Cna Francis Hospital

Jennifer Linker’s Employment Application

Application Date: 9/20/2021

Job Title: Greeter- COVID Testing

Job Location: Wichita- Multi Clinic, Wichita, KS

Personal Information

First Name: Jennifer

Last Name: Linker

Email: **********@*****.***

Contact Information

Mobile: 316-***-****

Alt. Phone: 316-***-****

Country: US

Address: 423 N Anna,n/a

City: Wichita

State: KS

Zip Code: 67212

General Information

Are you 18 years of age or older? Yes

Work Authorization: I am authorized to work in this country for any employer. Have you previously filled out an application at this company? No Have you ever worked for this company before? No

If yes, please list your name at time of employment: n/a If yes, please give dates and position: n/a

How did you hear about this opportunity? Indeed

If "Employee Referral" or "Other", please specify: n/a Are you related to any person currently employed at this company? No If yes, please explain: n/a

Are you applying for: Full-Time

Desired Compensation: n/a

List other open position titles you are interested in applying for if applicable. n/a Employment History

Please provide the following requested information regarding your employment history: Include military service assignments and volunteer activities. You may exclude organization names that include race, color, religion, gender, national origin, ancestry, age, disability or other protected status. Current or Most Recent Employer

Are you currently employed? No

Employer Name: Touch Point/St.Francis Hospital

City and State: Wichita

Title: Ambassador

Start Date: 2016-04-04

End Date: 2018-07-13

Reason for Leaving: Resigned

Explanation: I left to care for a family member out of town. Rate of Pay: 11.38

Number of hours per week: 35

Direct Supervisor: Christine Jarrett

Supervisor/Company Phone: 316-***-****

OK to contact? Yes

Responsibilities and Duties: I delivered meals to patients, and trained new hires. 2nd Previous Employer

Employer Name: All Saints Home Care

City and State: Wichita, Ks

Title: CNA

Start Date: 2014-02-03

End Date: 2014-08-15

Reason for Leaving: Resigned

Explanation: Looking for a better position.

Rate of Pay: 9.25

Number of hours per week: 30

Direct Supervisor: Amy Close

Supervisor/Company Phone: 316-***-****

OK to contact? Yes

Responsibilities and Duties: Vitals,meal prep

3rd Previous Employer

Employer Name: Always There Senior Care

City and State: Wichita Ks

Title: CNA

Start Date: 2013-11-18

End Date: 2014-11-28

Reason for Leaving: Resigned

Explanation: Needed higher pay

Rate of Pay: 8.00

Number of hours per week: 35

Direct Supervisor: Greg Feldman

Supervisor/Company Phone: 316-***-****

OK to contact? Yes

Responsibilities and Duties: Vitals, meal prep

Please explain any gaps in employment history: Work with my husband Education/Training

High School

Name of School: Salina South High

Location: Salina

Last Grade Completed: 12

Graduate or GED? Yes

College or University

Name of School: Salina Area Technical College

Location: Salina

Years Completed: 1

Graduate? Yes

Course or Major: CNA NURSING

Degree: CNA

Graduate School

Name of School: n/a

Location: n/a

Years Completed: n/a

Graduate? n/a

Course or Major: n/a

Degree: n/a

Trade/Other School

Name of School: Salina Area Technical College

Location: Salina

Years Completed: n/a

Graduate? Yes

Degree or Certification: CNA

Please list any languages (other than English) that you are proficient or fluent in: n/a List any Professional/Occupational Licenses or Registrations/Certifications you currently hold. 203458 List professional, trade, business, or civic activities and offices held. (You may exclude memberships that would reveal race, color, religion, gender, age, ancestry, national origin, disability, or other protected status): n/a NOTE: Information regarding conviction record for the following questions will not necessarily bar an applicant from employment. Individual circumstances will be considered relative to the position for which you are applying. Have you ever pleaded no contest to, or been convicted of a felony? No Have you ever had your medical and/or dental license in any State revoked or suspended? No Have you ever been subjected to disciplinary action while employed in a medical and/or dental facility? No If yes, please explain: n/a

Applicant's Statement

I certify that my answers to all questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application or during the pre-employment process may be grounds for my immediate termination. I have read and agree to this disclaimer. Yes

Applicant Signature: Jennifer Linker

Date: 2021-09-20

Privacy Policy Acknowledgement

By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of GraceMed Health Clinic, Inc.. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction.

Acceptance: I have read and agree to this statement

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