Dietary/EVS I at Alleghany Health

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Dietary/EVS I

Sparta, North Carolina, United States | EVS/Dietary | Full-time

Apply by: No close date

Application Form

First Name *

Middle Initial

Last Name *

Preferred Name

SSN *

Email Address *

Address *

City *

State *

Zip *

Are you legally eligible for employment in the United States? *

Primary Phone Number *

Alternate Phone Number 1

Alternate Phone Number 2

Best Way to Contact *

Best Time to Contact *

What is your highest level of education? *

What school did you attend? *

Did you graduate? *

What skills could you bring to Alleghany Health? *

How many years of experience do you have relating to this job title? *

Are you currently employed? *

Work History 1: Name of company

Work History 1: Name of Supervisor

Work History 1: Dates of Employment

Work History 1: Employers Phone Number

Work History 1: Job Title

Work History 1: Hourly Pay/Salary

Work History 1: Describe your job duties.

Is this a Full-Time position? *

Work History 2: Name of company

Work History 2: Name of Supervisor

Work History 2: Dates of Employment

Work History 2: Employers Phone Number

Work History 2: Job Title

Work History 2: Hourly Pay/Salary

Work History 2: Describe your job duties?

Was this position Full-Time (FT)? *

Work History 3: Name of company

Work History 3: Name of Supervisor

Work History 3: Dates of Employment

Work History 3: Employers Phone Number

Work History 3: Job Title

Work History 3: Hourly Pay/Salary

Work History 3: Describe your job duties?

Was this position Full-Time? *

Were/Are you a member of the U.S. Armed Forces?

If yes, describe your experience such as branch, rank and type of discharge along with years served.

Minimum Salary Desired *

When will you be available to begin work? *

How did you find out about this position? *

If you were referred by a current employee, enter their name and department

What schedule/shift would you accept? *

As needed
Part-Time
Full-Time

Do you have any relatives currently employed by Alleghany Health and its affiliates? *

If you answered "yes" to the above question what is the employees name/department/relationship to you?

If you are under 18 years of age, can you provide required proof of your eligibility to work? *

If you answered "yes" to the above question and you are not a U.S. citizen, please provide the number of your Resident Alien or Work Authorization Card

Alleghany Health is a smoke-free campus. Will you be able to comply with this policy? *

Have you ever been employed by Alleghany Health? *

If you answered "yes" to the above question what was your hire date and department? Indicate if you had a different name while employed. *

Were you referred by an Alleghany Health Employee? Answer, yes or no and if yes, please enter the employee name. *

Do you have an limitations that would affect your ability to perform the essential job functions of your position(s)? *

If you answered "yes" to the above question, please explain.

May we conduct a detailed reference check? *

If you answered "no" to the above question, please indicate any employers you do not want us to contact.

Are you charged with an unresolved criminal charge? *

If you answered "yes" to the above question, please explain fully.

Have you ever been sanctioned by or excluded from participation in Medicare, Medicaid or any government health program? *

Are you currently under investigation for sanctioned issues? *

Will you be willing to take a pre-employment physical? *

Will you be willing to take a drug-screening test? *

References (3 required ; Include name, phone number or email) *

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