Sharon S. Richardson Community Hospice - Sheboygan, WI

Employment Application

Sharon S. Richardson Community Hospice considers applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, creed, disability, status with regard to public assistance, sexual orientation, or any other legally protected status. We are an Equal Opportunity Employer. We will maintain applications for six months. However, if you have changes in your employment history, address, or phone number, you will need to complete a new application.

Contact Information
General Information
Enter the name of the employee who referred you, the newspaper name, or the source if you entered "other".
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No
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Wisconsin and Federal Law require appropriate inquires be made with respect to criminal convictions having a substantial relationship to the nature of employment, as well as those convictions potential prohibiting employment.
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No
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Schedule
Full time (30-40 hours per week)
Part time (less than 30 hours per week)
As needed (no regularly scheduled hours)
Day
Evening
Night
Weekends
Questions / Other Employment Related Statements
Employment will be subject to verification that you meet State / Federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit if required.
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Employment History
Please account for ALL employment for the past 10 years starting with the most current. Please list all details of employment in the space below, even if you opt to upload a resume as part of your application.
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No
Hour
Month
Annual

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Month
Annual

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Month
Annual

If you need to list more employers, please attach that to your resume and upload it below.
Education and Training
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No

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No

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No

If you need to list more education or training, please attach that to your resume and upload it below.
Professional Licenses / Certifications
Please list all licenses or certifications that apply. The Expiration Date may be left blank for licenses or certifications which do not expire.


If you need to list more licenses or certifications, please attach that to your resume and upload it below.
Professional References
References may include current/former employers, volunteer contacts, professors, teachers, counselors, etc. Please do not list relatives or personal friends.




If you need to list more references, please attach that to your resume and upload it below.
Other Information
Cover Letter Upload
Resume Upload
Applicant Statement
Please read the following information carefully. By checking the "I accept this statement" box below, you are agreeing to the following:
  1. I certify all information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.
  2. I understand that the receipt of this application does not imply I will be employed nor does it indicate that there are positions available.
  3. I understand that unless acted upon, this application will become inactive after 180 days. After that time, I will have to reapply to receive further consideration.
  4. In making this application for employment, I understand that an investigation may be made whereby information is obtained through interviews with my references, including but not limited to former co-workers, supervisors, business associates, etc. or others with whom I am acquainted. This inquiry includes information as to my criminal record, reputation, professional credentials, and work ethics.
  5. I hereby grant permission to investigate any of the information included in this application, agree to cooperate in such investigation and release from all liability or responsibility all persons, organizations, companies and corporations collecting and supplying such information together with any other information they may have regarding me whether or not it is in their records.
  6. I understand that if I am hired, my employment will be at-will and may be terminated with or without cause and with or without notice at any time. I also understand that no employee of SSRCH other than the Administrator has authority to enter into a contract regarding duration or terms and conditions of employment and then only by means of a signed, written document
I Agree
Signature and Submission
Please press "Submit" below to send your application. If required fields were left blank, they will be highlighted after you hit "Submit", and your application will not be sent to Sharon S. Richardson Community Hospice until you complete each required field and press "Submit" again.