Website Fox Run at Orchard Park

Provides health care services, under the supervision of the appropriate professional staff that assist the resident in achievement of physical and emotional comfort. Must have current NYS CNA certification. Per-diem shifts are 6:00am-7:00pm 6:00pm-7:00am and 10:00am-11:00pm.

Hourly range: $17.00-$19.00 (depends on experience)

Name

Address

City

State

Zip Code

Email Address

Phone

What Time Of Day Would You Like To Work

Can You Work Weekends And Holidays

Date You Can Start

Salary Expectation

Are you legally eligible for employment in the US?

Documents that establish your eligibility for employment under US immigration laws will be required upon employement.

Are you under 18 years old?

If yes, you are required to provided appropriate work authorization papers.

Referred By (optional)

How Did You Learn About Fox Run

Have You Ever Been Convicted Of A Crime Including A Guilty Plea Or Do You Currently Have A Pending Arrest

If Yes Please Explain (optional)

Highest Level Of Education

Name And Location Of School

Licenses And Registrations (optional)

Relevant Skills And Qualifications

Special Accomplishments Publications And Or Awards (optional)

Previous Employer (1)

Job Title (1)

Supervisor Name And Title (1)

Dates Employed (1)

May We Contact For A Reference (1)

Reason For Leaving (1)

Previous Employer (2)

Job Title (2)

Supervisor Name And Title (2)

Dates Employed (2)

May We Contact For A Reference (2)

Reason For Leaving (2)

Job Title (3)

Supervisor Name And Title (3)

Dates Employed (3)

May We Contact For A Reference (3)

Reason For Leaving (3)

First Reference Name & Phone

Second Reference Name & Phone

Third Reference Name & Phone

Resume (optional)

Maximum file size: 256 MB.

Certified Nurses Assistant – Per-diem