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Online Application for Employment
We are accepting applications now. Fill out the form below to apply online.
Application Form
Thank you for your interest in employment with Cameron Care Inc. Please fill out the entire online application below for consideration. Please be brief but concise with your answers.
Name
*
First
Last
Maiden Name, or other names used:
First
Last
Are you over 18?
*
No
Yes
Position you are applying for:
*
How did you hear about Cameron Care Inc?
Have you previously worked for Cameron Care Inc?
*
No
Yes
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Your Phone Number
*
Email
*
Have you ever been convicted of a felony?
*
(All employees at Cameron Care Inc must pass a criminal background check.)
No
Yes
Education:
(Give a brief description of your education and any degrees or certificates received)
Do you have experience passing medication?
*
No
Yes
Date you are available to start working?
*
MM slash DD slash YYYY
What days/hours are you available?
During the past 5 years, have you been outside Oregon 60 days or more in a row?
No
Yes
Do you have experience working with the mental health population?
No
Yes
Do you possess or have ability to obtain First Aid certification, a food handlers card and a TB test?
No
Yes
Employer #1
Employer:
*
Dates of Employment:
*
Employer Address:
*
Employer Phone
*
Position held and duties:
*
Reason for leaving:
*
Employer #2
Employer:
Dates of Employment:
Employer Address:
Employer Phone
Position held and duties:
Reason for leaving:
Employer #3
Employer:
Employer Address:
Dates of Employment:
Employer Phone
Position held and duties:
Reason for leaving:
Consent
*
Please fill out the entire form before clicking submitting the application. By hitting the submit button, you are authorizing Cameron Care Inc and/or its agents to verify any and all information contained on this employment application.
I agree.
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