Job Application

Personal Information

General Information

If hired, you will be required to provide documentation verifying citizenship or eligibility to work in the U.S.

Position Information

Complete ONLY if you are applying for a position in which you will be driving during work hours.

Education Information

High School
Include high school training and courses of study

Post-Secondary
Include technical, vocational, business, or military training

College
Include college or university training and courses of study

Graduate School
Include only graduate level training and courses of study

Relatives

Professional Licenses & Registrations

Employment History

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2

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Resume

Non-Discrimination

It is the policy of Spooner Health to consider all applicants for employment without regard to age, race, color, creed, religion, disability, marital status, gender, sexual orientation, national origin, ancestry, arrest record, conviction record, veteran’s status, membership in the National Guard, state defense force or any other reserve component of he military forces of the United States or Wisconsin, or any other unlawful basis. Spooner Health Reference Checking and Wisconsin Caregiver Background Checking Process

• All job offers are contingent upon completion of reference checks and caregiver background checks resulting in satisfactory outcomes.
• To help expedite the process, we recommend you contact your references in advance and encourage them to complete them in a timely manner, ideally within 48 hours.

WI Caregiver Background Check

Download the form below. Print the WI Caregiver Background Check. Complete and sign. Then, you will need to do one of the following:
- Scan and attach below.
- Scan and Email
- Mail to: Spooner Health
Attn: Human Resources
1280 Chandler Drive
Spooner, WI 54801

Standards of Excellence

Download the form below. Print the Standards of Excellence. Read and sign. Then, you will need to do one of the following:
- Scan and attach below.
- Scan and Email
- Mail to: Spooner Health
Attn: Human Resources
1280 Chandler Druve
Spooner, WI 54801

Applications are not considered complete until we receive a signed Criminal Background Check and a signed Standards of Excellence.

Please Carefully Read and Sign

I understand that the information on this application has been requested for the purpose of evaluating my qualifications for employment. This application and any other documents presented to me in the course of applying for a position with Spooner Health is not a contract or promise of employment. I also understand that if I am hired, I will be an employee at will, which means that I may leave my employment voluntarily at any time for any reason. I understand that any oral or written statements to the contrary are not binding on Spooner Health and that I may not rely upon them.

I authorize all schools and other educational institutions I have attended to provide Spooner Health with all information which it seeks related to the dates of my attendance, the degrees I have named, the courses I have taken, my grades and related matters. I waive and release any and all claims I may have against these institutions as a result of their compliance with Spooner Health’s request.

I agree to any and all pre-placement assessment(s) as may be deemed necessary by Spooner Health, and further understand that my employment is contingent upon my completion of the hospital pre-employment assessment.

I understand that any false statements, omission of facts or misrepresentations in connection with my application form may be sufficient cause, in and of itself, to disqualify me for employment or cause my dismissal from employment whenever discovered.

I further understand that my employment is contingent upon providing proof of eligibility to work in the United States.

I hereby authorize and release from liability any and all employers with whom I have been employed to release any and all information about me to Spooner Health.

The authorization shall remain in effect for a period of one year from the date which I sign it.

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