Application For Employment

(Employment is subject to passing a drug/alcohol test and criminal background check. We test all new hires.)

Amerikare is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

* Required Fields

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Proof of citizenship or immigration status will be required upon employment
Full-Time(please indicate123 shift)
Part-Time(please indicate:MorningsAfternoonsEvenings)
Temporary (please indicate dates available)
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EDUCATION

EMPLOYMENT EXPERIENCE

Start with your present or last job. Include any job-related military service assignments, and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

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PROFESSIONAL INFORMATION

List any professional licensing or certification you have with expiration dates:

List professional, trade, business, or civic activities and offices held.

You may exclude memberships which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.

Specialized Skills - Office positions only

List Skills, equipment you are familiar with, computer programs you are comfortable working with:

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

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such job or occupation has been given.