Employment Application

Applications

Do you currently posses any certifications?(Required)
Select all that apply
Name(Required)
Do you have transportation readily available?(Required)
Do you have any experience in Memory Care?(Required)
Do you speak a language in addition to English?(Required)
Is there a shift that you prefer to work?(Required)

Have you been convicted of any Misdemeanors or Felonies ?(Required)
MM slash DD slash YYYY
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May we contact for reference(Required)
Address(Required)
Compensation type(Required)
Drop files here or
Max. file size: 128 MB.
    I Understand that Evergreen Cottages will perform an Employee Misconduct Registry search prior to my being hired. Furthermore, I understand that I will NOT be eligible for employment at Evergreen Cottages if listed on the registry(Required)
    I, acknowledge that a Computerized Criminal History (CCH) check will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on name and DOB identifiers I supply. Authority for this agency to access an individual's criminal history date may be found in Texas Government Code 411 ; Subchapter F.(Required)
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