Job application form
Email *
Full Name: *
Phone number: *
Address *
Date of Birth *
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/
DD
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Social Security Number: *
In what state was your driver's license issued? *
What position are you applying for? *
How did you hear about the position? *
Are you a citizen of the United States? *
Required
Which position are you applying for? *
Do you know anyone who currently works at Shining Star? *
If yes, who?
Are you related to anyone who currently works or has previously worked for Shining Star? *
If yes, who?
Have you previously been employed by Shining Star Residential? *
If yes, when?
Do you have a valid driver's license? *
Do you have less than 4 points on your driver's license? *
Are you certified in CPR/First Aid? *
Are you Med Pass certified? *
Have you ever been convicted of, entered a plea of guilty or no contest, or had a withheld judgement to a felony? *
If yes, please explain
Have you lived in the State of Ohio for the past five (5) years? *
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