Caring Friends Online Application Form Caring starts here. Fill out the form below to take the first step in joining our team. Step 1 of 3 33% LinkedInThis field is for validation purposes and should be left unchanged.DemographicsNotice to Applicant: This Facility does not discriminate on the basis of age, gender, race, religion, national origin, or disability. The facility does require applicants to be able to perform the job for which the applicant is being considered. Nebraska law requires the facility to perform a criminal background check and registry checks on all direct care staff. It is the policy of this facility to not hire direct care staff with criminal histories involving violence, abuse, neglect or misuse of others property. State law also requires every staff person to complete a health history screen. This facility may require a physical examination by a health care professional based on the results of the screen at the facility’s expense.Name(Required) First Middle Last Address Street Address Address Line 2 City State ZIP / Postal Code Phone(Required)FaxEmail(Required) Job Position DetailsPart-Time or Full-Time?(Required)Part-TimeFull-TimePlease select all the counties from the list below where you are able to work (you may choose more than one):(Required) Adams Arthur Buffalo Butler Cass Chase Clay Colfax Custer Dawson Deuel Douglas Dundy Fillmore Franklin Frontier Furnas Gage Gosper Greeley Hall Hamilton Harlan Hitchcock Howard Jefferson Johnson Kearney Keith Lancaster Lincoln Merrick Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Platte Polk Red Willow Richardson Saline Sarpy Saunders Seward Thayer Washington Webster York Employment HistoryHave you previously worked for this facility or organization?(Required) Yes No How did you hear about this position?*(Required)Are you over 19 years of age?(Required) Yes No Employment may be subject to child labor laws.Are you a U.S. Citizen?(Required) Yes No Have you ever been convicted of a crime?(Required) Yes No Who was your last employer?(Required)NameLast employer’s location(Required) Street Address Address Line 2 City State ZIP / Postal Code Reason(s) for leaving(Required)Dates From(Required) MM slash DD slash YYYY To(Required) MM slash DD slash YYYY May we contact?(Required) Yes No Contact Manager's Name(Required)Contact Manager's Phone(Required)Contact Manager's Email(Required) CAPTCHA
