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View our open job listings at
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or fill out the form below to apply and submit your resumé.
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Personal Information
*
First
Middle
Last
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
*
Home Phone
Email
*
What is the best way to contact you?
*
Call
Text
Email
Please let us know your preferred method of contact
Employment Desired
Which type of work are you seeking? Please indicate your top three choices for most desired work area. (Click the + to add additional rows.) Our common work areas include: CNA,CMRA,CMT,PSS, RN,LPN, Dietary Aid, Housekeeping, Office Administration, and Janitorial
Desired Position
Preference (First, Second or Third)
Are you seeking employment for: (please indicate all that you are willing to work)
*
Full Time
Part Time
Temporary
Are you 18 years of age or older?
*
Yes
No
If referred by an employee; who referred you?
Education/U.S. Military Service
Where did you attend high school & college? (Click the + button to add a new row)
*
School Name & Address
Major
# of Years Completed
GPA
Degree/Diploma
Please let us know about any special training or education that you would like us to consider. (IE vocational school, professional education, laboratory or X-ray training, et cetera)
Please list any Professional Organization of which you are a member:
Please tell us about any honors recieved, volunteer services, community service or other qualifications that you would like considered with your application.
Professional Licenses and/or Certifications
Type
Organization or State Issued
Date Issued
Number (if applicable)
References & Employment History
REFERENCES: Please list 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include friends or family. Please note: We REQUIRE a minimum of 3 references! (Click the + button to add a new row)
*
Name
Relationship
Phone Number
Best time to be reached
Are you currently employed?
*
Yes
No
If you are currently employed, may we contact your current employer?
Yes
No
Employment History
Give employment record as completely as possible listing current or most recent employer first. Please list your last 3 employers, but up to 5 if desired.
*
Company Name
Company Address
Your Position/Title
Job Duties
Supervisor's Name & Title
Start Date
End Date
May we contact?
This section is to be completed by Licensed Professionals (RN or LPN) ONLY. All others can skip by clicking "Next" at the bottom of the page.
Are you registered in Maine?
Yes
No
Have you applied to be registered in Maine?
Yes
No
Maine License #
Expiration Date
Are there any restrictions on your license (Yes or No)
Have you ever been/or are you currently licensed in any other states?
Yes
No
Which State?
Date Licensed/Registered?
Which State(s) and When?
Please check all areas in which you have experience:
ICU/CCU
OB
ER
Pediatrics
RR
Hospice
OR (Med/Surg)
Rehab
Geriatrics
Home Health
This section is to be completed by CMT, CNA CRMA and PSS ONLY. All others can skip this section by clicking the "Next" button at the bottom of this page.
Please indicate all certifications that you have:
CMT
CNA
CRMA
PSS
Certification Information Per Certificate
Certification Type (CMT, CNA, CRMA, PSS)
Certification Date
Expiration Date
Name of the Agency Where Certified
General Information and Acknowledgement
Do you realize that due to the nature of the services we provide, an exceptional record of attendance, promptness and dependability is required of all Continuum employees
*
Yes
No
Do you require any special accommodations in order to work?
*
Yes
No
Please list and explain any special accommodations that may be required in order for you to perform the work/tasks that you are applying for,
*
Have you ever been convicted of a crime?
*
Yes
No
Please list and briefly explain any criminal convictions:
*
Have you ever been excluded from participating in any state or federal health care programs including Medicare or Medicaid?
*
Yes
No
Emergency Contact(s)
*
Name
Phone Number
Acknowledgement and Consent
Employment Understanding (Please read and sign) This institution does not discriminate in hiring on the basis of race, color, sex, citizenship, national origin, ancestry, sexual orientation, Vietnam era veteran status, or on the basis of age, physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination. I voluntarily give this institution the right to make a thorough investigation of my past employment, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. I authorize Continuum to check any or all references listed on page two and conduct a criminal background check. If employed; I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment. It is the ongoing and continuous obligation of all employees of Continuum to alert Continuum’s Human Resource Department of any conviction or finding that would disqualify them from continued employment with Continuum under state or federal law.
Please acknowledge that you have read and agree to the "Employment Understanding" above:
*
Yes, I have read and agree to the Continuum Employment Understanding
No, I do NOT agree to the Continuum Employment Understanding
Digital Signature:
*
Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Date
MM slash DD slash YYYY
Resume Upload (optional)
Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 195 MB.
If you have a resume you’d like to attach, please do so here. This is not required.
Cover Letter (optional)
Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 195 MB.
Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.
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