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Employment Opportunities
kim
2026-09-21T20:34:44+00:00
EMPLOYMENT OPPORTUNITIES
CRIMINAL BACKGROUND & REFERENCE CHECK NOTICE
BECAUSE WE WORK WITH AGING AND VULNERABLE ADULTS, EVERGREEN IS REQUIRED BY LAW TO CHECK ALL EMPLOYEE’S CRIMINAL BACKGROUNDS UPON HIRE.
IF YOU ARE GIVEN AN INTERVIEW, WE ARE REQUIRED BY LAW TO SEEK THREE (3) REFERENCE CHECKS
PLEASE COMPLETE THE FOLLOWING
YOUR NAME:
*
First
Last
WHAT POSITION(S) ARE YOU APPLYING FOR?
ACTIVITIES COORDINATOR
BUSINESS OFFICE
DIETARY SERVER OR DISHWASHER
DIETARY COOK
HOUSEKEEPER
MAINTENANCE
NURSING ASSISTANT
HOW DO YOU WANT US TO CONTACT YOU? (We are unable to text you.)
PHONE
EMAIL
PHONE:
*
EMAIL:
*
ARE YOU OVER 18 YEARS OF AGE?
YES
NO
HAVE YOU WORKED AT EVERGREEN BEFORE?
YES
NO
CHECK THE CERIFICATIONS YOU CURRENTLY HAVE:
IDAHO STATE CERTIFIED NURSING ASSISTANT
WASHINGTON STATE CERTIFIED NURSING ASSISTANT
WASHINGTON STATE HOME CARE AIDE CERTIFICATION
WASHINGTON STATE FOOD HANDLER’S CARD
CPR CARD
1ST AID CARD
PAST 3 WORKING EXPERIENCES
(1) EMPLOYER:
LOCATED IN WHAT CITY & STATE?
LENGTH OF EMPLOYMENT:
POSITION OR JOB HELD:
(2) EMPLOYER:
LOCATED IN WHAT CITY & STATE?
LENGTH OF EMPLOYMENT:
POSITION OR JOB HELD:
(3) EMPLOYER:
LOCATED IN WHAT CITY & STATE?
LENGTH OF EMPLOYMENT:
LOCATED IN WHAT CITY & STATE?
YOUR SIGNATURE
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DATE:
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Lisa Hoffman
6 years Activities Coordinator
Read Testimonial
Lisa Abbott
7 years Business Office
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Leea Olson Barker
16 years Maintenance
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