Apply for AFH House Manager

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:AFH House Manager
ID:1141
Department:Healthcare
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Social Security Number:
* Email:
Attachments
Resume:
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Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Application for Employment
Incomplete applications will not be considered.
PERSONAL INFORMATION
Yes No
Yes No
Yes No
Yes No
Yes No
CBRF employees who have successfully completed any or all of the four required courses (First Aid and Choking, Fire Safety, Medication Administration and Standard Precautions) are placed on the Wisconsin CBRF Training Registry at https://www.uwgb.edu/cbrf-registry/employee-registry/registry/. To be considered for a position with our Company, you must have all four on the registry.
  
  
  
  
  
  
  
  
  
  
EMPLOYMENT DESIRED
Full Time Part Time Seasonal
First shift (7:00 am - 3:00 pm) Second Shift (3:00 pm - 11:00 pm) Third Shift (11:00 pm - 7:00 am)
Yes No
Yes No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

Yes No

School 2

Yes No

School 3

Yes No

School 4

Yes No

School 5

Yes No
EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

Yes No

Employer 2

Yes No

Employer 3

Yes No

Employer 4

Yes No

Employer 5

Yes No
REFERENCES

Provide three references (not relatives).

Reference 1

*
*
*
*

Reference 2

*
*
*
*

Reference 3

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AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

Management Questions
* Are you ON the CBRF Wisconsin State Registry for ALL 4 certifications (Fire Safety, First Aide/Choking, Medication Management, Standard Precautions)
Yes
No
* Why should Absolute Home Care consider you for this position?
* What languages do you speak fluently?
* Do you have health care managerial experience?
Yes
No
* If so, for how long, and what where your responsibilities? (N/A- If non-applicable)
* At times you as a Assistant Director of Operations may have to stay longer then an 8 hour shift, will this be an issue?
Yes
No
* Are you willing to participate in an on call rotation?
Yes
No
* When not on shift/off, will you be able to accommodate and assist, within a reasonable time frame,  an emergency situation?
Yes
No
* Are you able to fill in open shifts when available?
Yes
No
* Do you have any experience working with any electronic health record software such as "Extended Care Professional" (ECP) or any other EMAR system
Yes
No
* Do you feel comfortable working with computers?
Yes
No
* Absolute Home Care has a Mandate Policy to ensure residents are provided with 24 hour supervised care. At no time can any of our residents be left alone unsupervised for any amount of time for any reason. Would you for any reason leave any of our residents unsupervised at any time?
Yes- I have other obligations outside of work.
No- I will never leave residents under my care unsupervised at any time.
Unsure- Depends on the situation.
* Having a vehicle is required, do you have reliable vehicle to use for work and a valid drivers license?
Yes
No
* How did you hear about the position? If referred, please name the referral source and/ or name of the person who referred you.
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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