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Progress Enterprises Inc.
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First name
*
Last name
*
Email
*
Phone Number
*
How did you hear about us?
Friends
Social Media
Other
Desired hours
*
40 hours/week
24-39 hours/week
12-23 hours/week
As needed (24 hours per month minimum)
Position applying for
*
Medication Tech (NA/MA)
Temp CMA or LPN (Jamestown Only)
Registered Nurse
Director of Nursing
Desired location
*
Jamestown, ND
Devils Lake, ND
Start date
Best time to call you?
May we email you?
Driver's License Number
*
Most Recent Employer
*
Job duties and reason for leaving
*
Supervisor's name and phone number
*
May we call them?
*
Previous employer
*
Job duties and reason for leaving
*
Supervisor's name and phone number
*
May we call them?
*
Non-relative Reference
*
Phone number for Reference
*
Have you ever worked for Progress Enterprises before? If yes, when and where?
*
Highest level of education
*
Some high school, no diploma
High School diploma or GED
Some College, no diploma
Associate's degree
Bachelor's degree
Masters
Anything else you'd like us to know about you?
*
Do you have any history with legal problems, including pending charges? Please explain.
*
Have you ever been accused of abuse against a vulnerable adult?
*
Select all that apply
I am 18 years of age or older.
I have a valid driver's license.
I am legally allowed to work in the United States.
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