Application For Employment We are an Equal Opportunity Employer and committed to excellence through.
Personal Information
Are you authorized to work in the United States? If selected for employment are you willing to submit to a background check?
Position
Education
References
(Business and professional only)
Name, Title, Company, Phone, & Email
Name, Title, Company, Phone, & Email
Name, Title, Company, Phone, & Email
Employment History
Employer 1: Job Title, Dates Employed, Work Phone, Address, City, State & Zip
Employer 2: Job Title, Dates Employed, Work Phone, Address, City, State & Zip
Employer 3: Job Title, Dates Employed, Work Phone, Address, City, State & Zip
Employer 4: Job Title, Dates Employed, Work Phone, Address, City, State & Zip
Employer 5: Job Title, Dates Employed, Work Phone, Address, City, State & Zip
Professional & Technical Information
To be completed for Licensed/Registered Positions.
If not licensed in texas, have you applied?
Special Skills
List any special skills or experience that you feel would help you in the position that you are applying for leadership, organizations/teams, etc.
Language Skills
Add Language Skills
Additional Information
Has your professional license ever been revoked, suspended, or have been the subject of any disciplinary action by a licensing or regulatory agency? Is any such action currently in progress?
Criminal History Please Read: Conviction means your were found guilty by a judge, jury, by pleading "no contest", receiving deferred adjudication, or by pleading guilty in court. A conviction may have taken place even if you did not pay a fine or send any time in jail or prison. A conviction will not automatically disqualify you from employment.
Please answer the following questions completely and accurately. Excluding Minor Traffic Tickets:
Have you ever been convicted of, plead guilty to, or no contest to any felonies? A "yes" response will not necessarily disqualify an applicant
Tobacco Information Please Read: OANA Healthcare & Consulting has a non-tobacco use policy for our employees and we screen applicants on the use of tobacco and nicotine products including nicotine gum and patches. The offer will be rescinded if an applicant tests positive for nicotine during the post offer screen. Do you smoke, use any tobacco related products, or products which include nicotine such as patches or gum?
Attachments
Please upload your resume, cover letter, transcript, and any other relevant documents.
Terms & Conditions
By clicking "Submit", I certify that I have fully and accurately answered all questions and have given all information requested in this application for employment, and I understand any wrong or incomplete information on the form may disqualify me for further consideration for employment or, if discovered after I am hired, may be grounds for immediate dismissal. I understand that all such information is subject to verification by OANA Healthcare & Consulting LLC, and hereby give my consent to OANA Healthcare & Consulting LLC to investigate my background and qualifications using any means, sources, and outside investigators at its disposal. I agree to undergo any type of drug and/or alcohol testing that OANA Healthcare & Consulting LLC may require at any time. Finally, I understand submission of this application does not necessarily mean I will be hired.
OANA is an equal opportunity employer and a drug free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, citizenship status, national origin, pregnancy, military status, sexual orientation, age (40 or older), disability or genetic information.
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