LowerBanner

Seasons Hospice - Rochester, MN
Application for Employment - PDF Version

Seasons Hospice considers applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, creed, disability, status with regard to public assistance, sexual orientation, or any other legally protected status. Seasons Hospice maintains applications for six months. However, if you have changes in your employment history, address, or phone number, you will need to complete a new application.

(*Indicates Mandatory Fields)
  • Contact Information

  • Street Address
  • City
  • State
  • Please note that you are applying for a position based in Rochester, MN!

  • Zip Code
  • Please provide at least one phone number.

  • General

  • Enter the name of the employee who referred you, the newspaper name, or the source if you entered "other".
  • Schedule

  • Questions / Other Employment Related Statements

    The agency does not illegally discriminate on account of an applicant's age. If you are under 18, you may be required to prove your age for some jobs where state laws or regulations impose restrictions.
  • A criminal record does not constitute an automatic bar from employment.

  • Employment History

  • Please account for ALL employment for the past 10 years starting with the most current. Please list all details of employment in the space below, even if you opt to upload a resume as part of your application.

  • Limited to 1000 characters
  • Limited to 1000 characters
  • Limited to 1000 characters
  • Limited to 1000 characters
  • Limited to 1000 characters
  • Education and Training

  • Professional Licenses / Certifications

    Please list all licenses or certifications that apply. The Expiration Date may be left blank for licenses or certifications which do not expire.
  • Professional References

    Note: Professional references will not be contacted without prior notice. References may include current/former employers, volunteer contacts, professors, teachers, counselors, etc. Please do not list relatives or personal friends.
  • (###)###-####
  • (###)###-####
  • (###)###-####
  • (###)###-####
  • Applicant Statement

  • Please read the following information carefully. By checking the "I accept this statement" box below, you are agreeing to the following:
    1. I understand that the receipt of this application does not imply I will be employed nor does it indicate that there are positions available.
    2. I understand that unless acted upon, this application will become inactive after 180 days. After that time, I will have to reapply to receive further consideration.
    3. I hereby grant permission to investigate any of the information included in this application, agree to cooperate in such investigation and release from all liability or responsibility all persons, organizations, companies and corporations collecting and supplying such information together with any other information they may have regarding me whether or not it is in their records.
    4. In making this application for employment, I understand that an investigation may be made whereby information is obtained through interviews with my references, including but not limited to former co-workers, supervisors, business associates, etc. or others with whom I am acquainted. This inquiry includes information as to my criminal record, reputation, professional credentials, and work ethics. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation.
    5. I understand that if I am hired, my employment will be at-will and may be terminated with or without cause and with or without notice at any time. I also understand that no employee of Seasons Hospice other than the Executive Director has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing.
    6. I authorize Seasons Hospice to deduct from my final paycheck(s) all monies due and owing to the agency.
    7. I understand that if I am employed, I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment.
    8. I certify the information included in this application is true and correct, and without consequential omissions of any kind.