Apply – VaimarsuitesI United States

Vaimar Suites - APPLICATION FOR EMPLOYMENT

Please complete the application below and be on your way towards an adventure together with Vaimar Suites. (All Fields are Required)

Are you a referral of someone? If so, please provide a name

Personal Information

First Name

Last Name

Are You a US Citizen?

Retype Email

Home Phone

Cell Phone

Job Title
(RN, LPN, CNA, etc)

Specialty
(Long Term Care, Hospice)

Permanent Address

City

State

Zip

Education

Location

Name of Institution / School

City

State

Degree Obtained

Date Completed (MM / YYYY)

Work History

Vaimar Suites Healthcare will need to obtain 7 years of work history - if applicable. Please add as many jobs as possible.

Job

Name of Facility

Was this position through a staffing agency?
yes

If Yes, please state which staffing agency you worked there with:

City

State

Start Date (MM / YYYY)

End Date (MM / YYYY)

Job Title

Modality / Specialty(s) worked

Shift / Hours worked

Reason for Leaving

Professional References

References must be within the last 2 years and must be from a charge nurse, manager, director, administrator, or supervisor position

Reference

Title *

Facility

Start Date (MM / YYYY)

End Date (MM / YYYY)

Phone *

Acknowledgement:

I certify all information is true, accurate, and to the best of my knowledge. Any falsification of information provided above may result in immediate termination of my employment with Vaimar Suites Healthcare.

I understand and agree, typing my name below, will constitute as my signature.

Name

Date

Vaimar Suites - APPLICATION FOR EMPLOYMENT

Please complete the application below and be on your way towards an adventure together with Vaimar Suites. (All Fields are Required)

Personal Information

Education

Location

Work History

Vaimar Suites Healthcare will need to obtain 7 years of work history - if applicable. Please add as many jobs as possible.

Job

Professional References

References must be within the last 2 years and must be from a charge nurse, manager, director, administrator, or supervisor position

Reference

Acknowledgement:

I certify all information is true, accurate, and to the best of my knowledge. Any falsification of information provided above may result in immediate termination of my employment with Vaimar Suites Healthcare.

Get in Touch
Contact Information

Main office

© Copyright 2020 - vaimarsuites, LLC

Vaimar Suites - APPLICATION FOR EMPLOYMENT

Please complete the application below and be on your way towards an adventure together with Vaimar Suites. (All Fields are Required)

Personal Information

Education

Location

Work History

Vaimar Suites Healthcare will need to obtain 7 years of work history - if applicable. Please add as many jobs as possible.

Job

Professional References

References must be within the last 2 years and must be from a charge nurse, manager, director, administrator, or supervisor position

Reference

Acknowledgement:

I certify all information is true, accurate, and to the best of my knowledge. Any falsification of information provided above may result in immediate termination of my employment with Vaimar Suites Healthcare.

Get in TouchContact Information

Main office

Get in Touch
Contact Information