View our open job listings at Indeed.com or fill out the form below to apply and submit your resumé. Step 1 of 7 14% Personal Information* First Middle Last * Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Home PhoneEmail* What is the best way to contact you?* Call Text Email Please let us know your preferred method of contact Employment DesiredWhich type of work are you seeking? Please indicate your top three choices for most desired work area. (Click the + to add additional rows.) Our common work areas include: CNA,CMRA,CMT,PSS, RN,LPN, Dietary Aid, Housekeeping, Office Administration, and JanitorialDesired PositionPreference (First, Second or Third) Are you seeking employment for: (please indicate all that you are willing to work)* Full Time Part Time Temporary Are you 18 years of age or older?* Yes No If referred by an employee; who referred you? Education/U.S. Military ServiceWhere did you attend high school & college? (Click the + button to add a new row)*School Name & AddressMajor# of Years CompletedGPADegree/Diploma Please let us know about any special training or education that you would like us to consider. (IE vocational school, professional education, laboratory or X-ray training, et cetera)Please list any Professional Organization of which you are a member: Please tell us about any honors recieved, volunteer services, community service or other qualifications that you would like considered with your application. Professional Licenses and/or CertificationsTypeOrganization or State IssuedDate IssuedNumber (if applicable) References & Employment HistoryREFERENCES: Please list 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include friends or family. Please note: We REQUIRE a minimum of 3 references! (Click the + button to add a new row)*NameRelationshipPhone NumberBest time to be reached Are you currently employed?* Yes No If you are currently employed, may we contact your current employer? Yes No Employment HistoryGive employment record as completely as possible listing current or most recent employer first. Please list your last 3 employers, but up to 5 if desired.*Company NameCompany AddressYour Position/TitleJob DutiesSupervisor's Name & TitleStart DateEnd DateMay we contact? This section is to be completed by Licensed Professionals (RN or LNP) ONLY. All others can skip by clicking "Next" at the bottom of the page.Are you registered in Maine? Yes No Have you applied to be registered in Maine? Yes No Maine License #Expiration DateAre there any restrictions on your license (Yes or No) Have you ever been/or are you currently licensed in any other states? Yes No Which State?Date Licensed/Registered? Which State(s) and When? Please check all areas in which you have experience: ICU/CCU OB ER Pediatrics RR Hospice OR (Med/Surg) Rehab Geriatrics Home Health This section is to be completed by CMT, CNA CRMA and PSS ONLY. All others can skip this section by clicking the "Next" button at the bottom of this page.Please indicate all certifications that you have: CMT CNA CRMA PSS Certification Information Per CertificateCertification Type (CMT, CNA, CRMA, PSS)Certification DateExpiration DateName of the Agency Where Certified General Information and AcknowledgementDo you realize that due to the nature of the services we provide, an exceptional record of attendance, promptness and dependability is required of all Continuum employees* Yes No Do you require any special accommodations in order to work?* Yes No Please list and explain any special accommodations that may be required in order for you to perform the work/tasks that you are applying for,*Have you ever been convicted of a crime?* Yes No Please list and briefly explain any criminal convictions:*Have you ever been excluded from participating in any state or federal health care programs including Medicare or Medicaid?* Yes No Emergency Contact(s)*NamePhone Number Acknowledgement and ConsentEmployment Understanding (Please read and sign) This institution does not discriminate in hiring on the basis of race, color, sex, citizenship, national origin, ancestry, sexual orientation, Vietnam era veteran status, or on the basis of age, physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination. I voluntarily give this institution the right to make a thorough investigation of my past employment, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form. I authorize Continuum to check any or all references listed on page two and conduct a criminal background check. If employed; I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment. It is the ongoing and continuous obligation of all employees of Continuum to alert Continuum’s Human Resource Department of any conviction or finding that would disqualify them from continued employment with Continuum under state or federal law. Please acknowledge that you have read and agree to the "Employment Understanding" above:* Yes, I have read and agree to the Continuum Employment Understanding No, I do NOT agree to the Continuum Employment Understanding Digital Signature:* Printing your First Name + Middle Initial + Last Name will act as your digital signature.Date MM slash DD slash YYYY Resume Upload (optional)Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 195 MB.If you have a resume you'd like to attach, please do so here. This is not required.Cover Letter (optional)Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 195 MB.Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below. Section Break
