Employment Application – Horseshoe Bay

First Name *

Last Name *

Email Address* *

Phone Number

Address *

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

Message0 / 500

General Information about Employment Desired

Position Applying For

Desired Hourly Rate

Date Available

What day(s) are you available to work:SundayMondayTuesdayWednesdayThursdayFridaySaturday

What time(s) are you available to work:Day ShiftEvening ShiftNight ShiftOther

Are there any days/times that you are not available? If so please list.

Type of Employment Desired:Full TimePart TimePRN

If part time or PRN, specify the number of hours desired.

Training History ( Please begin with most recent information )

Licenses, Deegrees, Certifications, Trainings, etc

Employment History

Please list most recent employment first.

Name of Company

Position

Duties Performed

Reason of Leaving

Date of Employment

Eligible for Rehire? If no, specify reason

Name of Company

Position

Duties Performed

Reason of Leaving

Date of Employment

Eligible for Rehire? If no, specify reason

Criminal History

If you have ever been convicted of a crime, other than a minor traffic violation, please list date and charges.

Note: A conviction will not automatically disqualify you from employment, however failure to disclose criminal history may.

Please list any additional information that will help us determine your eligibility for the position you are applying for :

File* *

No file chosen

Celeste Care LLC is an Equal Opportunity Employer. Race, color, religion, age, gender, disability, marital, veteran status, place of national origin, and other categories protected by law are not factors in employment, promotion, compensation, or working conditions.

By checking this box and typing my name below, I am electronically signing these forms.

Name *

Date *

Schedule A Tour

CelesteCare, LLC, proudly owns senior care communities in Fredericksburg, Horseshoe Bay, and Llano, Texas.

Choose Location *