Careers — Stillwater Hospice

Email

If you answered yes to the question above, please tell us when you left the company and the reason for leaving.

If you answered yest to the question above, please explain.

Employment position desired:

Date you can start:

Desired salary:

High school

Name, address of school, course of study, years complete, diploma/degree

Undergraduate

Name, address of school, course of study, years complete, diploma/degree

Graduate Professional

Name, address of school, course of study, years complete, diploma/degree

Other - please specify

Name, address of school, course of study, years complete, diploma/degree

General information

Acute, long-term care, outpatient, orthopedics, etc.

Employment experience

Starting with your present or last job. Include any job-related military service assignments, and volunteer activities. You may exclude organizations, which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Previous employment #1

Employer

Dates of employment

From date - to date

Previous employer address

Previous rate/salary

Starting and final pay

Job title

Supervisor name

Work performed

Previous employment #2

Employer

Dates of employment

From date - to date

Previous employer address

Previous rate/salary

Starting and final pay

Job title

Supervisor name

Work performed

Previous employment #3

Employer

Dates of employment

From date - to date

Previous employer address

Previous rate/salary

Starting and final pay

Job title

Supervisor name

Work performed

Reference #1

Include name, address, business name, phone number, and years acquainted

Reference #2

Include name, address, business name, phone number, and years acquainted

Reference #3

Include name, address, business name, phone number, and years acquainted

Applicant's statement

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time during the first 6 months. I also understand and agree that the terms and condition of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other then it’s president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. I also understand and agree that my continued employment may be contingent upon the successful completion of a criminal background check”

Applicant's full/legal name

Today's date

Employment Dispute Resolution Program

The Company is committed to building positive employee relations, encouraging open communication and respecting the rights and dignity of our employees. We recognize, however, that problems may arise in work relationships. The Company’s Employment Dispute Resolution (EDR) Program provides a process for resolving employment problems. The EDR Program has four steps: (1) Open Door, (2) Facilitation; (3) Mediation; and (4) Arbitration. The EDR Program ensures a fair resolution to disputes and is often a much faster and less expensive process. No remedies that otherwise would be available to you or the Company in a court of law will be forfeited by virtue of the agreement to use and be bound by the EDR Program. If you wish to be considered for employment, you must read and sign the following agreement binding you to use the EDR Program to resolve disputes. An EDR Program booklet describing the program in detail is available where you obtained the Applicant Packet. I recognize that differences may arise between the Company and me during my application process or employment with the Company. I recognize that it is in our mutual best interests that disputes be resolved in a manner that is fair, private, expeditious, economical, final, and less burdensome and adversarial than litigation in court. Therefore, both the Company and I agree to resolve all claims, controversies or disputes relating to my application for employment, my employment and/or the termination of my employment with the Company exclusively through the Company’s Employment Dispute Resolution Program. By way of example only, such claims include claims under federal, state and local statutory, regulatory or common law, such as Title VII of the Civil Rights Act of 1964, as amended, the Age Discrimination in Employment Act, the American with Disabilities Act, the Family and Medical Leave Act, claims for wrongful discharge, claims for public policy violations, and claims under the law of contracts and the law of torts. I understand and agree that the last step of the EDR Program is final and binding arbitration by a neutral arbitrator. I understand and agree that this mutual agreement to use the EDR Program and to arbitrate claims means that the Company and I are bound to use the EDR Program as the only means of resolving employment related disputes and to forego any right either may have to a jury trail. I further understand and agree that if I file a lawsuit regarding a dispute arising out of or relating to my application for employment, my employment or the termination of my employment, the Company may use this Agreement in support of its request to the court to dismiss the lawsuit and require me to use the EDR Program instead. I understand that my signature to this Agreement does not guarantee that the Company will offer me employment. If the Company offers me employment and I become employed at the Company, this Agreement does not alter the “at-will” status of my employment. I understand that no representative of the Company, other than the CEO of the Company or above, has the authority to make any agreement contrary to the foregoing or to alter the Company’s EDR Program. I understand that the EDR Program affects my legal rights. I also understand that I may obtain a copy of the EDR Program booklet and seek legal advice before signing this Agreement. I certify that I have read this Agreement, I have had an opportunity to ask questions regarding its content, I understand this Agreement, I believe it to be fair, and I voluntarily enter into this Agreement.

Signature

Application for employment

Working for Stillwater Hospice isn’t just a job. It’s a family.

Join our dream team today!

Employee testimonial

Home Contact Us Donation Information Careers FAQs