Healthcare Provider
Resume:
WellLife Network
Application for Shift Supervisor - SPV003 - Tue-Fri 3PM-11PM, Sat 8AM-4PM - 843713 Application Information
Name Ashorobi, Oluwaseun Monsurat Primary Phone +1-917-***-**** [Cell] Secondary Phone (n/a) Date of Application 03-24-2025 Application ID 843713 Applied to WellLife Network
Email Address **************@*****.*** Address 135-12 221st Laurelton City, State/Province,
Zip/Postal Code, Country
Queens, NY, 11413, USA County (n/a)
Referral Source Family/Friends Referral Name (n/a) Driver's License Number (n/a) Driver's License State Driver's License Country (n/a) License Expiration Date (n/a) Education
Institution High School,(n/a) Institution Phone
Number
(n/a)
Dates Attended (n/a) Name on Transcript (n/a)
Major/Minor (n/a) Degree (n/a)
GPA (n/a) Graduated Yes
Employment
Employer Platinum Care, (n/a), (n/a) Employer Phone Number (n/a) Dates of Employment 10/01/2019 To 03/14/2025
5 Years 5 Months 13 Days
Job Title Health Care Provider
Job Duties (n/a) Can Contact? Yes
Reason for Leaving (n/a) Current Employer No
References
Questions
Question Group 1
Have you ever worked for WellLife Network, formerly known as PSCH, Inc., or one of its affiliates as an employee, intern or volunteer? Yes
If yes, when and where? Platinum Care
Are you related to anyone presently employed by us? No If yes, give their name and relationship. No
Have you ever been known by a different name by any of the references, schools or No Generated: (03/24/2025 6:13 PM) Page 1 of 3
WellLife Network
Payroll Profile: 0ED62
employers listed on this application?
If yes, indicate name
Please select the licenses or certifications that you currently hold Please list all professional License/Certifications including any state issued, license number and expiration dates
HHA
Please check any computer skills that you have
List any languages, other than English that you speak fluently. Yoruba How much are you willing to travel? up to 25%
Years of experience relevant to the position you are applying for? 1 - 5 years What is your highest level of Education?
Statement
No person shall be denied employment on the basis of any legally prohibited discrimination involving, but not limited to, such factors as race, color, disability, creed, religion, national or ethnic origin, sex, age, sexual orientation, citizenship status, marital or veterans status or any other legally protected status or the presence of a non-job related medical condition or handicap. I certify that the information contained in this application is true and complete, and that I have not withheld any information that would if disclosed affect this application unfavorably. I understand that falsification could result in termination of my employment. I authorize WellLife Network to contact all previous employers and schools to verify the information provided. I understand that my employment is subject to favorable health examination by a physician and/or nurse designated by the Agency. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization.
If employed I agree to comply with all rules, regulations and policies, and I authorize the Agency to supply employment record in confidence, in whole or part, to any prospective employer, governmental agency, or other party with a legal and proper interest. I understand and agree that I will serve a probationary period, and that thereafter my employment is without term, and may be terminated by the Agency or myself with or without cause, subject only to the Agency's notice provisions. I understand that no representative of the Agency other than the Executive Director has the authority to enter into any employment agreement contrary to the above terms.
I understand that all persons who will have the potential for regular and substantial contact with children will be screened at the New York State Register of Child Abuse and Maltreatment. Acknowledged
Yes
Generated: (03/24/2025 6:13 PM) Page 2 of 3
WellLife Network
Payroll Profile: 0ED62
Signature
Oluwaseun Ashorobi [03/24/2025]
Oluwaseun Ashorobi [03/24/2025]
Generated: (03/24/2025 6:13 PM) Page 3 of 3
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