Employment

Join our team!

Grove Park Hospice Care seeks highly motivated LPN to join our team of professional caregivers. Hospice care experience preferred. Call or email Wendy for more information or to apply. 803-536-6644 wendy@groveparkpharmacy.com
We are also seeking an Assistive Technology Professional (ATP) to work with our wheelchair bound patients.

Applicant Information

Full Name: *

Phone *

Address

Email *

Date of Birth

Department

Date Available

Desired Salary

Are you a citizen of the United States?

Yes

If no, are you authorized to work in the U.S.?

Yes

Have you ever worked for this company before?

Yes

If yes, when?

Have you ever been convicted of a felony?

Yes

If yes, please explain.

Education

High School

Date Started

Date Completed

Did you graduate?

Yes

Degree obtained?

College

Date Started

Date Completed

Did you graduate?

Yes

Degree obtained?

Previous Employment

Company Name

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Date Started

Date Ended

Reason for leaving

May we contact your supervisor for a reference?

Yes

References

Please list three professional references

1. Name

Company

Relationship

Phone

2. Name

Company

Relationship

Phone

3. Name

Company

Relationship

Phone

Disclaimer

Instructions

I certify that my answers are true and complete to the best of my knowledge. If this applicant leads to employment, I understand that false or misleading information in my application and/or interview may result in my release.:

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