours or less per week)
Other

Q5. If you choose "Other," please explain.

Q6. What days of the week are you available to work? Check all that apply. NOTE: Unless working Casual, this position requires working every other weekend.

Q7. What is your desired pay range?

Q8. When would you be available to start training with us?

Q9. Please indicate the CBRF training(s) you have completed.

Q10. Are you licensed as a Certified Nursing Assistant?

Yes
No

The following questions pertain to your employment history. Please start with your CURRENT EMPLOYER.

If you haven't had three (3) employers, type "N/A" in the fields, as they require an answer.

If you have additional experience that you would like us to consider, please attach a resume or include the information in a cover letter.

Q11. EMPLOYER 1 - Name of Company

Q12. EMPLOYER 1 - Dates of Employment (include month and year)

Q13. EMPLOYER 1 - Position or Job Held

Q14. EMPLOYER 1 - Reason for leaving

Q15. EMPLOYER 2 - Name of Company

Q16. EMPLOYER 2 - Dates of Employment (include month and year)

Q17. EMPLOYER 2 - Position or Job Held

Q18. EMPLOYER 2 - Reason for leaving

Q19. EMPLOYER 3 - Name of Company

Q20. EMPLOYER 3 - Dates of Employment (include month and year)

Q21. EMPLOYER 3 - Position or Job Held

Q22. EMPLOYER 3 - Reason for Leaving

Q23. Any additional experience or information you would like us to consider?

Q24. If you have ever been discharged from employment or asked to resign, please explain.

Please provide 3 Professional References preferably from a current or former manager or supervisor. Include first and last name, email address, phone number and where you worked together.

Q25. REFERENCE 1 - Provide name, email address and phone number

Q26. REFERENCE 2 - Provide name, email address and phone number

Q27. REFERENCE 3 - Provide name, email address and phone number

Q28. How did you find out about us?

Q29. If you choose "Current Staff" or "Other," please explain.

Q30. Are you eligible to work in the United States?

Caring for our residents includes very important and essential functions. By applying, you agree that you are capable of and understand that this type of work requires:

- the physical ability to support up to 100 pounds, walk briskly, stand, climb stairs, sit, bend, reach, squat, push, and pull.
- the ability to read and write in English and to complete state mandated training within a required time frame.

The following information is so you get to know us better. By applying, you understand and agree:

- We support diversity and make our hiring decisions based on ability and qualifications.
- We do not tolerate harassment or discrimination.
- We can request employment, educational and legal information.
- We are an "at-will" employer.

Thank you for your interest in working with us and taking valuable time to allow us to get to know you. We will carefully review this information and contact you shortly.