CARE MANAGEMENT PROGRAM SUPERVISOR
|
|
- Brianna Antonia Russell
- 8 years ago
- Views:
Transcription
1 JOB ANNOUNCEMENT CARE MANAGEMENT PROGRAM SUPERVISOR Preference given to applications received by: 12/07/15 Open until filled REPORTS TO: Care Management Director TEN-STEP ANNUAL SALARY RANGE: $55,940 $72,990 DOQ JOB SUMMARY: Coordinates and oversees NWRC care management programs and services that may include Community-Based Long-term Care Case Management, Health Homes Care Coordination and other direct service programs in NWRC s Bellingham and Burlington offices. Provides direct supervision, leadership, and training to staff to assure that the overall goals and objectives of care management services are met. Participates with supervisory team on program management, new program development, and outreach activities. ESSENTIAL JOB DUTIES include but are not limited to: 1. Provides supervision and oversight of care management programs and services using a team oriented approach. Coordinates program activity with NWRC planning, administrative and program departments, and with other care management supervisors. 2. Directly supervises staff, including conducting regular individual meetings, performing staff evaluations, planning and initiating strategies for performance, authorizing vacation/sick leave, approving time sheets, administering disciplinary measures, and resolving complaints. 3. Coordinates staff scheduling and program coverage. Provides direct service to clients during peak periods of service or during staff shortages. 4. Organizes regular staff meetings and coordinates program and staff communication. 5. Participates in recruitment, selection, and training of new staff. 6. Monitors appropriate program and budget reports. Compiles monthly, quarterly, and annual reports according to program requirements or as requested. 7. Participates in NWRC Leadership team, and departmental planning and program meetings as required. 8. Develops and maintains professional working relationships with other community and State agencies. Participates in in local, state, and regional meetings as required and as time permits. 9. Care Management Program Responsibilities 10. Coordinates incoming and outgoing XIX cases with appropriate HCS staff. Performs initial review of cases and assigns the case to the appropriate case manager based on the skill level required and existing case load. Monitors staff caseloads and provides clinical consultation on a regular basis with each staff member. Monitors and reviews case files for program compliance, quality, accuracy, and completeness. 11. Coordinates nursing services with other care management staff and assures that nursing services are implemented in compliance with program quality assurance standards, policies, and procedures. 12. Provides support to the Health Homes program, which may include supervision of care coordinators, and coordination of NWRC CCO activities with other members of the Health Homes team. 13. Serves as a resource for clinical staff in the assessment of clients, level of care determinations, clinical decision-making, development of care plans and on-going care management and care coordination. 14. Serves as a resource for case aide and administrative staff, which may include development and analysis of new policies, assessment of work flows and management systems. 15. Monitors payment processes, reviews, reports, and assists with problems/issues as needed. 16. Participates with Care Management supervisory team in staff recruitment, selection and orientation; training and quality assurance activities; developing policies, procedures and materials; and program development activities. QUALIFICATIONS: Knowledge, Skills and Abilities: Ability to supervise, direct, motivate, and train others. Ability to work as part of a team and provide leadership and structure as appropriate.
2 Ability to develop procedures for new and ongoing program and case management functions. Ability to communicate effectively in both oral and written format. Ability to plan, organize, prioritize, and coordinate work assignments and/or projects. Ability to work with efficiency under frequent pressure of deadlines while maintaining a professional demeanor. Ability to formulate solutions to problems in a timely manner. Extensive knowledge of responsibilities and resources of federal, state and local agencies responsible for administering services for older adults and persons with disabilities. Ability to establish and maintain effective working relationships with co-workers, providers and the general public using courtesy, tact and good judgment. Demonstrated ability to assess client health status, develop appropriate care plans, assess skill and suitability of personal care aides, and provide consultation to case management staff. Sensitivity to the needs and values that are present in working with diverse groups of people. Education/Experience - Minimum: Master's degree in behavioral and health services (this includes social work, clinical psychology, sociology, guidance counseling, gerontology, nursing) and two years of paid onthe-job social service experience; OR Bachelor's degree behavioral or health services or a related field AND four years of paid onthe-job social service experience; Two years supervisory experience in an administrative capacity, including supervision of programs and personnel, preferably in a home-visit environment, and overall office management OR An equivalent combination of education and experience which provides the skills, knowledge, and abilities to perform the work. Experience working with community-based programs for seniors and people with disabilities, including with information & assistance and case management programs preferred. Licenses/Certificates: Must have a valid Washington State driver's license, a vehicle available for work-related travel, and appropriate liability insurance. WORKING CONDITIONS\PHYSICAL REQUIREMENTS: Work is performed approximately 90% in an office environment and 10% in client visits. Potential hazards include working with emotionally unstable, noncompliant or aggressive clients and complex family dynamics; significant travel; driving in inclement weather; second hand tobacco smoke; aggressive animals; and exposure to contagious diseases. Potential exposure to repetitive stresses due to prolonged use of computers. Sufficient mobility is required for the use of office equipment such as computers, telephones, and files, as well as for performing in-home assessments of clients which may have limited accessibility. Lifting a maximum of 30 pounds may be required. The ability to hear and communicate at a level sufficient to perform the essential functions of the position is required. BENEFITS: NWRC offers excellent medical/dental/vision benefits for the full-time employee and their dependent(s). In addition, the employee and dependents are eligible to participate in the Employee Assistance Program (EAP). Other benefits include participating in the Public Employees Retirement System (PERS), long term disability insurance, life insurance, various deferred compensation programs, Flex Plans for health and/or child/elder care, paid leave, sick leave, and 11 paid holidays per year. TO APPLY: Application materials may be requested by downloading directly ing NWRCHumanResources@dshs.wa.gov, or contacting the Bellingham All applications and application materials, including a cover letter and resume, must be fully completed and returned to the Bellingham office December 7, SELECTION PROCESS: After reviewing the applications, the NWRC will contact the most qualified candidates to participate in a selection process consisting of job-related selection exercises. NWRC will make reasonable accommodation upon request for those individuals with disabilities. rthwest Regional Council An Equal Opportunity Employer Q:\HUMAN RESOURCES\Confidential\SELECTION\2015\Care Mgmt Supervisor\Job Announcement.docx
3 MINIMUM QUALIFICATIONS CHECKLIST Care Management Program Supervisor I hereby certify that all statements made below are true and correct. Signature Print Name Date Please fully complete and submit this checklist with your application. REQUIRED Qualifications 1. Master's degree in behavioral and health services (this includes social work, clinical psychology, sociology, guidance counseling, gerontology, nursing) and two years of paid on-the-job social service experience; OR Bachelor's degree behavioral or health services or a related field AND four years of paid on-the-job social service experience. 2. Two years supervisory experience in an administrative capacity, including supervision of programs and personnel, preferably in a home-visit environment, and overall office management OR An equivalent combination of education and experience which provides the skills, knowledge, and abilities to perform the work. If you don t meet the two years of supervisory experience, briefly describe the equivalent combination of education and experience. 3. Extensive knowledge of responsibilities and resources of federal, state and local agencies responsible for administering services for older adults and persons with disabilities. Briefly describe where/how knowledge gained. 4. Demonstrated ability to assess client health status, develop appropriate care plans, assess skill and suitability of personal care aides, and provide consultation to case management staff. 5. A valid Washington State driver's license, a vehicle available for work-related travel, and appropriate liability insurance. PREFERENCES 6. Experience working with community-based programs for seniors and people with disabilities, including with information & assistance and case management programs preferred. Briefly describe. Q:\HUMAN RESOURCES\Confidential\SELECTION\2015\Care Mgmt Supervisor\Min Qual Checklist.docx
4 EMPLOYMENT APPLICATION POSITION APPLIED FOR 600 Lakeway Drive Suite 100 Bellingham, WA (360) Please complete this application by typing or clearly printing. Fully and accurately complete all application questions, even if submitting your resume. This application will be evaluated to determine which applicants will continue in the selection process. Use additional sheets if more space is needed. Name (Last) (First) (M.I.) Address (Street) (City) (State) (Zip) Telephone (Day) (Evening) ( Address) Do you have the legal right to work in the U.S.? te: All employment offers are contingent upon proof of eligibility to work in the U.S. Have you been convicted of a felony or released from prison within the last ten (10) years? te: Please explain fully any convictions on a separate sheet of paper. Each case is considered individually. A conviction will not necessarily preclude you from employment; however failure to disclose convictions can disqualify you from employment. Are you related to any current employee of NWRC? Have you ever been dismissed, discharged, fired or asked to resign from a position? If yes, please explain. I learned about this job through: Newspaper (Title) Other Source What type of employment are you interested in? Full-time Part-time Temporary Education Type of School School & Location Circle Yrs Completed Degree/Certificate High School 9 th 10 th 11 th 12 th GED College or University Studies Graduate School Business or Tech. School Other Relevant Training or Courses
5 License/Registration/Certificate Description State Number Expiration Work History List experience which relates to the qualification as required on the Job Announcement. Begin with your most recent experience. List all jobs separately and identify gaps in employment. A résumé will not substitute for the information required in this section. Résumés may be attached, but do not write See Résumé in lieu of completing the application. FROM: / / TITLE: CURRENT OR MOST RECENT EMPLOYER: FROM: / / TITLE: EMPLOYER: FROM: / / TITLE: EMPLOYER: 2
6 FROM: / / TITLE: EMPLOYER: FROM: / / TITLE: EMPLOYER: FROM: / / TITLE: EMPLOYER: ADDITIONAL EXPERIENCE (volunteer, internship, etc.): I hereby certify that all statements made in this application and accompanying materials are true and I agree and understand that any misstatement or omission of material fact will cause forfeiture on my part of all rights of employment with the rthwest Regional Council (NWRC). I hereby authorize NWRC to solicit and receive information from my past employers and release both parties from any claims of liability arising from such inquiry and investigation or the supplying of information for such investigation. SIGNATURE: (SIGNATURE REQUIRED FOR APPLICATION TO BE COMPLETE) DATE: 3
7 Applicant Background Inquiries Employment References Release and Waiver of Liability Please read carefully before signing I hereby authorize the NWRC to solicit and receive information from my past employers and other references. I authorize both my present and all former employers to release information contained in my personnel files and other related information regarding my employment. I willingly, knowingly, and voluntarily agree to hold harmless and agree to waive any and all legal claims against the NWRC for such inquiries and each employer, its officers, agents, directors, or representatives who provide employment information to the NWRC. Applicant Signature Date Criminal Background Check Authorization Employees of the NWRC may have access to confidential and sensitive information related to vulnerable adults and children. For this reason, all prospective employees must agree to authorize the NWRC to conduct a criminal background check. At some point in the final steps of the selection process, you will be requested to sign a form that authorizes the NWRC to conduct a Washington State Patrol criminal background check. I understand and agree to the NWRC conducting a WSP criminal background check in the final steps of the selection process. Additionally, I acknowledge and authorize my background to be checked on an intermittent basis to verify my eligibility for continued employment. Applicant Signature Date Print Name 4
8 Applicant Data Record NWRC is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or any other classification protected under federal, state or local law. The NWRC is subject to certain governmental record-keeping and reporting requirements for the administration of civil rights and regulations. In order to comply with these laws, the employer invites applicants to voluntarily self-identify their race/ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual. This Applicant Data Record will be removed from your employment application materials and will not be considered when reviewing and evaluating your qualifications. Full Name: Date: Position Applied For: Please identify where you learned about this employment opportunity: Newspaper Ad Employment Agency Employee Referral School: Walk-In Other (please identify): Sex: Male Race/Ethnicity: Female Hispanic or Latino White Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaskan Native Two or more races Individual with Disability Defined as a person who (1) has a physical or mental impairment which substantially limits one or more of his or her major life activity(s), (2) has a record of such impairment(s), or (3) is regarded as having such impairment(s). For purposes of this definition, an individual with disability(s) is substantially limited if he or she is likely to experience difficulty in securing, retaining, or advancing in employment because of the disability(s). Q:\HUMAN RESOURCES\FORMS\Applicant Data Record_2011.docx Revised 08/11
Program Specialist Bellingham (Whatcom County) & Burlington (Skagit County) JOB ANNOUNCEMENT
Program Specialist Bellingham (Whatcom County) & Burlington (Skagit County) JOB ANNOUNCEMENT Preference given to applications received by: Feb. 5, 2016 Open until filled REPORTS TO: Community Programs
More informationAPPLICATION FOR EMPLOYMENT
Main Branch Golden Heart Branch Chena Pump Branch Van Horn Branch Tok Junction 119 N. Cushman St. 1989 Airport Way 470 Chena Pump Road 975 Van Horn Road Mile 1314 AK HWY Fairbanks, AK 99701 Fairbanks,
More informationThank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services.
Name: Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services. Please complete the application packet. Interns must be enrolled in a summer internship course
More informationEmployment Application Equal Opportunity and Affirmative Action Employer
Employment Application Equal Opportunity and Affirmative Action Employer We appreciate your interest in our organization. Please answer all questions. We comply with state and federal laws prohibiting
More informationINSTRUCTIONAL, PROFESSIONAL OR ADMINISTRATIVE STAFF APPLICATION
INSTRUCTIONAL, PROFESSIONAL OR ADMINISTRATIVE STAFF APPLICATION Position for which you are applying Please type or print clearly in ink. Complete all sections even if enclosing a resume. Please submit
More informationCITY OF COEUR D'ALENE
CITY OF COEUR D'ALENE HUMAN RESOURCES City Hall, 710 E. Mullan Avenue Cœur d Alene, Idaho 83816-3964 EXAM ANNOUNCEMENT FOR POLICE OFFICER Apply by August 15, 2014 for the September 8-12, 2014 Testing Process
More informationEMPLOYMENT APPLICATION
Family Care Network, Inc. 13967 Farmington Road Livonia, Ml 48154 (734)266-1421 Fax (734)266-1422 EMPLOYMENT APPLICATION PERSONAL DATA LAST NAME FIRST MIDDLE ADDRESS NUMBER & STREET CITY STATE ZIP SOCIAL
More informationCITY OF SOUTH SALT LAKE APPLICATION FOR EMPLOYMENT
CITY OF SOUTH SALT LAKE APPLICATION FOR EMPLOYMENT Position applying for: Date: PERSONAL INFORMATION Name: First Middle Last Address: Number/Street City State Zip Telephone # Home: Cell: E-mail address:
More informationCity State Zip Code Check which shift(s) you will accept: Day Evening Night Rotating Weekends
Application for Employment: Crossroads Community Services 60 Bush River Drive, P.O. Drawer 248, Farmville, VA 23901-0248 (434) 392-7049 FAX (434) 392-4013 (Human Resources) Providing Services Since 1973
More informationAPPLICATION FOR NON-EMPLOYEES
APPLICATION FOR NON-EMPLOYEES NorthEast Treatment Centers is an Equal Opportunity company and does not discriminate on the basis of race, color, religion, gender, age, ethnic or national origin, handicap,
More informationJackson Municipal Airport Authority Accounting & Finance Manager
Jackson Municipal Airport Authority Accounting & Finance Manager The Accounting and Finance Manager performs accounting duties and oversees the accounting staff. Plans and coordinates the daily activities
More informationLast Name First M.I. Date. Street Address Apartment/Unit # License Number: License Expiration Date:
Employment Application Please note: The information you enter on this form cannot be saved. After completing this form, print and provide an original signature before submitting it as application for a
More informationCOMMUNITY CONTROL OFFICER
DELAWARE MUNICIPAL COURT JOB OPPORTUNITY COMMUNITY CONTROL OFFICER Qualifications: Job Summary: Requirements: Salary: The Delaware Municipal Court is seeking applicants for the position of Community-Control
More informationMifflinburg Bank and Trust Company Application for Employment
Mifflinburg Bank and Trust Company Application for Employment Date Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to
More informationAPPLICATION FOR EMPLOYMENT GENERAL POSITION. WORK AVAILABILITY (Check All That Apply) ADDITIONAL INFORMATION
Caring for the Community on a Personal level 150 NE Kenneth Ford Dr., Roseburg, OR 97470 541-672-9596 fax 541-464-3519 Current Date (Month, Day, yar) APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer
More informationOffice of Human Resources 8470 North Overfield Road Coolidge, AZ 85128 CENTRAL ARIZONA COLLEGE EMPLOYMENT APPLICATION
Office of Human Resources 8470 rth Overfield Road Coolidge, AZ 85128 CENTRAL ARIZONA COLLEGE EMPLOYMENT APPLICATION AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER Phone: (520) 494-5235 www.centralaz.edu
More informationAPPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT Dallas Summer Musicals/DSM Management Group is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring, promotion,
More informationOhio Civil Service Application forstateandcountyagencies
Ohio Civil Service Application forstateandcountyagencies GEN-4268 (REVISED 01/12) ThestateofOhioisanEqualOpportunityEmployerandproviderofADAservices. POSITION: AGENCY: POSITION NUMBER: POSITION: DEPARTMENT:
More informationPERSONAL INFORMATION - Please list full legal name as it appears on your Social Security card. Name: Last First Middle Initial
Updated 11/2015 Midstate Independent Living Consultants, Inc. 3262 Church Street, Stevens Point, WI 54481 715-344-4210 V/TTY 800-382-8484 V/TTY 715-344-4414 FAX -------------------------------------------------------------------------------------------------
More informationApplication for Employment
Human Resources 2405 East College Way Mount Vernon, WA 98273-5899 Job Line 360-416-7800 Fax 360-416-7878 E-mail: employ@skagit.edu Website: www.skagit.edu Application for Employment Skagit Valley College
More informationApplication for Employment
Application for Employment NETCARE CORPORATION 199 South Central Avenue Columbus, OH 43223 (614) 274-9500 Applicants are considered for all positions in accordance with statutes and regulations concerning
More informationThe Los Angeles Child Guidance Clinic
The Los Angeles Child Guidance Clinic Today s Date: APPLICATION FOR EMPLOYMENT It is the policy of THE LOS ANGELES CHILD GUIDANCE CLINIC to provide equal employment opportunity to all qualified applicants
More informationPUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY APPLICATION PROCEDURES
PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY APPLICATION PROCEDURES 1. A completed Application for Employment and Consent to Procurement of Consumer Credit Report are mandatory. The Office of Human Resources
More informationPersonal Information. 6 Social Security Number: 7 Driver s License Number: Class / Number / State
Town of Sheffield Sheffield, Massachusetts 01257 Employment Application The Town of Sheffield is an Equal Opportunity Employer All information must by typed or printed in readable writing. Unreadable applications
More informationAPPLICATION FOR EMPLOYMENT 1189 Deepstep Road, Sandersville, GA 31082 www.oftc.edu
APPLICATION FOR EMPLOYMENT 1189 Deepstep Road, Sandersville, GA 31082 www.oftc.edu Daytime Telephone Number E-mail Address - - Last Name First Name Middle Initial Street Address Apartment. City State ZIP
More informationACHIEVE Human Services, Inc.
ACHIEVE Human Services, Inc. 3250-A East 40th Street, Yuma, AZ 85365 Phone: (928) 341-0335 Fax: (928) 341-9462 OUR MISSION STATEMENT: Empower the individuals that we serve to live their lives to their
More informationApplication for Employment. IOWA CENTRAL COMMUNITY COLLEGE One Triton Circle, Fort Dodge, IA 50501 (515) 574-1138
Application for Employment IOWA CENTRAL COMMUNITY COLLEGE One Triton Circle, Fort Dodge, IA 50501 (515) 574-1138 *An Equal Opportunity/Affirmative Action Employer This application is only for a specific
More informationAPPLICATION FOR EMPLOYMENT INSTRUCTION SHEET
APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET Thank you for your interest in Navarro College. Please take a moment to read the following instructions before completing this application. Please follow the
More informationApplication must be filled out for interview consideration, resumes may be attached.
Please fill out the attached Halverson Application for employment. Halverson is taking applications to hire: Apprentice Plumbers Laborers Certified Pipe Welders with 6 G certification Taking applications
More informationAN EQUAL OPPORTUNITY EMPLOYER ~ THROUGH AFFIRMATIVE ACTION
APPLICATION FOR EMPLOYMENT ACTION FOR BRIDGEPORT COMMUNITY DEVELOPMENT 1070 PARK AVENUE, BRIDGEPORT, CT O6604 PLEASE PRINT 203 366-8241 =========================================================================================
More informationHow To Apply For A Job In Arizona
The Gardens Rehab & Care Center ~ The Lingenfelter Center ~ The Legacy Rehab and Care Center ~ River Gardens Rehab & Care Center ~ Lily Pad Daycare ~ Desert West Pharmacy ~ West Kingman Pharmacy IF YOU
More informationEmployment Application Administration. Personal Data
Employment Application Administration Please type or complete in ink, printing clearly. Complete all sections even if enclosing resume. Galveston College is an equal employment/affirmative action employer.
More informationCRIMINAL JUSTICE STUDENT SPONSORSHIP PROGRAM
September 30, 2015 CRIMINAL JUSTICE STUDENT SPONSORSHIP PROGRAM The City of Anderson is seeking applicants to participate in a new program to provide qualified individuals with the opportunity to attend
More informationApplication for Employment
Application for Employment 1161 Ingleside Road Norfolk, Virginia 23502 Phone: 757-858-8011 Fax: 757-627-4760 www.egglestonservices.org Position*: Site: Full Time Part Time Temporary Seasonal/Camp PERSONAL
More informationEmployment Application
Employment Application Crossroads Academy of Kansas City is an equal opportunity employer. Applicants are considered for all positions without regard to sex, race, religion, color, national origin, ancestry,
More informationAPPLICATION FOR EMPLOYMENT
USE ONLY BLACK INK OR TYPEWRITER ON THIS FORM. INCOMPLETE APPLICATION MAY DISQUALIFY YOU FROM FURTHER CONSIDERATION. APPLICATION FOR EMPLOYMENT METROPOLITAN TRANSPORTATION AUTHORITY The MTA is an Equal
More informationINSTRUCTIONS SKYLARK DRY CLEANING EMPLOYMENT APPLICATION
INSTRUCTIONS SKYLARK DRY CLEANING EMPLOYMENT APPLICATION Thank you for your interest in. You may submit your application by email (preferred), by Fax, or by U.S. mail. Email Submission: Download, print
More informationEmployment Application
Employment Application 1512 7TH STREET * CITY OF CORALVILLE * CORALVILLE, IOWA 52241 We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital
More informationInterviews. Hiring. Orientation
FLORENCE-DARLINGTON TECHNICAL COLLEGE Human Resources Department P.O. Box 100548 Florence, SC 29501-0548 Phone (843) 661-8320 Fax (843) 661-8371 Web Address: http://www.fdtc.edu Applicant Information and
More informationCITY OF BAKERSFIELD EMPLOYMENT APPLICATION
CITY OF BAKERSFIELD EMPLOYMENT APPLICATION CITY OF BAKERSFIELD HUMAN RESOURCES OFFICE Office Address: 1600 Truxtun Ave., 1 st Floor Mailing Address 1600 Truxtun Ave. Bakersfield, CA 93301 APPLICATION FOR
More informationSelah Fire Department Yakima County Fire District # 2
Volunteer Application Packet 2014 Web Application 206 West Fremont Avenue - Selah, Washington 98942 Chief Gary Hanna Business Phone (509) 698-7310 Fax (509) 698-7317 Volunteer Firefighter Thank you for
More informationCity of Mansfield, New Jersey - Equal Opportunity Employer and applicant Requirements
1200 East Broad Street Mansfield, Texas 76063 Telephone: 817-276-4267 JOB CLASSIFICATION: Accountant DEPARTMENT: Finance SALARY: $47,124 65,974 DOQ APPLICATIONS ACCEPTED: August 9, 2013 until filled FUNCTION:
More informationTown of Wilton. 238 Danbury Road Wilton, CT 06897. APPLICATION FOR EMPLOYMENT Equal Opportunity Employer
Town of Wilton 238 Danbury Road Wilton, CT 06897 APPLICATION FOR EMPLOYMENT Equal Opportunity Employer APPLICANT S NAME (LAST, FIRST, MIDDLE) STEET ADDRESS CITY/TOWN STATE ZIP CODE HOW LONG? TELEPHONE
More informationConsultant Application
Consultant Application Education Service Center Region 12 2101 W. Loop 340 Waco, Texas 76712 254-297-1212 254-666-0625 The Education Service Center Region 12 does not discriminate on the basis of race,
More informationFirst Middle Last. Number and Street City State Zip Code Home Telephone # Work Telephone #
EMPLOYMENT APPLICATION Fire Department City of Sterling, Colorado 421 N. 4 th St., P.O. Box 4000 Sterling, CO 80751-0400 Phone (970) 522-9700 FAX (970)521-0632 www.sterlingcolo.com An Equal Opportunity
More informationTown of LaSalle. Employment Application
Town of LaSalle Employment Application Town of LaSalle, Colorado Employment Application AN EQUAL OPPORTUNITY EMPLOYER It is our policy to comply fully with all federal, state and local equal employment
More informationAPPLICATION FOR EMPLOYMENT City of Los Altos
APPLICATION FOR EMPLOYMENT City of Los Altos One North San Antonio Road, Los Altos, California 94022 (650) 947-2765 Fax (650) 947-2731 www.ci.los-altos.ca.us AN EQUAL OPPORTUNITY EMPLOYER FOR OFFICE USE
More informationPages 1 of 8 Employment Application - Tennessee
Page 1 of 8 Employment Application Tennessee College of Applied Technology Position Applying For: Personal Information: First Name: Middle Name: Last Name: Maiden Name (If applicable): Address: City: State
More informationCertified Nursing Assistant Instructor/Program Coordinator
V A C A N C Y A N N O U N C E M E N T Certified Nursing Assistant Instructor/Program Coordinator Position Description: Duties & Responsibilities: Helena College University of Montana, a comprehensive two-year
More informationINSTRUCTIONS FOR EMPLOYMENT APPLICATIONS
INSTRUCTIONS FOR EMPLOYMENT APPLICATIONS In order to comply with Federal and State Government requirements, a complete file on all employees is required. The employee file must consist of a completed Employment
More informationApplication for Employment
Application for Employment The Facility is an Equal Opportunity Employer. All employment decisions are made without regard to unlawful considerations of race, sex, sexual orientation, gender identity,
More informationEMPLOYMENT APPLICATION. Get Involved
EMPLOYMENT APPLICATION Get Involved To be completed by a potential employee. Please complete this application by typing or printing in ink. INCOMPLETE or UNSIGNED applications will not be considered. Email
More informationEMPLOYMENT OPPORTUNITY Preschool Playgroup Instructor Assistant Parks & Recreation Division
EMPLOYMENT OPPORTUNITY Preschool Playgroup Instructor Assistant Parks & Recreation Division City of Mill Creek, 15728 Main Street, Mill Creek, WA 98012 425-745-1891 SALARY RANGE: $11.23 - $14.79 per hour
More informationCITY OF NORTH MIAMI BEACH
CITY OF NORTH MIAMI BEACH APPLICATION FOR EMPLOYMENT AN EQUAL OPPORTUNITY EMPLOYER INSTRUCTIONS: Please fill out this application accurately and completely. PLEASE PRINT CLEARLY or type all information.
More informationJOB OPPORTUNITY. Firefighter-Fire Department. P.O. Box 635030 Nacogdoches, TX 75963-5030 Office: 936-559-2567 Fax: 936-559-2915
JOB OPPORTUNITY Firefighter-Fire Department P.O. Box 635030 Nacogdoches, TX 75963-5030 Office: 936-559-2567 Fax: 936-559-2915 Firefighter-Nacogdoches Fire & Rescue Nacogdoches Firefighters provides exceptional
More informationName Last First Middle Jr/Sr Maiden/Alias Last First Middle Jr/Sr Address City State Zip. Telephone - Home: - - Telephone Cell - - Business: - -
Cosmetology and Practical Nursing Application for Admission Postsecondary Programs 3203 Oak Grove Road Poplar Bluff, MO 63901 573-785-2248 573-785-4168 (fax) 573-785-6867 School of Practical Nursing 573-785-6683
More informationPHILLIPS EXETER ACADEMY
PHILLIPS EXETER ACADEMY APPLICATION FOR EMPLOYMENT The Academy is an equal opportunities employer and does not discriminate on the basis of race, color, marital status, religion, gender, age, sexual orientation,
More informationHUMAN RESOURCES ADMINISTRATOR (PS100828) This position is located in San Rafael, CA
POSITION: HUMAN RESOURCES ADMINISTRATOR () This position is located in San Rafael, CA SALARY RANGE: $80,281.50 to $97,051.50 Annual Salary + Benefits (37.5 hour workweek) (Employee pays up to 8% of salary/wage
More informationMONITORING COORDINATOR ($70,000 80,000 year, commensurate with training and experience)
State of Hawaii Department of Health Behavioral Health Administration Adult Mental Health Division Downtown, Oahu MONITORING COORDINATOR ($70,000 80,000 year, commensurate with training and experience)
More informationOffice of the Attorney General Attn: Personnel The Capitol - PL01 Tallahassee, FL 32399-1050
A State of Florida Job Application Form is contained on the next four pages. You may print the form, complete the information and mail to the Office of the Attorney General. Please include the position
More informationNeillsville Care & Rehab
216 Sunset Pl Phone: (715) 743-5444 Fax: (715) 743-5448 An Equal Opportunity, Affirmative Action Employer Employment Application Position Applying for: PLEASE PRINT IN INK PERSONAL DATA LAST NAME FIRST
More informationAPPLICATION FOR EMPLOYMENT AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER
HUMAN RESOURCES USE ONLY DATE: TIME: APPLICATION FOR EMPLOYMENT AN AFFIRMATIVE ACTION EQUAL OPPORTUNITY EMPLOYER Instructions: Please print the requested Information In the spaces provided below. Date
More informationSustainable Building Science Technology
Sustainable Building Science Technology Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be accepted
More informationSample Employment Application
Employment Application Please complete application in full and answer all questions completely. Type or print legibly. Indicate N/A if not applicable. Do not indicate See Résumé. A résumé may be attached
More informationCITY OF JERSEY VILLAGE, TEXAS
AN EQUAL OPPORTUNITY EMPLOYER APPLICATION FOR EMPLOYMENT CITY OF JERSEY VILLAGE, TEXAS 16501 Jersey Drive Jersey Village, Texas 77040 STATEMENT Please write legibly, or type, and use black ink. Answer
More informationAPPLICATION FOR EMPLOYMENT Please TYPE or print using BLACK or BLUE ink
Name: First Last 11878 Avenue of Industry San Diego, CA 92128 Telephone: (858) 675-4200 Fax: (858) 675-9241 APPLICATION FOR EMPLOYMENT Please TYPE or print using BLACK or BLUE ink Date Application Completed:
More informationAPPLICATION FOR STUDENT EMPLOYMENT
LAST NAME FIRST MIDDLE INITIAL APPLICATION FOR STUDENT EMPLOYMENT N-0613 (03-13) An Equal Opportunity Employer IT IS IMPORTANT TO NOTE THAT THIS APPLICATION IS FOR STUDENT EMPLOYMENT ONLY. We realize the
More informationCITY OF BELTON MINIMUM REQUIREMENTS FOR FIREFIGHTER
CITY OF BELTON MINIMUM REQUIREMENTS FOR FIREFIGHTER a. Must be certified as: (1) a basic firefighter by the Texas Commission on Fire Protection Personnel Standards and Education and have EMT certification;
More informationReferral Source: Advertisement Walk-In Employment Agency. Address NUMBER STREET CITY STATE ZIP CODE
Abilities First, Inc., 70 Overocker Road, Poughkeepsie, NY 12603 (845) 485-9803 APPLICATION FOR EMPLOYMENT Applicants are considered for all positions without regard to race, color, religion, sex, national
More informationHuman Resources Department
Human Resources Department APPLICANT NAME: JOB TITLE: TO: FROM: SUBJECT: APPLICANTS FOR EMPLOYMENT WITH THE CITY OF CLINTON THE HUMAN RESOURCES STAFF APPLICATION PROCESS The application process with the
More informationApplication for Employment
Application for Employment SEATTLE COUNTRY DAY SCHOOL is an Equal Opportunity Employer committed to excellence through diversity. SEATTLE COUNTRY DAY SCHOOL does not unlawfully discriminate on the basis
More informationEMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION Thank you for your interest in the YMCA of Metropolitan Detroit! The YMCA of Metropolitan Detroit is an equal opportunity employer and does not discriminate in recruitment, hiring
More informationIndian River County BCC, Human Resources Department 1800 27 th Street, Vero Beach, Florida 32960
Indian River County BCC, Human Resources Department 1800 27 th Street, Vero Beach, Florida 32960 APPLICANTS-PLEASE READ CAREFULLY Thank you for considering INDIAN RIVER COUNTY as a potential employer.
More informationEMPLOYMENT APPLICATION
SPALDING COUNTY BOARD OF COMMISSIONERS 119 E. Solomon Street, P.O. Box 1087 Griffin, Georgia 30224 www.spaldingcounty.com EMPLOYMENT APPLICATION SPALDING COUNTY ONLY ACCEPTS APPLICATIONS FOR CURRENTLY
More informationPlease answer all questions which apply to you and mark those that do not apply with N/A. LAST NAME FIRST NAME MIDDLE NAME
CRIMINAL JUSTICE INSTITUTE University of Arkansas System 26 Corporate Hill Dr Little Rock, Arkansas 72205 (501) 570-8000 APPLICATION FOR EMPLOYMENT The Criminal Justice Institute is an Equal Opportunity/Affirmative
More informationApplication for J.D. Admission
University of Maryland School of Law Office of Admissions 500 W. Baltimore Street, Ste. 130 Baltimore, Maryland 21201-1786 410-706-3492(Ph) 410-706-1793(F) admissions@law.umaryland.edu Application for
More informationPlease check this box verifying that you are able to provide proof that you possess a High School Diploma or GED. Name: Position:
An Equal Opportunity Employer We do not discriminate on the bases of race, color, religion, national origin, age over 40 and older disability, genetic information or any other status protected by law or
More informationState of Hawaii Department of Health Adult Mental Health Division Halawa to Kalihi, Oahu
State of Hawaii Department of Health Adult Mental Health Division Halawa to Kalihi, Oahu AMHD Case Management Specialist $3,951 - $4,117 monthly, commensurate w/ training and experience The primary function
More informationFiscal Specialist Posting Open Date: January 4, 2016 Posting Close Date: Open Until Suitable Candidate is Selected
Fiscal Specialist Posting Open Date: January 4, 2016 Posting Close Date: Open Until Suitable Candidate is Selected Southeast Michigan Community Alliance (SEMCA) Wayne County Health and Family Services
More informationEMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION Shelby County Fiscal Court THIS APPLICATION IS CONSIDERED A TEST AND WILL BE GRADED. Please be detailed with your job descriptions and skills used on the job. READ ALL INSTRUCTIONS,
More informationSPARTANBURG COUNTY EMPLOYMENT APPLICATION
SPARTANBURG COUNTY EMPLOYMENT APPLICATION Spartanburg County is an equal employment opportunity employer, and makes all employment decisions without regard to disability, handicap, race, color, religion,
More informationDaily Deals Food Outlet APPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT WE ARE AN EQUAL OPPORTUNITY EMPLOYER. does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, height,
More informationPROJECT 375 EMPLOYMENT APPLICATION
PROJECT 375 EMPLOYMENT APPLICATION Thank you for your interest in PROJECT 375. Our application process is built to ensure the very best experience for you the applicant. Please follow these instructions
More informationProfessional Technical Teacher Education Bachelor of Applied Science Program
Professional Technical Teacher Education Bachelor of Applied Science Program APPLICATION FOR ADMISSION FALL 2016 1 st Review Due Date: May 13, 2016 Applications received after the first review will be
More informationInformation Technology Database Specialist ($40,000 - $45,000 annually, commensurate with training and experience)
State of Hawaii Department of Health Behavioral Health Administration Office of Program Improvement and Excellence (OPIE) Downtown, Oahu Information Technology Database Specialist ($40,000 - $45,000 annually,
More informationTHANK YOU FOR APPLYING AT MONROE TRUCK EQUIPMENT
1051 West 7 th Street Monroe, WI 53566 608-328-8127 ~ Fax: 608-328-4278 THANK YOU FOR APPLYING AT MONROE TRUCK EQUIPMENT We only accept applications or resumes for current job openings. When your application
More informationCHATHAM FIRE RESCUE DEPARTMENT Application for Employment
CHATHAM FIRE RESCUE DEPARTMENT Application for Employment An Equal Opportunity Employer The Town of Chatham is an equal opportunity employer and does not discriminate against any applicant because of race,
More informationApplication Checklist
Application Checklist POSITION APPLIED FOR: Indian Preference shall not be claimed without proof. Submitted applications without copies of verification documents, unanswered questions, omitted dates, omitted
More informationEMPLOYMENT APPLICATION PROCESS
City of Gautier Office of Human Resources 3330 Highway 90 P.O. Box 670 Gautier, MS 39553 (P) 228.497.8000 / (F) 228.497.8028 Email: hr@gautier-ms.gov Website: www.gautier-ms.gov EMPLOYMENT APPLICATION
More informationState of Hawaii Department of Health Child and Adolescent Mental Health Division Manoa - Kahala, Oahu
State of Hawaii Department of Health Child and Adolescent Mental Health Division Manoa - Kahala, Oahu Child and Adolescent Mental Health Division System of Care Social Marketing and Outreach Coordinator
More informationAPPLICATION FOR EMPLOYMENT Superior Plumbing Services, Inc.
APPLICATION FOR EMPLOYMENT Superior Plumbing Services, Inc. 3991 Royal Drive, Kennesaw, GA 30144 Ph 770-422- 7586 * Fax 770-795- 9319 hr@superiorplumbing.com Last Name: First Name: MI: Street or Mailing
More informationPlease follow these instructions when completing this application: 1. Please print legibly in ink.
525 Palisade Avenue Cliffside Park, NJ 0701 (201) 313-2064 Employment Application The Borough of Cliffside Park EMS Department is an Equal Opportunity Employer Operating under the New Jersey Department
More informationEmployment Application
Office of Human Resources 3000 West Scenic Drive North Little Rock, AR 72118 Telephone (501) 812-2839 Fax (501) 812-2389 www.pulaskitech.edu Employment Application Applications for employment with Pulaski
More information3. Three (3) letters of reference and recent teaching evaluations, or College/University placement file.
Teacher Application National University Virtual High School 11355 N. Torrey Pines Rd La Jolla CA 92037-1011 (858) 642-8850 Fax (858) 642-8750 Human Resources Thank you for your interest in a certificated
More informationAPPLICATION FOR EMPLOYMENT
37248 PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS HUMAN RESOURCES www.pbcgov.jobs 100 Australian Avenue Suite 300 West Palm Beach, Florida 33406 JOB HOTLINE 561-616-6900 FAX 561-616-6893 APPLICATION
More informationFULL NAME: Last First Middle. OTHER NAME (S): Please provide other names used in school or employment
CLINTON COMMUNITY SCHOOLS APPLICATION FOR PAYROLL ASSISTANT 1401 12 th Ave N. /INSURANCE/RECEPTIONIST P.O. Box 2956 Clinton, Iowa 52733-2956 DATE OF APPLICATION: (563)243-0463 FAX: (563)243-0493 http://www.clinton.k12.ia.us
More informationApplication for Employment
Application for Employment Please answer all questions as completely as possible. The use of this application does not create a contract between you and the Madison County Public Library, does not indicate
More informationJEFFERSON COUNTY EMERGENCY SERVICES AGENCY 419 Sixteenth Avenue Ranson, WV 25438 E-mail jcesa@jcesa.org Telephone 304-728-3287 Fax 304-728-6221
419 Sixteenth Avenue Ranson, WV 25438 E-mail jcesa@jcesa.org Telephone 304-728-3287 Fax 304-728-6221 Emergency Medical Technician / Firefighter & Paramedic / Firefighter Applicants: To be eligible for
More informationComputer Systems Analyst II
V A C A N C Y A N N O U N C E M E N T Computer Systems Analyst II Position Description: Duties & Responsibilities: Qualifications: Salary: Helena College University of Montana, a comprehensive two-year
More informationState of Hawaii Department of Health Child and Adolescent Mental Health Division Manoa - Kahala, Oahu
State of Hawaii Department of Health Child and Adolescent Mental Health Division Manoa - Kahala, Oahu Child and Adolescent Mental Health Division System of Care System Spanner $45,000 - $54,996 yearly,
More information