Employment

Our Benefits
Current Openings

Job Application Form

Inspired by our mission? Apply to work with HealthReach in Maine!

You have two options:

1) Fill out the convenient online job application form (under “Online Job Application”, below), or

2) Download a PDF version of the application form to print and complete manually (blue button, below).

If you choose to download and print the PDF version, you should mail, fax, or email the completed form. Be sure to include a cover letter that lists the number and title of the position you’re interested in, and your résumé or curriculum vitae (CV).

Mail:

   Human Resources
   HealthReach Community Health Centers
   10 Water Street, Suite 305
   Waterville, Maine 04901

Email:

   Personnel@HealthReach.org

Fax:

   ( 207 ) 660 – 9901

Download Application (PDF)

Online Job Application

MM slash DD slash YYYY
Position(s) Applied For(Required)
Locations
Name
Address
How did you Learn about us?
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Are you authorized to work in the United States? (Proof of citizenship or immigration status will be required upon employment)
Have you ever filed an application with us before?
Have you ever been employed with us before?
Are you currently employed?
May we contact your present employer?
MM slash DD slash YYYY
Are you available to work:
 

Education

Please fill out the table below with all education information (high school, undergraduate, graduate, etc.)
Name, City & State of School
Course of Study
Year of Degree
Diploma/Degree Received
 
 

Professional References

Please provide at least 3 professional references
Name
Address
Phone
 
 

Employment Experience

Start with your present or last job. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, sex, age, national origin, religion, physical or mental disability, gender identity, or sexual orientation.
Address
Supervisor
May we contact?

Address
Supervisor
May we contact?

Address
Supervisor
May we contact?

Address
Supervisor
May we contact?
 

Special Skills

Can you type?
Working knowledge of computer software?
Word
MS Excel
MS PowerPoint
MS Access
Adobe
Clinical Skills: RN/LPN/MA please check areas in which you have experience/certification
List Professional Memberships:
List office equipment you operate:
List other job-related skills, including medical procedures you are qualified to perform:
List professinal, trade, business or civic activities and offices held. You may exclude organizations which indicate race, color, sex, age, national origin, religion, physical or mental disability, gender identity, or sexual orientation.
 

Licenses

(If you are a licensed health care or dental provider)
Professional Licensure
License/Certification
State/License No.
Date/Year Issued
Expiration Date
Temporary
Permanent
 
Has a state licensing authority ever revoked, suspended or placed conditions upon your professional license(s)
Have you ever been investigated by, sanctioned by, or otherwise had your ability to participate as a provider in Medicaid, Medicare or other government sponsored health insurance program, been suspended, revoked, limited or terminated?
 

Other Required Information

Have you ever been terminated from, or asked to resign from a previous position?
Have you ever been conficted of, or plead guity to, or plead nolo contendere (no contest) to a crime, or are you presently charged with a crime?
Have you ever had a complaint filed against you of client abuse, neglect or misappropriateion of client funds or property?
 

Applicant's Statement

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. 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 change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
MM slash DD slash YYYY
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been provided.
Max. file size: 128 MB.