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Job application form
Complete this initial form and be sure to call to check on status (405) 677-2273. If you are considered for the position, you will be asked to come in and sign consent forms for background check and fingerprinting.
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Name
*
First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Which position(s) are you interested in?
*
Nursing
Dietary
Housekeeping
Other
Required
Do you currently hold an active certification and or licensure? Ex: CNA, CMA, MAT?
Your answer
Date available for work?
Your answer
School 1
Your answer
School 2
Your answer
Employer 1
Your answer
Employer 2
Your answer
Have you been bonded?
Yes
No
Clear selection
If yes, explain:
Your answer
Have you been convicted of a felony?
Yes
No
Clear selection
If yes, explain:
Your answer
I understand that upon hired, a $30 fee will be deducted from my paycheck for the OSBI check if I do not stay employed by Gemini, LLC for more than 90 days.
yes
no
Clear selection
Due to our NO DRUG USE company policy, Gemini LLC reserves the right to do drug testing at their discretion. I do hereby give my permission for drug testing to Gemini LLC.
yes
no
Clear selection
What was your last job title and description?
Your answer
What do you see as your strengths? What do you see as your weakness?
Your answer
Our residents are our primary concern. What do you believe you will enjoy most about working with our residents?
Your answer
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