Apply for a Position at The Welsh Home
Please complete the form below to apply for a position with us.
Name
*
First Name
Last Name
E-mail
Phone Number
*
-
Area Code
Phone Number
Last 4 Digits of you Social Security Number
Have you been employed by The Welsh Home before?
*
Yes
No
What position are you interested in?:
*
Full time, Part time, or PRN?
*
What Shift?
*
1st Shift
2nd Shift
3rd Shift
Day Shift
Night Shift
Other
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you lived in Ohio for 5 or more years?
Yes
No
Professional License/ Certification?
State Issued/Date Issued
Please provide a short summary of your previous work experience:
*
Please share why you are interested in working at The Welsh Home:
Please provide the last two places you worked:
Provide two references on this application or be prepared to provide them upon an in person interview.
Reference #1
Company Name
Street Address
City
State / Province
Postal / Zip Code
Phone Number for Reference #1
-
Area Code
Phone Number
Dates of Employment for Reference #1
Reference #2
Company Name
Street Address
City
State / Province
Postal / Zip Code
Phone Number for Reference #2
-
Area Code
Phone Number
Dates of Employment for Reference #2
How did you hear about us?
Postcard
Indeed
Friend
A current Welsh Home Employee
Other
Do you have any relatives working for The Welsh Home?
No
Yes
If yes, Whom?
If you were referred to us by a current Welsh Home employee, who?
Have you ever been convicted of a crime?
*
Yes
No
If yes, for what, when and where:
*
If No, just enter NA
Upload Resume *not required
Upload a File
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By checking the box below, I certify that the info contained in this application is correct to the best of my knowledge. I voluntarily give The Welsh Home permission to contact and verify my previous employers. I understand that if I have misrepresented, omitted, or falsified about any information provided in this form that I may be terminated. I further understand that The Welsh Home follows the "fair employment practice code" and there is no discrimination in the hiring of individuals based on sex, race, religion, age or physical or mental handicap unrelated to ability to perform the work required.
*
I acknowledge
Today's Date
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Month
-
Day
Year
Date
Signature
*
Thank you for applying. Someone from our Hiring Team will contact you within 24 -48 hours. We look forward to chatting soon!
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