Christian Care Phone Number

Nursing Center & Memory Care Job Application

All applications for employment are considered without regard to race, color, religion, gender, national origin, age, marital status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

Christian Care Inc. is required to comply with federal, state and local law.

PERSONAL INFORMATION
Last Name(*)
Please type your full name.

First Name(*)
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Middle Name
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Position(s) applied for(*)
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Salary Desired
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Are you 18 years of age or older?(*)
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Are you legally eligible for employment in the U.S.?(*)
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Have you been convicted of a crime?(*)
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Present Street Address
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City
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State
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Zip Code
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Primary Phone
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Alternate Phone
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E-mail(*)
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Referred by
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EMPLOYMENT DESIRED
Are you available to work
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Shift Availability
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Have you ever been employed by Christian Care before?
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If Yes, When?
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Do you have any commitments, agreements, or are subject to recall due to being on “lay off” status, that would affect your employment with Christian Care?
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If Yes, What?
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EDUCATION
High School [Name]
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High School [Address]
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Last Year Completed
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Did you graduate?
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Describe Course(s) Studied
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College [Name]
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College [Address]
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Last Year Completed
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Did you graduate?
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Describe Course(s) Studied
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Graduate School [Name]
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Graduate School [Address]
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Last Year Completed
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Describe Course(s) Studied
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Additional Schooling [Name]
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Additional School [Address]
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Last Year Completed
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Describe Course(s) Studied
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List any other relevant skills to the position applied for:
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Have you ever had any job-related training in the United States military?
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If Yes, Describe?
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PROFESSIONAL LICENSES AND CERTIFICATES
Please list all professional licenses and certificates held
License Certificate #1
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State Issued
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Date Expired
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License Certificate Number
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License Certificate #2
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State Issued
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Date Expired
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License Certificate Number
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License Certificate #3
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State Issued
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Date Expired
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License Certificate Number
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FORMER EMPLOYER(S)
List below current and previous employment starting with the most recent job first. Please complete even if you attach a resume.
Upload Resume (if available)
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From

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To

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Employer's Name
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Employer's Address
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Starting Pay
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Ending Pay
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Reason For Leaving
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Position
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Duties Performed
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Supervisor's Name
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Phone
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May We Contact?
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From

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To

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Employer's Name
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Employer's Address
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Starting Pay
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Ending Pay
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Reason For Leaving
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Position
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Duties Performed
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Supervisor's Name
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Phone
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May We Contact?
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From

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To

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Employer's Name
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Employer's Address
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Starting Pay
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Ending Pay
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Reason For Leaving
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Position
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Duties Performed
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Supervisor's Name
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May We Contact?
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REFERENCES
Give name, telephone and address of at least three references who are not related to you and are not previous employers.
Name of Reference
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Address of Reference
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Phone of Reference
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How do you know this person?
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Name of Reference
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Address of Reference
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Phone of Reference
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How do you know this person?
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Name of Reference
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Address of Reference
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Phone of Reference
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How do you know this person?
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I certify that answers given herein are true and complete to the best of my knowledge.
I understand that this application for employment shall be considered active for a period not to exceed 45 days.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

In the event of employment, I understand that false or misleading information given in my application, resume or interview(s) may result in discharge.

In the event of employment at Christian Care, I understand that such employment is contingent upon verification of employment eligibility, upon a satisfactory drug-test result, and upon successful passage of job-related examinations and screening, including but not limited to physical examinations, back fitness/flexibility tests, and/or various skills tests.
Securty Feature(*)
Securty Feature
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Electronic Signature(*)
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Please use your mouse or finger to sign on the line.

Muskegon Elder Care

 


(231) 777-3494 [MAP]
Christian Care Assisted Living
1530 McLaughlin Avenue
Muskegon, MI 49442

CONTACT US


(231) 722-7165 [MAP]
Christian Care Nursing Center & Memory Care Unit
2053 S. Sheridan Drive
Muskegon, MI 49442

CONTACT US